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• Formulate optimal interventions for challenging birth plan scenarios.
• Apply examples of complimentary therapies that can be used with minimal effort.
• D etermine the safety concerns related to nitrous gas for labor pain management.
• Compare the benefits of labor epidurals with spinal/epidurals.
• E xplain special considerations for an epidural in a pre-eclamptic patient.
• D iscuss the nature of hypertension in pregnancy and up-to-date considerations for management

Birth Planning

• Preventing Unrealistic Expectations!
• Interventions for Challenging Scenarios
• Maternal Refusal of:
• GBS Prophylaxis
• Pitocin
• C-section
• Cord Clamping
• PROM
• How to Protect Yourself from LIABILITY
• Impact on Patient Satisfaction Scores

Non-Pharmacological Pain Management

• “Low Intervention” Strategies
• The Must-Have, Low Cost Gadgets
• Hydrotherapy & Water Birth

Pharmacological Pain Management

• Individualize It!
• Epidurals & Spinals
• Latest & Greatest Options:
• Nitrous Gas
• Remifentanyl PCA’s
• Safety & Efficacy

Complicated Pregnancy & Delivery: Gestational Hypertension Pre-eclampsia, Eclampsia & HELLP

• MUST Know Interventions
• Maximizing Maternal & Fetal Outcomes
• Morbidity & Mortality

Preterm Labor

• Rapid Diagnosis & Critical Interventions
• Evaluating Risk
• Who Gets What?
• Beta-Mimetics
• Mag
• Calcium Channel Blockers
• NSAIDS
• Antibiotics

Inductions

• When the Risk is Too High
• The Newest Medication Options
• Strategies to Reduce Risk & Costs
• The MUST HAVE Induction Checklist

Venous Thromboembolism in Pregnancy & Postpartum

• #1 Cause of Maternal Death
• Work-Up & Evaluation
• Anticoagulation
• Treatment in Pregnancy
• Timing Delivery

Jamie Otremba, MSN, RN, CNM, has over 25 years of maternal child nursing experience and is currently practicing full scope nurse-midwifery at a progressive OB/GYN clinic in suburban Minnesota. Jamie has been active in program development and benchmarking in both clinic and hospital settings. She is also one of the medical directors for the Women’s and Children’s Service Line at a large hospital and medical center in Minnesota. Jamie served as an assistant professor at Minnesota State University and has practiced in women’s health care in a variety of settings, including labor and delivery, postpartum, antenatal, and community health nursing.

She has consulted area health care facilities on clinical and legal practice topics, and she continues as an investigator for several medication trials pertinent to obstetric and gynecologic issues. Additionally, Jamie has enjoyed sharing her vast knowledge and experiences as a preceptor for both medical and advanced practice nursing students. Her goal is to provide you with the latest pharmacological options for pregnancy and birth to ultimately improve the maternal and fetal outcomes of your own patients. Speaker Disclosures:
Financial: Jamie Otremba has an employment relationship with Allina Health and receives compensation as a national speaker. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Jamie Otremba is a member of the American College of Nurse-Midwives and the Network for LGBT Health Equity.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 11/18/2019
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Pharmacology Nurse Practitioners
This self-study program offers 120 instructional minutes of pharmacology content which is designed to qualify for 2.0 contact hours toward your pharmacology requirement.

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Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurse, Nurse Practitioners, Clinical Nurse Specialists, Nurse Midwives, Physician Assistants, Nurse Educators, Doulas, Certified Childbirth Educators