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1. Identify three clinical manifestations of amniotic fluid embolism.
2. Describe the most common causes of obstetric trauma.
3. Discuss management options for post-partum hemorrhage.
4. Explain why a d-dimer is no longer recommended as part of the evaluation for pulmonary embolism in pregnancy.
5. Analyze why neurological outcomes with amniotic fluid embolism are so poor and the rapid interventions that could make a difference.
6. Compare the various treatment options for the obstetrical patient with severe hypertension.

Trauma in Pregnancy: Managing a Potential Catastrophe!

• Triage: How Much is Too Much?
• Labs: What's NOT Normal in Pregnancy
• CPR with a Gravid Abdomen
• When to Consider "Bedside Cesarean"

Management Strategies for Hemorrhage

• Risk Evaluation & Prevention
• 3rd Stage Management
• Qualitative vs. Quantitative Assessment
• Is Misoprostol all it's Cracked Up to Be?
• Current Medication Recommendations
• Triggering Massive Transfusion Protocols

Amniotic Fluid Embolism

• Are We Putting Her at Risk?
• What Does the Differential Look Like?
• Rapid Response That May Save Her Life

Severe Hypertensive Disorders in Pregnancy

• How Does This Happen: Update on Pathophysiology for Today's Patient
• Urgent Treatment Thresholds
• The Best & Latest Medications
• Fetal Evaluation: From NSTs to UARs & Everything in Between
• Post-Partum Management

VIOLENCE!

• More Common Than You Think, Do You Know How to React?
• The Angry Partner
• Being Threatened with Violence
• Developing an Action Plan for Crisis Events
• Where & When to Get Help

The At-Risk Newborn

• Umbilical Artery Studies
• Identifying a Problem
• What All the Numbers Mean
• When to Watch & When it is an Emergency

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: 12/12/2020
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 6.3 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 90 instructional minutes of pharmacology content which is designed to qualify for 1.5 contact hours toward your pharmacology requirement.

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Other Professions
This self-study activity qualifies for 6.25 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.

Nurses, Midwives, Childbirth Educators/Doulas, and other Healthcare Professionals