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1. Recognize the essential maneuvers to aid in resolution of a shoulder dystocia.
2. Analyze documentation “must have’s” following a shoulder dystocia case.
3. Evaluate maternal and fetal risks based upon the impact of hypertensive disease.
4. Determine the benefits of non-pharmacological treatment options during pregnancy and delivery, including: acupressure, reflexology, aromatherapy, hydration therapy.
5. Examine the risk factors and events leading to preterm birth and preterm labor.
6. Identify the impact of available treatment options for preterm labor upon pregnant women and their neonates.
7. Explore the impact of obesity and gestational diabetes in our reproductive aged women.
8. Discuss the rationale for antenatal testing of the fetus and mother during pregnancy.

Shoulder Dystocia: Obstetrical Emergency

• Risk factors antepartum, intrapartum: When does it happen?
• Maneuvers to rectify a shoulder dystocia: Where should we start?
• Serious consequences: Morbidity and mortality
• Documentation essentials

Preterm Labor: It’s Too Early!

• Who’s at risk for preterm delivery?
• Fetal outcomes based on gestational age
• Assess for risk: Contractions, cervical changes, biochemical markers
• Medications and treatment options: What is successful?

Hypertension in Pregnancy: Gestational Hypertension and Preeclampsia

• What’s new in hypertension in pregnancy?
• Strategies to optimize outcomes for mothers and infants
• What is the latest in medication options?

Alternative Comfort Measures in Pregnancy and Labor

• What does the evidence say?
• Anticipating the pain of labor
• Management strategies for laboring patients: Going beyond pharmacology
• Acupressure, music, aromatherapy, water therapy…and more!

The Mature Gravida: Advanced Maternal Age

• Risks for pregnancy complications when childbearing is delayed
• Testing for fetal and maternal risk
• Best practice standards to help prevent the most serious consequences

“Diabesity”: Obesity and Gestational Diabetes

• Combined risks of obesity and gestational diabetes for mother and infant
• Diagnosing and treatment strategies during pregnancy
• What are the future implications - for each?

Antenatal Testing: Who Are We Testing - and Why?

• What are all the options available to women?
• Who should be tested?
• Antenatal testing methods and interpreting the results
• What to do with post-dates and post-term pregnancies

Michelle Quale, RN, MSN, CNM, FNP-BC, practices as a Certified Nurse Midwife and Family Nurse Practitioner in Minnesota. She has practiced in the area of obstetrical nursing for 20 years, including experiences as a labor/delivery nurse, nursery nurse, nurse coordinator, childbirth educator and fetal monitor instructor. Michelle has served as a clinical faculty member for both Minnesota State University and the University of Minnesota. Additionally, she has participated as a member of ICSI and the Rural Health Initiative for Obstetrics for the Minnesota Board of Health. In her daily role, she treats patients experiencing the variety of obstetrical conditions addressed during this important day of learning. She is excited to share with you the valuable tips, strategies and insights she has gained throughout her vast clinical experiences! Speaker Disclosures:

Financial: Michelle Quale is receiving a fee for speaking at today's educational activity.

Nonfinancial: Michelle Quale has no relevant nonfinancial relationships to disclose.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; 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 may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**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: 9/12/2017
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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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 and other Health Care Professionals