Inpatient Obstetrics Review

Presented by: Rebecca Cypher, MSN, PNNP
17 hr CE:

Rebecca is the Co-author of the 8th Ed. Mosby’s Pocket Guide Fetal Monitoring

PEC recommends that you review before the seminar if you plan to test on site.
and review the test content listed in the NCC Candidates Guide.

This is a fast-paced review, not all topics in the Candidates Guide are covered in depth.

Course Objectives:

Demonstrate knowledge of biological, physiological, psycho-
logical, and sociocultural factors that influence the pregnant
family, developing fetus and impact care.
Identify alterations in the biological, physiological, psycho-
logical, and sociocultural status of the mother, fetus and
implications for the newborn.
Identify patient’s actual or potential problems/needs,
utilizing information received from the patient, the family,
appropriate records, and other health team members.
Develop a comprehensive plan for individualized nursing
care, including diagnostic, therapeutic, and patient education
components.
Evaluate interventions and modify the plan of care.
Apply current standards of practice, research findings and
ethical/legal principles in providing nursing care to the normal
and high risk antepartum, intrapartum, and postpartum family.

A great opportunity to help achieve/maintain Magnet Hospital status!
Includes the newest information on Fetal Monitoring,
Maternal Safety Initiatives, Gestational Hypertensive Disorders,
appropriate Labor Progress, and Maternal Hemorrhage

**Taking the review course does not guarantee to pass the exam.

Be aware that registration for the exam is separate and includes both a Test Fee due to NCC of $275
and a Non-Refundable Test Administration fee of $25 due to PEC for taking the exam on site. There are a net $25 savings.
NCC exam registration must be done at least 21 days prior to the test date.

NCC and PEC are separate entities, and providing the NCC exam on site is
an exclusive PEC advantage to our participants.
Convenient and concise, couple the review and the immediate exam for improved results

Learn From The Best and Pass The Test!

OUTLINE OF DAY ONE AND TWO

Day One

7:30 Check-In – Continental Breakfast

8:00 PHYSIOLOGY OF PREGNANCY: Systems Adaptation
• Cardiovascular, Hematologic & Respiratory
• Renal, GI, & Endocrine

• ECG Changes

MATERNAL FACTORS: Affecting Fetus/Newborn
• Disease Processes: Hypertension, Diabetes, Cardiac
Blood Disorders, Acute Fatty Liver, Obesity, Thyroid
Auto-immune, Rh incompatibility
• Pregnancy Risks: Substance Abuse, Alcohol, Tobacco
Domestic Violence, Environmental
Prescriptive/Non-Prescriptive Drugs Abuse

12:00 Lunch

FETAL ASSESSMENT
• Fetal Utero-Placental Physiology: Oxygenation Pathway
Intrinsic/Extrinsic Factors
• Non-Electronic Monitoring: Auscultation, Palpation
• Electronic Fetal Monitoring: Assessment, Signal Ambi-
guilty, Periodic/Episodic Changes, Uterine Activity
• Acid-Base Assessment: Cord gas evaluation, acoustic stim
• Antepartum Assessment: NST, BPP, dopplers, ultrasound
• Prenatal Diagnosis: Prenatal screening

4:30 Adjourn

Day Two

7:30 Check-In – Continental Breakfast

8:00 LABOR AND BIRTH
• Physiology of Labor
• Labor Management: Assessment, Psychosocial
• Stages of labor: Characteristics, Support Interventions
• Dysfunctional labor. Maternal-Fetal Implications
• Obstetrical Procedures: External Cephalic Version
Episiotomy, Operative Vaginal Deliveries, Cesarean.
VBAC, Induction of Labor, Cervical Ripening Methods
• Non-Pharmacologic Pain Management
• Pharmacologic Pain Management: Systemic, Neuraxial,
General Anesthesia, Nursing Care

12:00 Lunch

OBSTETRIC COMPLICATIONS
• Malposition, Shoulder Dystocia, Multiple Gestations
• Umbilical Cord Problems, Cord Prolapse
• AF Disorders, Oligohydramnios, Hydramnios
• Ruptured Membranes, Preterm, Term, Prolonged
• Chorioamnionitis, Anaphylactoid Syndrome
• Placental Implantation Abnormalities, Abruption,
Previa, Uterine Rupture, Hemorrhage
• Preterm Labor, Prolonged Pregnancy