Inpatient Obstetric Nursing Exam Review

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Agenda

View Module 3: Antepartum Assessment on YouTube

10 Contact Hours | Course Length: 596 Minutes


About the Test, Test-Taking Skills and Disease Processes 180 minutes
Module Description
This session will introduce participants to the National Certification Corporation (NCC) certification exam in Inpatient Obstetrics. General test-taking skills will also be reviewed. This session will also provide participants with an overview of common disease processes encountered during pregnancy, with a focus on hypertension, diabetes and cardiac diseases.

Module Learning Outcomes
This module prepares the learner to:
  1. Describe the format and qualifications for the NCC subspecialty exam in Inpatient Obstetrics.
  2. List general test-taking strategies.
  3. Describe the impact of hypertension on the pregnant woman and her growing fetus.
  4. Describe the various categories and managements of hypertension in pregnancy.
  5. Describe the diagnostic criteria for diabetes in pregnancy.
  6. Describe the impact of diabetes on the pregnant woman and her fetus.
  7. Describe cardiac disease in pregnancy and how it impacts the homeostasis of the pregnant woman.
  8. Describe other systemic disease processes and their impacts on pregnancy.
  9. Describe infectious disease processes and their impacts on pregnancy.


Pregnancy Risks
19 minutes
Module Description
This session will explore extrinsic risks to pregnancy, including teratogens, substance abuse, medications and intimate partner violence.

Module Learning Outcomes
This module prepares the learner to:
  1. Describe the various sources of teratogenicity in pregnancy and their impacts on the fetus.
  2. Describe intimate partner violence and its impact on the pregnancy and the fetus.
  3. Describe the effects of common drugs (illicit and prescription) on the pregnancy and their associated risk to the fetus.


Antepartum Assessment
36 minutes
Module Description
This session will review antepartum assessment methods commonly used in pregnancy. An overview of the physiology of testing methods will be provided.

Module Learning Outcomes
This module prepares the learner to:
  1. Describe various antepartum fetal testing methods and their interpretations.
  2. Describe the physiological basis for various adjunct fetal assessment methods.


Electronic and Nonelectronic Fetal Monitoring
60 minutes
Module Description
This session will review intermittent auscultation and Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) terminology of electronic fetal monitoring (EFM) patterns as well as physiological goals and interventions. A review of underlying physiology of deceleration patterns is also provided.

Module Learning Outcomes
This module prepares the learner to:
  1. Identify EFM patterns using NICHD terminology.
  2. Describe the physiology of various EFM patterns.
  3. Identify physiological goals and interventions for Category II and III tracings.
  4. Describe the use of intermittent auscultation and its role in fetal assessment.



Physiology and Management of Labor

32 minutes
Module Description
This session will review the physiology of labor with a focus on the stages and phases of the labor process. The session will also review nursing interventions to support the laboring woman, including pharmacological and nonpharmacological management of pain.

Module Learning Outcomes
This module prepares the learner to:
  1. Describe the normal physiology of labor.
  2. Describe the stages and phases of labor and the process of delivery.
  3. Identify nursing interventions to support the laboring woman.
  4. Describe common pharmacological agents used for pain management in labor.


Obstetric Procedures
50 minutes
Module Description
This session will review common obstetric procedures used during labor and delivery, including operative vaginal delivery, Cesarean, vaginal birth after Cesarean (VBAC) and labor induction.
Module Learning Outcomes
This module prepares the learner to:
  1. Describe common obstetric procedures used during labor and delivery.
  2. Describe the common methods used to ripen the cervix and induce labor, as well as the nursing management needed for these methods.


Obstetric Complications
55 minutes
Module Description
This session will review the most common obstetric complications encountered during labor and delivery, including premature labor.

Module Learning Outcomes
This module prepares the learner to:
  1. Describe the most common obstetric complications encountered during labor and delivery.
  2. Describe nursing management of preterm labor, including tocolytic medications.


Postpartum 59 minutes
Module Description
This session will review the anatomical and physiological changes that occur in the postpartum period. A discussion of nursing assessment and management of the puerperium is included.

Module Learning Outcomes
This module prepares the learner to:
  1. Describe the anatomical and physiological changes that occur following birth.
  2. Describe nursing assessment and management of the puerperal period, including family transitions.


The Newborn
38 minutes
Module Description
This session will review the anatomical and physiological changes that occur as the fetus transitions to a neonate. A discussion of nursing assessment and management of the newborn is included.

Module Learning Outcomes
This module prepares the learner to:
  1. Describe the cardiorespiratory changes that occur in the neonate during the transition period.
  2. Describe nursing assessment and management of the neonatal hypoglycemia, hypothermia and hyperbilirubinemia.

Professional Issues 67 minutes
Module Description
This session will discuss professional nursing issues, including legal issues, ethical principles, research and patient safety.

Module Learning Outcomes
This module prepares the learner to:
  1. Describe basic legal issues surrounding the professional nursing practice.
  2. Describe ethical principles of concern to the professional nursing practice.
  3. Describe how nursing research and patient safety affect the professional nursing practice.
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