Nurse-Inpatient Obstetric RNC CE

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All of our activities are approved by ANCC (LVN, RN, and CNS) and all activity is reported to CE Broker and all states as required. StatPearls continuing education activities are linked to practice questions which are based on the National Certification Corporation® content outlines. 308 authors and 12 editors have contributed to the development of the Nurse-Inpatient Obstetric RNC content, which is continuously refined and updated to improve your learning experience.

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Nurse-Inpatient Obstetric RNC Activities

Title Description Hours Questions
Abnormal Labor Physicians, advanced practice nurses, nursing personnel, and midwives must be aware of what constitutes normal versus abnormal labor. Without proper s ... Read the Article 1 7 Activity Info
Abnormal Uterine Bleeding Abnormal uterine bleeding is a broad term that describes irregularities in the menstrual cycle involving frequency, regularity, duration, and volume o ... Read the Article 1.25 10 Activity Info
Abortion Abortion is one of the common procedures performed among women. In the US, in 2014, one in 5 pregnancies ended in abortion, and one in 4 women is esti ... Read the Article 1.25 8 Activity Info
Abortion Complications Roughly one million abortions are performed each year in the United States alone. The total abortion-related complication rate is estimated to be abou ... Read the Article 1 4 Activity Info
Active Tuberculosis Active tuberculosis is a condition in which Mycobacterium tuberculosis causes infection; typically in the lungs, although many systems can be involved ... Read the Article 1.25 11 Activity Info
Acute Cholecystitis Acute cholecystitis is inflammation of the gallbladder that occurs due to occlusion of the cystic duct or impaired emptying of the gallbladder. Often ... Read the Article 1.5 19 Activity Info
Acute Eclampsia Eclampsia is a pregnancy-related disorder that manifests as new-onset generalized tonic colonic seizures. Typically eclampsia occurs after gestational ... Read the Article 1.25 10 Activity Info
Acute Postpartum Hemorrhage Obstetric hemorrhage is the most common and dangerous complication of childbirth. Traditionally, postpartum hemorrhage (PPH) has been defined as great ... Read the Article 1 7 Activity Info
Acute Pyelonephritis Acute pyelonephritis is a bacterial infection causing inflammation of the kidneys. Pyelonephritis occurs as a complication of an ascending urinary tra ... Read the Article 1.25 13 Activity Info
Amniocentesis Amniocentesis is the aspiration of amniotic fluid from the amniotic cavity and is the most common invasive fetal testing procedure. It is usually perf ... Read the Article 1 7 Activity Info
Amniotic Fluid Embolism Amniotic fluid embolism (AFE) is a rare entity, but one which has very high mortality and morbidity rates. This article will explain the clinical pres ... Read the Article 1.25 8 Activity Info
Amniotomy Amniotomy, also known as artificial rupture of membranes (AROM) or colloquially known as "breaking the water," is the intentional rupture of the amnio ... Read the Article 1 4 Activity Info
Angiotensin Converting Enzyme Inhibitors (ACEI) ACE inhibitors are medications used in the treatment and management of hypertension, which is a significant risk factor for coronary disease, heart fa ... Read the Article 1.75 24 Activity Info
Antepartum Care Antepartum care comprises a significant percentage of health maintenance visits in the United States. Also referred to as prenatal care, antepartum ma ... Read the Article 1 5 Activity Info
Aortocaval Compression Syndrome Aortocaval compression syndrome is also known as a supine hypotensive syndrome. It typically occurs in pregnant females, usually after 20 weeks of ges ... Read the Article 1 4 Activity Info
APGAR Score In 1952, Dr. Virginia Apgar, an anesthesiologist at Columbia University, developed the Apgar score. Serendipitously, APGAR is also a useful mnemonic t ... Read the Article 1.25 13 Activity Info
Appendicitis in Pregnancy Appendicitis during pregnancy is a condition in which the appendix becomes inflamed and infected. Its treatment consists of emergent surgery for the r ... Read the Article 1 6 Activity Info
Asthma In Pregnancy Bronchial asthma (BA) is considered the most common chronic disease in pregnancy, complicating 4% to 8% of pregnancies. Bronchial asthma exacerbation ... Read the Article 1.25 8 Activity Info
Baby Bottle Syndrome Baby bottle syndrome, now known as early childhood caries (ECC), is defined as the presence of 1 or more decayed teeth or missing teeth (resulting fro ... Read the Article 1 4 Activity Info
Benzodiazepine Toxicity Since the 1960s, with the development of chlordiazepoxide and shortly thereafter diazepam, benzodiazepines quickly became popular medications secondar ... Read the Article 1.25 12 Activity Info
Beta Lactamase Inhibitors Beta-lactamase inhibitors are drugs that are co-administered with beta-lactam antimicrobials to prevent antimicrobial resistance by inhibiting serine ... Read the Article 1 7 Activity Info
Birth Asphyxia Perinatal asphyxia is a lack of blood flow or gas exchange to or from the fetus in the period immediately before, during, or after the birth process. ... Read the Article 1 6 Activity Info
Birth Trauma This activity reviews common birth-related injuries. The mechanism of injury, clinical features, and management of various birth-related traumatic eve ... Read the Article 1 4 Activity Info
Bishop Score In 1964, Edward Bishop set forth criteria for elective induction of labor which included parity, gestational age, fetal presentation, obstetric histor ... Read the Article 1 6 Activity Info
Blood Transfusion Blood transfusions are a relatively common medical procedure and while typically safe, there are multiple complications that practitioners need to be ... Read the Article 2 31 Activity Info
Brachial Plexus Injuries The earliest written description of a brachial plexus injury (BPI) is attributed to Homer circa 800 BC in his depiction of a battle during which Hecto ... Read the Article 1.25 9 Activity Info
Braxton Hicks Contractions Braxton-Hicks contractions, also known as prodromal or false labor pains, are contractions of the uterus that typically are not felt until the second ... Read the Article 1 4 Activity Info
Breech Presentation Breech presentation refers to the fetus in the longitudinal lie with the buttocks or lower extremity entering the pelvis first. The three types of bre ... Read the Article 1.25 11 Activity Info
Caffeine Caffeine is a naturally occurring, central nervous system (CNS) stimulant of the methylxanthine class and is the most widely taken psychoactive stimul ... Read the Article 1 7 Activity Info
Cephalohematoma A cephalohematoma is an accumulation of blood under the scalp. During the birth process, small blood vessels on the head of the fetus are broken as a ... Read the Article 1 8 Activity Info
Cerebral Palsy Cerebral palsy is a group of permanent disorders affecting the development of movement and causing a limitation of activity. Non-progressive disturban ... Read the Article 1.25 11 Activity Info
Cervical Cerclage Cervical cerclage is performed as an attempt to prolong pregnancy in certain women who are at higher risk of preterm delivery. Cerclage placement may ... Read the Article 1 5 Activity Info
Cervical Incompetence Cervical insufficiency is the inability of the cervix to retain fetus, in the absence of uterine contractions or labor (painless cervical dilatation), ... Read the Article 1 5 Activity Info
Cesarean Section This activity reviews the cesarean section, and it highlights ways in which an interprofessional care team can impact the health of women and their ne ... Read the Article 1.75 17 Activity Info
Chlamydia Chlamydia trachomatis is responsible for the greatest number of sexually transmitted infections and the majority of infection-related of blindness wor ... Read the Article 1.5 13 Activity Info
Chorioamnionitis Chorioamnionitis is an infection that can occur before labor, during labor, or after delivery. It can be acute, subacute, or chronic. Chorioamnionitis ... Read the Article 1 5 Activity Info
Choriocarcinoma Choriocarcinoma is a rare, aggressive neoplastic type of trophoblastic disease. The 2 major types of choriocarcinoma are gestational and non-gestation ... Read the Article 1 4 Activity Info
Chorionic Villus Sampling Chorionic villus sampling is a prenatal diagnostic test performed between 10 and 13 weeks gestation. This activity reviews the indications, risks, and ... Read the Article 1 5 Activity Info
Clonus Clonus is a rhythmic oscillating stretch reflex that is related to upper motor neuron lesions. Therefore, clonus is generally accompanied by hyperrefl ... Read the Article 1 7 Activity Info
Cocaine Cocaine hydrochloride topical solution contains 4% cocaine. It is not FDA-approved but allowed for only the following indications: topical anesthesia ... Read the Article 1.5 14 Activity Info
Cocaine Toxicity Cocaine abuse is a major worldwide health problem. Patients with acute cocaine toxicity may require urgent treatment for tachycardia, dysrhythmia, hyp ... Read the Article 1.25 10 Activity Info
Colic Infant colic is estimated to affect 20% of all infants. Despite its prevalence, a clear cause for infantile colic remains elusive. There have been man ... Read the Article 1 5 Activity Info
Congenital Cytomegalovirus Infection Primary cytomegalovirus (CMV) infection in pregnancy is associated with the highest risk of trans-placental transmission. Universal screening for pre ... Read the Article 1.25 8 Activity Info
Congenital Herpes Simplex Herpes simplex virus (HSV) infection in newborn infants can show up as the following: Disseminated disease involving multiple organs, most prominentl ... Read the Article 1 5 Activity Info
Congenital Rubella Rubella, also known as German Measles, is a viral illness characterized by maculopapular rash, lymphadenopathy, and fever. It is a highly contagious b ... Read the Article 1.25 10 Activity Info
Congenital Toxoplasmosis Toxoplasmosis is a parasitic infection in humans and animals. Infection in healthy immunocompetent adults is asymptomatic in about 50% of the cases al ... Read the Article 1.25 8 Activity Info
Culdocentesis Culdocentesis is a procedure used to diagnose the presence of ruptured ectopic pregnancy by evaluating for hemoperitoneum by inserting a needle and dr ... Read the Article 1 6 Activity Info
Deep Vein Thrombosis A deep-vein thrombosis (DVT) is a blood clot that forms within the deep veins, usually of the leg, but can occur in the veins of the arms and the mese ... Read the Article 1.25 8 Activity Info
Deep Venous Thrombosis Of The Lower Extremity A deep-vein thrombosis (DVT) is a blood clot that forms within the deep veins usually of the leg but can occur in the veins of the arms and the mesent ... Read the Article 1.25 10 Activity Info
Deep Venous Thrombosis Ultrasound Evaluation Deep venous thrombosis (DVT) is a common condition for which clinical diagnosis is typically unreliable due to the infrequency of the classic findings ... Read the Article 1 6 Activity Info
Delivery, Face And Brow Presentation Face and brow presentation is a malpresentation during labor when the presenting part is either the face or, in the case of brow presentation, it is ... Read the Article 1 7 Activity Info
Dermatoses of Pregnancy Skin changes during pregnancy may be physiological. However, some dermatoses are specific to pregnancy, while others are altered by pregnancy. These c ... Read the Article 1 7 Activity Info
Difficult Foley Catheterization Urinary catheterization is a common clinical intervention to ensure adequate urinary drainage when patients cannot void effectively. When a urinary ca ... Read the Article 1.25 8 Activity Info
Dilation and Curettage Dilatation and curettage is one of the most well-known gynecological procedures. It serves main purposes, which could be therapeutic or diagnostic. Th ... Read the Article 1 4 Activity Info
Disseminated Intravascular Coagulation Disseminated intravascular coagulation can be defined is a widespread hypercoagulable state that can lead to both microvascular and macrovascular clot ... Read the Article 1.5 18 Activity Info
Down Syndrome Down syndrome (trisomy 21) is a genetic disorder caused by the presence of all or a portion of a third chromosome 21. Patients typically present with ... Read the Article 1.5 14 Activity Info
Duodenal Atresia And Stenosis Duodenal atresia is a congenital intestinal obstruction that can cause bilious or non bilious vomiting within the first 24 to 38 hours of neonatal lif ... Read the Article 1.25 12 Activity Info
Eclampsia This article discusses preeclampsia and eclampsia, one of the four categories of hypertensive disorders of pregnancy. Eclampsia is a severe complicati ... Read the Article 1 7 Activity Info
Ectopic Pregnancy An ectopic pregnancy occurs when fetal tissue implants outside of the uterus or attaches to an abnormal or scarred portion of the uterus. Ectopic preg ... Read the Article 1.5 18 Activity Info
Ehlers Danlos Syndrome Ehlers-Danlos syndrome (EDS) is a genetic disorder affecting collagen formation and function. It affects virtually every organ system, which can resul ... Read the Article 1.25 9 Activity Info
EMS Prehospital Deliveries There are approximately 3.9 million deliveries in the United States every year. Fortunately, most of these deliveries are appropriately anticipated an ... Read the Article 1 7 Activity Info
Endometritis Endometritis is inflammation of the uterine lining. It can affect all layers of the uterus. The uterus is typically aseptic. However, the travel of mi ... Read the Article 1 5 Activity Info
Epidural This activity reviews epidural analgesia and anesthesia and highlights used medications, indications, contraindications, uses, and techniques. It ment ... Read the Article 1 5 Activity Info
Epidural Anesthesia Epidural anesthesia is a technique that may be used as a primary surgical anesthetic or as a resource for postoperative pain management. It is safe an ... Read the Article 1.25 8 Activity Info
Episiotomy An episiotomy is a procedure developed to augment difficult vaginal deliveries while controlling for and avoiding potentially dangerous perineal lacer ... Read the Article 1 7 Activity Info
Erythroblastosis Fetalis Hemolytic disease of the fetus and newborn (HDFN) is also known as alloimmune HDFN or erythroblastosis fetalis. It is caused by the destruction of neo ... Read the Article 1.25 8 Activity Info
Escherichia Coli Escherichia coli (E. coli) is a gram-negative bacillus that is a causative organism of many diarrheal illnesses, including traveler’s diarrhea and dys ... Read the Article 1.25 9 Activity Info
External Cephalic Version About 25 percent of fetuses will be in breech presentation at 28 weeks, though this decreases to roughly 3 to 4 percent at term. Most infants who are ... Read the Article 1 4 Activity Info
Fatty Liver In Pregnancy Acute fatty liver in pregnancy (AFLP) is an obstetric emergency and carries high morbidity and mortality, including death in the mother and her fetus. ... Read the Article 1 5 Activity Info
Fetal Alcohol Syndrome Fetal alcohol syndrome is one of the five disorders that comprise fetal alcohol spectrum disorders (FASD). These fetal alcohol spectrum disorders clas ... Read the Article 1 6 Activity Info
Fetal Movement Fetal movements felt by pregnant women are a sign that the fetus is growing in size and strength. The mother is usually the first to feel these moveme ... Read the Article 1 5 Activity Info
Fever In A Neonate The World Health Organization categorizes neonatal sepsis as early or late based on the age of onset. Early neonatal sepsis affects infants less than ... Read the Article 1 5 Activity Info
Flumazenil Flumazenil is a benzodiazepine antagonist. The primary FDA-approved clinical uses for flumazenil include reversal agent for benzodiazepine overdose an ... Read the Article 1 7 Activity Info
Folic Acid Folic acid has FDA-approval for the treatment of megaloblastic and macrocytic anemias due to folic deficiency. Folic acid is a water-soluble vitamin ... Read the Article 1 5 Activity Info
Folic Acid Deficiency Folate is an essential water-soluble vitamin, naturally present in food, especially in fruits, green leafy vegetables, and liver. Folic acid is the s ... Read the Article 1 6 Activity Info
Forceps Delivery The use of forceps in infant delivery has fallen out of favor among obstetricians in the past three decades. Forceps deliveries now make up about only ... Read the Article 1 6 Activity Info
Gestational Age Assessment Gestational age is a key piece of data used by healthcare providers to determine when to perform various screening tests and assessments of the fetus ... Read the Article 1.25 9 Activity Info
Gestational Diabetes The definition of gestational diabetes mellitus (GDM) is any degree of glucose intolerance with onset or first recognition during pregnancy. GDM can c ... Read the Article 2 28 Activity Info
Gestational Sac Evaluation The gestational sac is the first structure seen in pregnancy by ultrasound as early as 4.5 to 5 weeks of gestational age, but it is only 97.6% specifi ... Read the Article 1 6 Activity Info
Gonorrhea Neisseria gonorrhoeae, an obligate human pathogen, is a sexually transmitted disease that causes consequential worldwide morbidity both in resource-ab ... Read the Article 1.75 20 Activity Info
Group B Streptococcus And Pregnancy Group B Streptococcus (GBS) is a gram-positive bacteria that colonizes the gastrointestinal and genitourinary tract. It is known to cause both early o ... Read the Article 1 4 Activity Info
Gynecologic Examination The gynecological exam traditionally includes an examination of the external and internal genitalia. Under some conditions, it may be necessary to per ... Read the Article 1 5 Activity Info
Halothane Toxicity Halothane is a medication previously used for induction and maintenance of general anesthesia. After its large impact on medicine and anesthesia speci ... Read the Article 1 6 Activity Info
Hand Hygiene Handwashing practices in the patient care setting began in the early 19th century. The practice evolved over the years with evidential proof of its va ... Read the Article 1 4 Activity Info
HELLP Syndrome The syndrome of hemolysis, elevated liver enzymes and low platelets, otherwise referred to as HELLP syndrome, has historically been classified as a co ... Read the Article 1 7 Activity Info
Hemorrhagic Disease Of Newborn Hemorrhagic disease of the newborn is a life-threatening condition that is due to insufficient vitamin K levels in newborns as a result of various cau ... Read the Article 1.25 8 Activity Info
Hepatitis B Vaccine The hepatitis B vaccine is a medication used in the prevention of hepatitis B infection, which can lead to chronic liver failure and hepatocellular ca ... Read the Article 1.5 16 Activity Info
Heroin Heroin, also known as diacetylmorphine, is derived from the opium poppy plant. Professionals initially touted morphine as a substitute with less misus ... Read the Article 1 6 Activity Info
Herpes Simplex Neonatorum Herpes simplex virus (HSV) infections in the neonatal period continue to be troublesome for practitioners. In the 1970s, the drug vidarabine was intro ... Read the Article 1 4 Activity Info
Herpes Simplex Type 1 Herpes simplex virus type 1 (HSV-1) is a linear dsDNA virus that is a member of the Alphaherpesviridae subfamily. HSV-1 is responsible for establishin ... Read the Article 1 5 Activity Info
Herpes Simplex Type 2 This activity reviews the evaluation and management of herpes simplex type 2 and highlights the role of the primary care provider in managing patients ... Read the Article 1.25 12 Activity Info
HIV In Pregnancy Several thousand HIV positive pregnant women give birth in the US annually. With proper management, these women can achieve viral suppression to undet ... Read the Article 1.25 7 Activity Info
Human Papillomavirus The human papillomavirus (HPV) is a non-enveloped, double-stranded, circular DNA virus that is responsible for causing multiple epithelial lesions and ... Read the Article 1.25 12 Activity Info
Hyperemesis Gravidarum Hyperemesis gravidarum refers to intractable vomiting during pregnancy that leads to weight loss and volume depletion, resulting in ketonuria and/or k ... Read the Article 1 3 Activity Info
Hypermagnesemia Magnesium is an essential element for the life of plants as it is part of chlorophyll. Moreover, it is abundant in animal tissues, where it is fundame ... Read the Article 1 5 Activity Info
Hypertension In Pregnancy Hypertensive disorders of pregnancy, including chronic hypertension with or without superimposed pre-eclampsia/eclampsia, gestational hypertension, pr ... Read the Article 1.25 9 Activity Info
Hypertensive Urgency Hypertensive urgency is a marked elevation in blood pressure without evidence of target organ damage, such as pulmonary edema, cardiac ischemia, neuro ... Read the Article 1.25 8 Activity Info
Hypothermia Accidental hypothermia occurs when the body dissipates more heat than it absorbs or creates, leaving the body unable to generate sufficient heat to ma ... Read the Article 1.5 15 Activity Info
Hypotonic Labor Hypotonic labor is a dysfunction in the propulsive power of the uterus that presents as an abnormal labor pattern resulting in prolonged or protracted ... Read the Article 1 6 Activity Info
Hypovolemia Hypovolemia refers to a state of low extracellular fluid volume, generally secondary to combined sodium and water loss. All living organisms must main ... Read the Article 1 6 Activity Info
Ibuprofen Ibuprofen is a medication used to manage and treat inflammatory diseases, rheumatoid disorders, mild to moderate pain, fever, dysmenorrhea, and osteoa ... Read the Article 1 6 Activity Info
Incomplete Abortions An incomplete abortion is the partial loss of the products of conception within the first 20 weeks. Incomplete abortion usually presents with moderate ... Read the Article 1 4 Activity Info
Induction of Labor There are indications for late preterm, early term, late term, and post-term inductions depending on a patient's obstetrical and medical history. Obst ... Read the Article 1 7 Activity Info
Influenza Influenza is a communicable viral disease that affects the upper respiratory tract, including upper and lower respiratory passages. A wide spectrum of ... Read the Article 1.25 9 Activity Info
Insulin Insulin is a medication used in the treatment and management of diabetes mellitus type-1 and sometimes diabetes mellitus type-2, both of which are sig ... Read the Article 1.25 12 Activity Info
Insulin Resistance Insulin resistance is identified as an impaired biologic response to insulin stimulation of target tissues, primarily the liver, muscle, and adipose t ... Read the Article 1.25 11 Activity Info
Intrathecal Morphine Morphine is an opioid administered for acute and chronic pain conditions. The advantage of intrathecal (IT) morphine over intravenous (IV), oral (PO), ... Read the Article 1 6 Activity Info
Intrauterine Fetal Demise Stillbirth has many causes: intrapartum complications, hypertension, diabetes, infection, congenital and genetic abnormalities, placental dysfunction, ... Read the Article 1.5 6 Activity Info
Jaundice Jaundice, also known as hyperbilirubinemia, is defined as a yellow discoloration of the body tissue resulting from the accumulation of excess bilirubi ... Read the Article 1.5 15 Activity Info
Late Decelerations Late decelerations are one of the precarious decelerations among the three types of fetal heart rate decelerations during labor. They are caused by de ... Read the Article 1 7 Activity Info
Liver Disease In Pregnancy Managing liver disease during pregnancy is quite challenging and requires a multispecialty approach. Physiological and anatomical changes during pregn ... Read the Article 1 4 Activity Info
Low Molecular Weight Heparin (LMWH) Low-molecular-weight heparins (LMWHs), for example, dalteparin, enoxaparin, among others, are anticoagulants. These drugs are used in the prophylaxis ... Read the Article 1.25 9 Activity Info
Macrosomia Macrosomia is commonly encountered during obstetric practice. It is associated with a higher likelihood of obstetric as well as neonatal complications ... Read the Article 1 4 Activity Info
Magnesium Magnesium use is indicated for a variety of diseases. This is due to the variety of effects magnesium has within the body. Administration of magnesium ... Read the Article 1 5 Activity Info
Magnesium Sulfate Magnesium sulfate is a medication used to manage and treat multiple clinical conditions and holds several on and off-label uses. This activity outlin ... Read the Article 1 6 Activity Info
Magnesium Toxicity Magnesium toxicity is commonly caused by the overuse of magnesium-containing medication or under-excretion of magnesium by the kidneys. Early recognit ... Read the Article 1 5 Activity Info
Marijuana And Maternal, Perinatal, and Neonatal Outcomes Drug abuse and drug dependency are major public health problems. Marijuana is the most commonly abused drug among all genders and age groups. This act ... Read the Article 1 5 Activity Info
Massive Transfusion Massive transfusion is traditionally defined as transfusion of 10 units of packed red blood cells (PRBCs) within a 24 hour period. The goal of massive ... Read the Article 1 6 Activity Info
Meconium Aspiration Meconium aspiration syndrome (MAS) is the neonatal respiratory distress that occurs in a newborn in the context of meconium-stained amniotic fluid (MA ... Read the Article 1 4 Activity Info
Meningomyelocele Myelomeningocele or open spina bifida is a devastating congenital malformation of the central nervous system associated with significant morbidity. Ti ... Read the Article 1 7 Activity Info
Methadone Methadone is a medication used in the management and treatment of opioid use disorder and as an analgesic in chronic pain. It is a synthetic long-term ... Read the Article 1.25 9 Activity Info
Methamphetamine Methamphetamine is one of the powerful stimulants of the central nervous system (CNS). It is sometimes a second-line treatment for attention deficit h ... Read the Article 1 6 Activity Info
Methyldopa Methyldopa is a medication used in the management and treatment of hypertension. It is in the centrally acting anti-hypertensive class of drugs. This ... Read the Article 1 7 Activity Info
Migraine Headache Migraine is a genetically influenced complex disorder characterized by episodes of moderate-to-severe headache, most often unilateral and generally as ... Read the Article 1.5 13 Activity Info
Miscarriage Spontaneous abortion, also known as miscarriage, is defined as the loss of pregnancy less than 20 weeks gestation. The American College of Obstetricia ... Read the Article 1 2 Activity Info
Neonatal Abstinence Syndrome Neonatal Abstinence Syndrome (NAS) is a spectrum of clinical manifestations seen in neonates due to withdrawal from intrauterine drug exposure. It is ... Read the Article 1.25 5 Activity Info
Neonatal Evaluation The initial examination within the first 24 hours of birth is critical in determining newborns' general well-being and identifying any red flags that ... Read the Article 1 7 Activity Info
Neonatal HIV Over 95% of HIV-infected pediatric cases are a result of vertical transmission. Neonatal HIV is the concern for HIV in an infant born to a mother with ... Read the Article 1 5 Activity Info
Neonatal Lupus Erythematosus Neonatal lupus erythematosus is an autoimmune disease that takes place due to the passive maternal transfer of autoantibodies of Sjogren syndrome auto ... Read the Article 1 7 Activity Info
Neonatal Respiratory Distress Syndrome Neonatal respiratory distress syndrome is a frequent cause of increased morbidity and mortality in neonates. Understanding the pathophysiology, clinic ... Read the Article 1.5 14 Activity Info
Neonatal Sepsis Neonatal sepsis refers to an infection involving bloodstream in newborn infants less than 28 days old. It continues to remain a leading cause of morbi ... Read the Article 1.25 9 Activity Info
Obesity In Pregnancy Obesity in women is such a common problem that its effects on pregnancy are often overlooked. Maternal obesity has both short and long-term consequenc ... Read the Article 1 5 Activity Info
Obstetric Ultrasound Ultrasound is a noninvasive diagnostic modality that can quickly confirm an intrauterine pregnancy at the bedside, significantly shortening the length ... Read the Article 1 5 Activity Info
Opioid Analgesics Opioids are a class of medication used in the management and treatment of pain. This activity outlines the indications, action, and contraindications ... Read the Article 1.25 14 Activity Info
Oxytocin Oxytocin is indicated and approved by the FDA for two specific time frames in the obstetric world: antepartum and postpartum. In the antepartum period ... Read the Article 1 7 Activity Info
Pain Assessment There are multiple tools used to help assess a patient's pain. These tools can be used to assess multiple types of pain, ranging from nociceptive pain ... Read the Article 1.5 15 Activity Info
Parental Consent Physicians and medical researchers have a moral and legal obligation to obtain informed consent. Informed consent must include the patient being compe ... Read the Article 1 5 Activity Info
Patient Rights And Ethics Patient rights are a subset of human rights. Whereas the concept of human rights refers to minimum standards for the ways persons can expect to be tre ... Read the Article 1.25 7 Activity Info
Pediatric Hearing Loss Pediatric hearing loss is a broad category that covers a wide range of pathologies. Early detection and prompt management are essential, as the develo ... Read the Article 1 5 Activity Info
Pelvic Inflammatory Disease Pelvic inflammatory disease (PID) is defined as an inflammation of the upper genital tract due to an infection in women. The disease affects the uteru ... Read the Article 1.5 19 Activity Info
Perimortem Cesarean The perimortem cesarean section, as described in its name, is the surgical delivery of the fetus, performed during or near the time of death of the mo ... Read the Article 1 5 Activity Info
Perimortem Cesarean Delivery Delivery by Cesarean section dates to 800 BCE. Unfortunately, at the time, the procedure was only done on a deceased or dying pregnant patient. It was ... Read the Article 1 4 Activity Info
Perinatal Drug Abuse And Neonatal Drug Withdrawal Drug abuse and addiction have significantly increased over the last few decades; specifically, opioid abuse and dependence have increased to epidemic ... Read the Article 1 4 Activity Info
Perineal Lacerations Lacerations occur frequently in childbirth and can involve the perineum, labia, vagina and cervix. Most lacerations will heal without long term compli ... Read the Article 1 6 Activity Info
Phenobarbital Phenobarbital is included in a class of drugs called barbiturates. This drug can be used for anti-seizure management, treatment for status epilepticus ... Read the Article 1.25 13 Activity Info
Phenylketonuria Phenylketonuria (PKU) is an inborn error of metabolism (IEM) most often caused by missense mutations in the gene encoding phenylalanine hydroxylase (P ... Read the Article 1.25 13 Activity Info
Phenytoin Phenytoin is a medication used in the management and treatment of epilepsy, generalized tonic-clonic seizures, complex partial seizures, and status ep ... Read the Article 1.75 21 Activity Info
Placenta Abnormalities The placenta attaches to the uterine wall and allows metabolic exchange between the fetus and the mother. The placenta has both embryonic and maternal ... Read the Article 1 5 Activity Info
Placenta Accreta Placenta accreta spectrum (PAS) disorders are considered to be iatrogenic conditions. They are more common in women with previous cesarean deliveries. ... Read the Article 1.25 10 Activity Info
Placenta Previa Placenta previa is the complete or partial covering of the internal os of the cervix with the placenta. It is a major risk factor for postpartum hemor ... Read the Article 1.25 11 Activity Info
Placental Abruption Placental abruption is the early separation of the placenta from the lining of the uterus before the completion of the second stage of labor. It is on ... Read the Article 1.25 8 Activity Info
Placental Insufficiency Placental insufficiency is a condition whereby there is a failure of placental vascular remodeling, leading to a failure of placentation resulting in ... Read the Article 1 4 Activity Info
Postdural Puncture Headache Postdural puncture headache is a potential complication of a lumbar puncture, with symptoms caused by traction on pain-sensitive structures from low c ... Read the Article 1 7 Activity Info
Postpartum Blues Postpartum “blues” is defined as low mood and mild depressive symptoms that are transient and self-limited and are extremely common in the perinatal p ... Read the Article 1.25 8 Activity Info
Postpartum Cardiomyopathy Postpartum cardiomyopathy, also known as peripartum cardiomyopathy (PPCM), is defined as new onset heart failure between the last month of pregnancy a ... Read the Article 1 6 Activity Info
Postpartum Depression Around one in seven women can develop postpartum depression (PPD). While women experiencing baby blues tend to recover quickly, PPD tends to last long ... Read the Article 1.25 9 Activity Info
Postpartum Infection Postpartum infections account for a significant, and often preventable, portion of the global healthcare burden. Puerperal sepsis is one of the top fi ... Read the Article 1 4 Activity Info
Postpartum Psychosis Postpartum psychosis is an acute illness of multifactorial origin and is considered a psychiatric emergency. In this activity, the common presentation ... Read the Article 1.25 10 Activity Info
Preeclampsia Preeclampsia is a hypertensive disease that occurs during pregnancy. This disease encompasses 2% to 8% of pregnancy-related complications, greater tha ... Read the Article 1.5 19 Activity Info
Pregnancy Globally, there are more than 200 million pregnancies each year. Of these pregnancies, more than 40% are unintended. Unintended does not imply unwante ... Read the Article 1.75 25 Activity Info
Pregnancy Dating The most important step in the initial evaluation of any pregnant patient is establishing an accurate delivery date (due date). Accurate knowledge of ... Read the Article 1 2 Activity Info
Pregnancy Intrahepatic Cholestasis Intrahepatic cholestasis of pregnancy (ICP) is the most common liver disorder in pregnancy and is associated with an increased risk of adverse obstetr ... Read the Article 1.25 12 Activity Info
Pregnancy Medications The treatment of common medical conditions during pregnancy frequently becomes complicated due to the potential effects that medications can have on f ... Read the Article 1 4 Activity Info
Pregnancy Trauma Trauma in pregnancy can ranges from mild, for example trauma associated with a single fall from standing height or hitting the abdomen on an object su ... Read the Article 1 4 Activity Info
Pregnancy Ultrasound Evaluation The use of ultrasound in pregnancy is vast and has become the standard of care during pregnancy. This activity describes different applications of ult ... Read the Article 1.25 7 Activity Info
Premature Rupture Of Membranes Premature rupture of membranes (PROM) is the rupture of gestational membranes prior to the onset of labor. When membrane rupture occurs before 37 wee ... Read the Article 1 5 Activity Info
Prenatal Non-stress Test Prenatal non-stress test, popularly known as NST, is a method used to test fetal wellbeing before the onset of labor. A prenatal non-stress test funct ... Read the Article 1 5 Activity Info
Preoperative Antibiotic Prophylaxis Preoperative antibiotic prophylaxis is administering antibiotics before performing surgery to help decrease the risk of postoperative infections. The ... Read the Article 1.25 9 Activity Info
Preterm Labor Preterm labor is labor occurring between after 20 and before 37 weeks gestation. Preterm labors are subcategorized as early or late preterm. Early pre ... Read the Article 1.25 12 Activity Info
Promethazine Promethazine is a medication used to manage and treat allergic conditions, nausea and vomiting, motion sickness, and sedation. It also has off-label u ... Read the Article 1 8 Activity Info
Prostaglandin E2 (Dinoprostone) Prostaglandin E2 is an FDA-approved medication used both for the evacuation of uterine contents and labor induction. It is in the prostaglandin class ... Read the Article 1 4 Activity Info
Prostaglandins Prostaglandins are a group of endogenously produced compounds that play essential roles in regulating human physiology. Synthetically derived prostagl ... Read the Article 1 5 Activity Info
Protamine Protamine is a medication used to reverse and neutralize the anticoagulant effects of heparin. Protamine is the specific antagonist that neutralizes ... Read the Article 1.25 9 Activity Info
Pruritic Urticarial Papules And Plaques Of Pregnancy Pruritic urticarial papules and plaques of pregnancy (PUPPP), also known as polymorphic eruption of pregnancy (PEP) is the most common gestational der ... Read the Article 1 4 Activity Info
Pudendal Nerve Block A pudendal nerve block is a method utilized to diagnose and treat pudendal neuralgia. The pudendal nerve block is also commonly used as a regional ane ... Read the Article 1 5 Activity Info
Pustular Psoriasis Pustular psoriasis is a rare, immune-mediated systemic skin disorder characterized by yellowish pustules on an erythematous base with a variety of cli ... Read the Article 1 5 Activity Info
Rh Incompatibility Rhesus (Rh) incompatibility refers to the discordant pairing of maternal and fetal Rh type. It is associated with the development of maternal Rh sensi ... Read the Article 1 5 Activity Info
Rho(D) Immune Globulin Rho(D) immune globulin (RhIG) is a medication used to manage and treat Rh-negative pregnancies and immune thrombocytopenic purpura. It is in the immun ... Read the Article 1 7 Activity Info
Rubella Rubella is a mild viral disease that typically occurs in children and non-immune young adults. In pregnant women, rubella infection can produce a cons ... Read the Article 1.25 9 Activity Info
Saddle Anesthetic Block Saddle block anesthesia is the mainstay method of anesthesia for numerous surgical procedures. It is the desired procedure owing to its simplicity and ... Read the Article 1 5 Activity Info
Septic Thrombophlebitis Suppurative (septic) thrombophlebitis describes thrombosis in a vein that occurs in the setting of inflammation and infection. This condition is chara ... Read the Article 1 5 Activity Info
Shoulder Dystocia Shoulder dystocia is a complication of vaginal delivery in which the baby's shoulder gets caught above the mother's pubic bone. It is characterized by ... Read the Article 1 7 Activity Info
Sinus Bradycardia Sinus bradycardia is a cardiac rhythm with appropriate cardiac muscular depolarization initiating from the sinus node and a rate of fewer than 60 beat ... Read the Article 1 4 Activity Info
Small for Gestational Age Small for gestational age (SGA) is defined as a birth weight of less than 10th percentile for gestational age. The burden of fetal growth-restricted ( ... Read the Article 1 6 Activity Info
Smoking Tobacco smoking is a practice of burning tobacco with the smoke inhaled to be tasted and absorbed into the bloodstream. Around 23 percent of the world ... Read the Article 1 6 Activity Info
Sonography 2nd Trimester Assessment, Protocols, And Interpretation The mid-trimester ultrasound (also known as the second-trimester anatomy scan or the anomaly scan) is a routine examination in many countries that's a ... Read the Article 1.25 8 Activity Info
Sonography 3rd Trimester And Placenta Assessment, Protocols, And Interpretation During the third trimester of pregnancy, ultrasound is commonly performed in patients that present both asymptomatically or with symptoms. There are c ... Read the Article 1 6 Activity Info
Sonography Assessment Of Gestational Age Assessment of gestational age with sonography is a critical element of evaluating a pregnant woman in any healthcare setting. Providers caring for pr ... Read the Article 1.25 13 Activity Info
Spina Bifida Spina Bifida is a generalized term for the neurologic condition resulting from the failure of neural tube closure of varying degrees during fetal deve ... Read the Article 1.25 12 Activity Info
Spinal Cord Compression Spinal cord compression can result from a myriad of both atraumatic and traumatic causes. The spinal column is vulnerable to a variety of compressive ... Read the Article 1.25 10 Activity Info
Spontaneous Abortion Spontaneous abortion is the loss of pregnancy naturally before twenty weeks of gestation. There are several different types of spontaneous abortion. D ... Read the Article 1.25 9 Activity Info
Stages of Labor Labor is a process that subdivides into three stages. The first stage starts when labor begins and ends with full cervical dilation and effacement. Th ... Read the Article 1.25 11 Activity Info
Stress Incontinence Stress urinary incontinence is the sudden, involuntary loss of urine secondary to increased intraabdominal pressure that is affecting the patient’s qu ... Read the Article 1.5 15 Activity Info
Stretch Marks Striae, or stretch marks, are indented streaks that often affect the abdomen, buttocks, thighs, back, breasts, axillae and groin. They are divided int ... Read the Article 1 6 Activity Info
Subclinical Hypothyroidism Subclinical hypothyroidism characteristically presents with normal thyroxine (T4) levels and elevated thyroid stimulating hormone (TSH) levels. The in ... Read the Article 1.25 10 Activity Info
Substance Use In Pregnancy Substance use disorder (SUD) in pregnancy is a growing concern in the United States. Patients with substance use disorders in the peripartum period fa ... Read the Article 1.25 6 Activity Info
Sudden Infant Death Syndrome Sudden infant death syndrome (SIDS) is the abrupt and unexplained death of an infant less than 1-year old. Despite a thorough investigation (a careful ... Read the Article 1.25 9 Activity Info
Surfactant Pulmonary surfactant is a lipoprotein complex that lines the alveoli and decreases the surface tension to prevent lung atelectasis. Surfactant deficie ... Read the Article 1 7 Activity Info
Systemic Lupus Erythematosus Systemic lupus erythematosus (SLE) is a systemic autoimmune disease with multisystem involvement and is associated with significant morbidity and mort ... Read the Article 1.5 12 Activity Info
Thrombocytopenia in Pregnancy Thrombocytopenia, defined as a platelet count of under 150 x 10^9/L, is the second most common hematological abnormality in pregnancy. This CME activi ... Read the Article 1.25 7 Activity Info
Tocolysis Tocolysis is an obstetrical procedure to prolong gestation in patients, some of which are experiencing preterm labor. This is achieved through various ... Read the Article 1 4 Activity Info
Transfusion Reactions Transfusion reactions are adverse events associated with the transfusion of whole blood or one of its components. They range in severity from minor to ... Read the Article 1.5 15 Activity Info
Tricuspid Atresia Tricuspid atresia is a cyanotic congenital heart defect characterized by the complete agenesis of the tricuspid valve. This activity reviews the evalu ... Read the Article 1.5 13 Activity Info
Trisomy 13 Trisomy 13 is a chromosomal aneuploidy characterized by meiotic nondisjunction. The phenotypic holoprosencephaly and midline fusion aberrancies are re ... Read the Article 1 6 Activity Info
Tubal Ligation Tubal ligation is the most common method of contraception worldwide. While the indication, desire for permanent sterilization, is clear, the ethics su ... Read the Article 1 6 Activity Info
Tuberculosis Tuberculosis (TB) is a human disease caused by Mycobacterium tuberculosis. It mainly affects the lungs, making pulmonary disease the most common prese ... Read the Article 2 27 Activity Info
Twin Births Twin births account for approximately 3 percent of live births in the United States. Barring pregnancies that result from assisted reproductive techno ... Read the Article 1 4 Activity Info
Umbilical Cord Prolapse Umbilical cord prolapse is when the umbilical cord exits the cervical os before the fetal presenting part. Compression of the cord results in vasocons ... Read the Article 1.25 13 Activity Info
Universal Precautions Universal precautions were introduced by the Centers for Disease Control (CDC) in 1985, mostly in response to the human immunodeficiency virus (HIV) e ... Read the Article 1 7 Activity Info
Uterine Atony Uterine atony is a principal cause of postpartum hemorrhage, an obstetric emergency. Globally, it is one of the top 5 causes of maternal mortality. Ut ... Read the Article 1 6 Activity Info
Uterine Inversion Uterine inversion is one of the most serious complications of childbirth. It refers to the collapse of the fundus into the uterine cavity. Although it ... Read the Article 1 4 Activity Info
Uterine Leiomyomata Uterine leiomyomata or fibroids are an extremely common benign neoplasm in women of reproductive age. Although they are benign, they can have a signif ... Read the Article 1.5 18 Activity Info
Uterine Rupture A uterine rupture is a complete division of all three layers of the uterus. Most uterine ruptures occur when the uterus is gravid in the setting of a ... Read the Article 1 5 Activity Info
Vacuum Extraction Operative vaginal delivery is used to expedite vaginal delivery for either maternal or fetal indication. Options for operative delivery include both v ... Read the Article 1 4 Activity Info
Vaginal Birth After Cesarean Delivery Vaginal birth after cesarean section (VBAC) describes a vaginal delivery in a women who has given birth via cesarean section in a former pregnancy. Pa ... Read the Article 1 6 Activity Info
Vaginal Bleeding Vaginal bleeding is a common complaint with a broad differential diagnosis. This activity reviews the evaluation and management of vaginal bleeding an ... Read the Article 1 5 Activity Info
Vaginal Candidiasis Vulvovaginitis, or inflammation of the vulva and vagina, most commonly occurs in reproductive-aged women and is usually secondary to infection. Candid ... Read the Article 1.25 10 Activity Info
Vaginal Delivery Vaginal delivery is safest for the fetus and for the mother when the newborn is full-term at the gestational age of 37 to 42 weeks. Vaginal delivery i ... Read the Article 2.25 30 Activity Info
Vanishing Twin Syndrome When one of the twins or multiple embryos dies in utero, disappear or get resorbed partially or entirely, with an outcome of a spontaneous reduction o ... Read the Article 1 2 Activity Info
Variable Decelerations Electronic fetal monitoring is widely utilized intrapartum to assess fetal status, to prevent adverse neonatal outcomes such as fetal asphyxia or cere ... Read the Article 1 5 Activity Info
Vitamin A Toxicity Vitamin A toxicity can due to either topical or oral vitamin A administration. Oral vitamin A toxicity can be acute, due to the ingestion of a large a ... Read the Article 1 6 Activity Info
Vitamin K Vitamin K is a medication used to manage and treat bleeding due to the coagulation disorder caused by warfarin and vitamin K deficiency. It is in the ... Read the Article 1.25 10 Activity Info

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