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22-06-15 OB Complications 1

Module 15: OB Complications 1
(NPWH Activity Number 22-06-15)

Julie S. Gayle DNP, WHNP
Associate Faculty and Coordinator of WHNP Program
Northwestern State University
Shreveport, LA

Target Audience New graduate women’s health nurse practitioners (WHNPs), and other nurse practitioners involved in women’s and gender related healthcare.

Approval CE Approval Period: April 4, 2022, through April 4, 2025
Post-tests must be completed during the approval period with a passing score of 70% or higher to earn CE. No refunds will be issued if the activity is not completed within the approval period.
This activity has been approved for 2.25 continuing education contact hours

  1. Discuss the incidence, risk factors, assessment, differential diagnoses, and management of bleeding during pregnancy.
  2. Describe the incidence, risk factors, potential complications, assessment, and management for preterm labor and delivery, cervical insufficiency, and premature (prelabor) rupture of membranes.
  3. Describe incidence, risk factors, etiology, potential complications, assessment, diagnosis, and management for fetal growth restriction (FGR).
  4. Explore pregnancy loss and discuss the assessment and management of grief following a perinatal loss. 

Content Outline
  1. Early pregnancy bleeding: Normal Physiologic Causes (Implantation Bleeding, Postcoital Spotting), Spontaneous Abortion (SAB), Subchorionic Hemorrhage, Ectopic Pregnancy, Gestational Trophoblastic Disease, Genital Tract Pathology (Cervical Lesions/Polyps, Cervicitis, Vaginitis).
  2. Mid to late pregnancy bleeding: Placenta Placenta previa, Abruptio placenta, Placenta accreta, uterine rupture, and others (Anal causes: Hemorrhoids, Trauma (tears & lacerations). Vulvar causes: Varicose veins Trauma (tears & lacerations). Vaginal causes: Trauma (tears & lacerations). Cervical causes: Labor (term/preterm), Cervical Insufficiency, Cervicitis, Polyp, Ectropion, Friable glandular tissue, Trauma – tears & lacerations).
  3. Preterm Labor.
  4. Spontaneous rupture of membranes (SROM) .
  5. Cervical insufficiency.
  6. Intrauterine growth restriction.
  7. Pregnancy loss and coping with pregnancy loss.

Accreditation StatementThis activity has been evaluated and approved by the Continuing Education Approval Program of the National Association of Nurse Practitioners in Women’s Health (NPWH) for 2.2.5 continuing education contact hours.

Faculty DisclosuresJulie S. Gayle DNP, WHNP has no disclosures.

Successful Completion Requires participants to:
  1. Read the objectives, disclosures, and disclaimers.
  2. Watch the activity and review the handout.
  3. Complete the post-test with a score of 70% or higher.
  4. Complete the session evaluation.
  5. Print your CE certificate.
  6. Go to your profile to view all earned certificates.

Commercial Support
This activity has no commercial support.