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EFM Case Study #5: pH Implications (1 hour Monograph)

Hours: 1.00

Best suited for: Obstetricians and family practice physicians. Midwives, obstetric nurse practitioners, residents and other interested healthcare practitioners skilled in EFM or EFM stakeholders are also welcome to participate.

Original Release Date: September 25, 2015
Review Date: March 1, 2017
Expiration Date: September 25, 2018

Description: Fetal pH values often remain a mystery until the time of birth. Determination of pH, blood gases, and base deficit in umbilical cord blood is commonly performed immediately after birth to assess the metabolic status of the newborn. Umbilical cord blood sampling is also used to determine if the cause of neonatal encephalopathy or cerebral palsy is linked to a peripartum or intrapartum event. Critical values are defined by ACOG & AAP in the new publication of Neonatal Encephalopathy & Neurologic Outcomes (2014). This monograph presents an overview of oxygen delivery, normal and critical values and presents this information in a case study format to improve critical thinking regarding this topic.

Learning Objectives: Upon completion, participants should be able to:
1) Summarize the process of oxygen transport between mother and fetus and impact on pH.
2) Recognize normal and abnormal acid-base parameters and values of respiratory, metabolic,
    or mixed acidosis.
3) Examine EFM strips and umbilical cord blood samples to determine pH values.

Learning Assessment: There will be a posttest for this activity with a minimum performance requirement of 8 out of 10 correct answers.

Estimated time to complete activity: 1 hour

Residents will earn a certificate of completion. Physicians will earn CME credit. 

CME Information - Read

Method and Medium: To obtain CME credit, read the entire monograph online, download to a printer and read, or download and save to your computer. Complete the evaluation and posttest and print your certificate online.

CME Credit: 1.0


State Requirements: Based on information from state licensing authorities published by the AMA, this program meets specific CME requirements for the following states:

Florida – This activity includes content on avoiding medical error
Connecticut - This activity includes content in Risk Management
Massachusetts - This activity includes content in Risk Management
Pennsylvania - This activity includes content in Risk Management / Patient Safety
Texas - This activity includes content in Ethics and/or Professional Responsibility

Disclosure Policy - Read

Disclosure: The author, expert reviewer and planning committee members for this activity have no relevant financial relationships to disclose.

About the Authors: Carol A. Curran RNC, MS, OGNP - Read Bio & Dr. Kenneth Brown - Read Bio

Managing Editor: Dawer Azizi, MHA, CPHRM, LAMMICO Director of Risk Management

Editor: Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members - Read

Electronic Hardware and Software Requirements - Read

Web Master Contact Information: For assistance, contact Shea Ivey at 866/398-1038 or help@medicalinteractive.com

Disclaimer: This activity is presented as risk management education. It is not legal advice, nor does it establish medical standards of care. Standards of care vary depending on the unique presentation of each patient. The information contained herein is not a substitute for the reasonable discretion of skilled and informed clinicians at the point of care.

Copyright Information: Copyright © 2015

Bibliography: To view and download References & Resources for this presentation, please select the References tab/link below.

Member and Subscriber Access
Interested in a CME program like this for your team or facility? Contact us to schedule it and talk about pricing.

This course is offered through Experix, a wholly owned subsidiary of Physicians Insurance, and is based on more than 30 years' experience in providing continuing medical education. This course is complimentary for Physicians Insurance members.

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