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Digital Seminar

Advanced Electronic Fetal Monitoring

Cecile Oliver, MSN, CNS, RNC-OB/MNN, C-FM
6 Hours 12 Minutes
Audio and Video
Mar 18, 2014
Product Code:
Media Type:
Digital Seminar


Cecile Oliver, RNC-OB/MNN, C-FM, MSN, CNS, will prepare you for the challenges frequently confronted while performing advanced electronic fetal monitoring. Learning will be fun and memorable through the incorporation of fascinating patient stories, real-life review of lawsuits pertaining to fetal monitoring, and the analysis of actual strips. This enlightening day will feature content that will prepare you well for the fetal assessment certification course. Topics will include:

  • NICHD Terminology: Definitions and Examples
  • Utilizing Electronic Fetal Monitoring
  • Fetal Cardiac Arrhythmias
  • Fetal Oxygenation
  • Accelerations/Decelerations
  • Hypoxic Myocardial Failure vs. Reflex
  • Avoiding Litigation: Practice Pitfalls
  • Fetal Decompensation: The Warning Signs
  • Scalp Stimulation: When? Why?



ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

CE Broker

Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.6 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Cecile Oliver, MSN, CNS, RNC-OB/MNN, C-FM's Profile

Cecile Oliver, MSN, CNS, RNC-OB/MNN, C-FM Related seminars and products

Senior Instructor, College of Nursing

Washington State University

Cecile Oliver, MSN, CNS, RNC-OB/MNN, C-FM, has extensive experience in obstetrical nursing, including many dedicated years working in labor and delivery, as a perinatal educator, and serving as a transport nurse for high-risk perinatal patients. She is currently on faculty at Washington State University providing clinical and didactic instruction to OB nursing students. Cecile is certified in inpatient obstetrics, fetal monitoring and maternal newborn through the National Certification Corporation (NCC®). She has served for several years on the NCC Obstetric Content Team, designing certification exams and developing learning opportunities to meet the specialized needs for obstetrical nurses. She currently works with Center for Certification Preparation and Review (CCPR), designing preparation content, workbooks and practice exams for all the certifications available through NCC®. Additionally, she is an active member of the Association of Women’s Health, Obstetric, & Neonatal Health (AWHONN), having served as past Nebraska Chair of AWHONN.

A highly sought-after speaker, Cecile presents throughout the country on a variety of perinatal topics, including high- and low-risk obstetrical issues and advanced electronic fetal monitoring. Cecile is well known for her ability to share practical insights during her informative and entertaining talks. Ongoing experiences serving as an expert witness on a variety of obstetric malpractice cases allow Cecile the ability to incorporate a realistic view of the current legal environment surrounding high-risk obstetrics. She has contributed to the editing of several Obstetric publications, including Susan Tucker’s Guide to Fetal Monitoring and the AWHONN High Risk Obstetrics text. Cecile looks forward to sharing her expertise with you to ultimately improve the care you provide to the childbearing families you serve.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.



  1. Apply NICHD fetal monitoring terminology to practice.
  2. Identify a variety of FHR patterns to analyze the results of umbilical cord gasses.
  3. Analyze nursing legal considerations related to fetal monitoring.
  4. Compare appropriate interventions in response to FHR changes.
  5. Analyze fetal blood gases.


  1. Utilizing Electronic Fetal Monitoring
    1. When do patients not need continuous monitoring?
    2. Which patients need continuous electronic monitoring?
    3. What about a “permanent record”?
  2. Maternal Physiologic Changes of Pregnancy
    1. Respiratory changes
    2. Cardiovascular changes
  3. Fetal Oxygenation
    1. Placenta
    2. Intrinsic factors affecting FHR
    3. Extrinsic factors affecting FHR
  4. NICHD Terminology and Interpretation of FHR
    1. Determining baseline and deceleration type
    2. 3-tiered system
    3. Applying the use of NICHD guidelines to practice
  5. Further Analysis of Non-reassuring Patterns
    1. STAN fetal heart monitor
    2. FHR response to stimulation
    3. Fetal scalp blood sampling
    4. Fetal pulse oximetry
      1. Case Studies
  6. Causes for Increased Concern about the FHR Pattern and Treatment Strategies
    1. ??? atypical variables
    2. Other FHR considerations that reassure or increase concern
  7. Treatment for Abnormal Patterns
    1. Treating variables
    2. Treating late decelerations
    3. Addressing bradycardia and tachycardia
      1. Case Studies - analyze strips
  8. Making Litigation Less Likely Related to FHR Monitoring
    1. Common pitfalls
    2. Reducing your risk
    3. Importance of provider communication
  9. Interpreting Fetal Cord Gasses
    1. Who needs a gas?
    2. What the information means using case studies

Target Audience

Nurses, Midwives, Nurse Practitioners, Clinical Nurse Specialists, Advanced Practice Nurses



Overall:      4.6

Total Reviews: 7


Kathy P

"Great Speaker. "

Jennifer M

"great course"

Joan S

"Great class. Very useful information presented in an engaging manner. "

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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