Roadmap to Labor and Delivery

Foundations of Labor & Delivery Care

These are recommended courses for nurses aspiring to enter Labor & Delivery. You can sign-up for each class individually, and choose the home study courses you’d like to complete.

Contact us if you have questions.

4 Days CLASSROOM CLASSES with FREE Textbooks

  • 6 CE: Basic Fetal Heart Monitoring
  • 13 CE: AAP NRP Certification
  • 8 CE: STABLE Program Certification
  • 16 CE: 2-Day Birth&Beyond Lactation Training for BabyFriendly Hospitals

2 SELF-STUDY Home Courses with FREE Textbooks

  • 20 CE: Fundamentals of Labor & Delivery Care
  • 20 CE: OB Emergencies

These 6 classes will build your Resume for Labor and Delivery job applications! You will learn how to read fetal heart monitoring strips with Basic Fetal Monitoring, anticipate the needs of the Labor & Delivery patient and perform a risk assessment for the woman and her child with Fundamentals of L/D Care. You will also learn how to initiate neonatal resuscitation with AAP NRP, and how to stabilize a critically ill infant with the STABLE program. If Mom has a cardiac emergency during labor, you will know how to perform CPR and provide advanced interventions for the woman in labor.

Furthermore, your 2-Day Lactation training will give you a leading edge to other job applicants because you will be compliant with the didactic BabyFriendly Hospital guidelines. You will learn how to educate Mom on breastfeeding techniques she can try with her baby, and how to evaluate and improve the baby’s latch.

Course Descriptions

Basic Fetal Heart Monitoring

Basic Fetal Heart Monitoring begins with understanding intrauterine concepts of Antepartum care with antenatal testing. Completing this program provides perinatal clinicians with tools to interpret FHM data, implement interventions, and evaluate the effect of the interventions on maternal and fetal well-being.

Duration: 4 hrs

CE: 6

Price: $125.00

FREE Coursebook:

Basic Fetal Heart Monitoring, by Jane Carsrud

Class Schedule:

Basic Fetal Heart Monitoring can be scheduled as an individual class, or as part of the Foundations of Labor & Delivery Care series.

NEO Orange County

NEO San Diego

Basic Fetal Heart Home Course

Course Objectives

  • Antenatal Testing
  • The oxygen transport system
  • Noninvasive and Invasive Monitoring
  • Fetal Heart Rate Patterns
  • Maternal Uterine Contraction Patterns
  • Risk management
  • Standard Terminology

Upon conclusion of this course the student will be able to:

  • Describe Fetal Movement Count
  • Describe the Biophysical Profile
  • Describe the Oxytocin Contraction Test
  • Describe the Vibroacoustic Stimulation Test
  • Describe the Non-stress Test
  • Describe the Amniotic Fluid Index
  • Perform the Leopold Maneuver
  • Auscultate fetal heart rate
  • Palpate uterine contractions
  • Assess electronically fetal heart rate and uterine contractions
  • Discuss the goals and contraindications of the intrauterine and fetal spiral electrode
  • Discuss risk management
  • Discuss standard terminology


This course will prepare the student for Intermediate Fetal Heart Monitoring Course

AWHONN Intermediate Fetal Heart Monitoring

is an excellent course to give you more in-depth understanding to guide the gravid patient through the birth of her child.

$225.00 – NOT including student pack ($120.00)

AWHONN Advanced Fetal Heart Monitoring

is available for the nurse with labor and delivery experience.

$100.00 – NOT including student pack ($105.00)

Fundamentals of Labor Delivery Care

Labor and Delivery Home Course

Labor and Delivery Course will give you an understanding of the labor and delivery process and maternal choices.

Duration: 4 hrs

CE: 6

FREE CoursebookLabor & Delivery Care Textbook, by Jane Carsrud

Class Schedule

This class is offered ONLY as part of the Foundations of Labor & Delivery series. For scheduled dates, please refer to the schedule above or Download the Foundations flyer.

Course Objectives:

Upon completion of this course the participant will be able to:

  • Discuss the factors included in the initial assessment of a woman in labor
  • Describe the ongoing assessment of maternal progress during the first, second and third stage of labor
  • Recognize the physical and psychosocial findings indicative of maternal progress
  • Describe fetal assessment during labor
  • Identify signs of developing complications of labor and birth
  • Identify nursing interventions for each stage of labor and birth
  • Examine the influence of cultural and religious beliefs and practices of the process of labor and birth
  • Describe the role and responsibilities of the nurse during an emergency childbirth
  • Identify the effects of perinatal trauma


Labor and birth are natural processes. Most women do well with support and minimal selected interventions.  The minimal intervention philosophy acknowledges that most pregnancies, labor and birth are normal and interventions create the potential for maternal-fetal injuries.  A philosophy of minimal interventions works best.

Course Description

The Mother-Friendly Childbirth Initiative – It’s coming! The Coalition for Improving Maternity Services (CIMS) mission is that of supporting a wellness model of maternity care that will that will improve birth outcomes and substantially cut cost. The physiological principle of this coalitions stems from the belief that birth is a normal natural and healthy process. Women and babies have the inherited wisdom necessary for birth. The woman should receive support for making informed choices about what is best for her and her baby based on her values and belief. Maternity care practices should be based not on the needs of the caregiver provider, but solely on the needs of the mother and child. The Ten Step Program includes providing the birthing mother the freedom to walk, move about, and assumes the positions of her choice during labor and birth and discourages the use of the lithotomy position. Additionally, the initiative does not routinely employ practices and procedures that are unsupported by scientific evidence such as shaving, enemas, IVs withholding nourishment or water, early rupture of membranes and electronic fetal heart monitoring. The goal of this initiative is to reduce induction rates to 10% or less, reduce episiotomy rates to 20% or less with a goal of 5% or less, reduce cesarean rate to 10% in the community hospitals and reduce cesarean rates to 15% in the tertiary center. Further, the hospital has a VBAC rate of 60 % or more with a goal of 75% or more.

Reference: Perinatal – Lowdermilk

AHA NRP Certification

Neonatal Resuscitation (NRP) is vital for all nurses that come in contact with newborns.

Duration: 2 hrs (for skills)

Approximately 3-5 hrs for Online AAP NRP exam, at home.

CE: 4 CE for NRP skills, and 9 CE for AAP NRP Online Exam.

Price: $105 for NRP skills

$23.50 for Online AAP NRP exam (paid online directly to AAP,

Class Schedule: NRP skills are offered as throughout the week or as part of the Foundations series (L/D and Postpartum). Please check our NRP skills schedule, or contact us for individual requests.

To receive your AAP NRP certification card, you need to

  1. Complete the Online AAP NRP Exam.
  2. Complete your NRP Skills with a certified instructor. Please check our NRP Skills schedule, if you would like to schedule NRP outside of the Foundations curriculum.

Course text: Neonatal Resuscitation Textbook, by Jane Carsrud

Course OverviewNeonatal Resucitation Home Study Course: Every participant will understand the concepts of neonatal resuscitation whether he or she is a new provider and experienced provider. Course completion does not imply that an individual has the competence to perform neonatal resuscitation. Each hospital is responsible for determining the level of competence and qualification required for someone to assume clinical responsibility for neonatal resuscitation.

Reference: AAP Neonatal Resuscitation 6th Ed.


Download our FREE NRP STUDY GUIDE, Baby Saver III

Download FREE NRP Study Guide for Online NRP Exam

STABLE Program Certification

Stabilizing an infant with the STABLE Program provides vital for the Nurse, RT and medical team to prevent unintentional injury to the newborn.

Duration: 8hrs

CE: 8

Price: $150.00

BUNDLE & SAVE 20% with Foundations of Labor & Delivery Care Package

FREE Coursebook: Stabilization of a Newborn, by Jane Carsrud, RN

Class Schedule:

S.T.A.B.L.E. Program Certification or Renewal can be scheduled as an individual class, or as part of the Foundations of Labor & Delivery or Postpartum series.

NEO Orange County

NEO San Diego

Stabilization of a Newborn Home Study Course

Course Overview:

All hospitals should prepare for the unexpected arrival of a sick and/or premature infant. A uniform, simple, standardized process of care and comprehensive team approach can improve the infant’s overall stability, safety and outcome.

The STABLE Program is designed to provide important information about the neonatal stabilization for maternal/infant healthcare providers in all settings- from community hospitals and birth centers, to emergency room and more complex hospital environments. Goals: The goal is to organize this information; using a mnemonic to assist with retention and recall of stabilization activities that are critical for the post-resuscitation/pre-transport care of sick infants. Additionally to (a) improve patient safety for infants by standardizing processes and approach to care, (b) encourage teamwork, (c) identify areas where medical errors can and do occur, and (d) reduce and eliminate preventable events.

References: The STABLE Program Manual – Kristine Karlsen PhD, APRN, NNP-BC


2-Day Birth&Beyond Lactation Training

This 16-hour course provides the evidence, knowledge and skills participants need to confidently support, establish and protect both early mother-infant attachment and breastfeeding in the hospital setting. It will highlight the personal tools necessary to enhance early parent-infant attachment, and help families to listen to and understand the language of the newborn.  Emphasis will be on honoring the mother’s beliefs and choices of infant feeding.

Duration: 2 days, 8am-5pm

CE: 16 CE

Price: $200

BUNDLE & SAVE with 5-day Foundations of Labor & Delivery Package for less than $115 per day! 

FREE Coursebook: Birth & Beyond Breastfeeding Manual, by Jane Carsrud

Course Overview:

This course was adapted for the California Department of Public Health’s Birth and Beyond California Workshop and updated to meet the staff training objectives required by Baby Friendly USA TM for hospitals that are on the new 4 D Pathway to Baby Friendly TM designation.

To learn more about the Birth&Beyond Hospital Initiative, click here

Lactation Textbook Birth and Beyond Orange Count y and San DiegoPre-Requisites:

No clinical experience is required.

This course is recommended for all aspiring Labor & Delivery and Postpartum nurses. New Grads and Nursing Students are encouraged to enroll!

Transfer Nurses who would like to enter Labor & Delivery Care, NICU, or OB/Postpartum unit should enroll in this class!

You will receive a Certificate of Completion that awards you

  • 16 units towards your BabyFriendly(tm) USA training
  • These 16 CE are approved by the BRN for continuing education. Our Provider Number is 13004.
  • Your Certification of Completion is also sanctioned by Birth&Beyond, California Public Health Initiative.
Why Take This Class?

Changing the way we feed and nurture out newborn infants will impact their lives. Yet, changes are difficult to accept and implement. Understanding the positive impact for change is vital to the success of our goal. It is far easier to influence others on a value if you are vested in that value.

After completing this course you will be in awe of how natural motherhood is so well designed to keep baby as well as mother healthy and happy and how we, overtime, veered so far away from our natural behaviors and perpetuated illness, expense, and abusive behaviors.

Our duty as healthcare providers is to promote healthy habits to minimize illness and indorse practices to reduce violence in our society and promote emotional health.

You will find it amazing to understand how breastfeeding can do all that. I did. I am a convert! My biggest concern in our community and nation is the overwhelming escalation of violence with our children. It “boggles my mind” to understand how far from the normal we have become. School-yard bulling is an everyday occurrence which causes many children to take their own lives. Children with weapons has become a threat to all schools. “Why,” we ask, “does a child want to kill?” The answer may be attachment at birth with inability to bond with mother along with the socioeconomics of parenting without healthy role models within the family structure.


Obstetric Emergencies

Obstetrical Emergencies happen that may be detrimental. Morbidity and mortality can be reduced with expertise and rapid intervention.

CE: 6

Price: available only through Foundations of Labor & Delivery Series

FREE Course textbook: Obstetrical Emergencies by Jane Carsrud, RN

Class Schedule

This class is offered ONLY as part of the Foundations of Labor & Delivery Series. For scheduled dates, please refer to the schedule above or Download the Foundations flyer.

Obstetrical Emergencies Home Study Course

Course Overview

The management of the unstable or unresponsive pregnant woman differs from the traditional adult resuscitation. Because of the increasing number of pregnancies with preexisting conditions, the healthcare team’s duty is to respond when the pregnant woman’s condition worsens, leading to the provision of advanced cardiopulmonary life support. In situations where deterioration of maternal status results in respiratory or cardiac arrest, healthcare providers need to provide basic and advanced life support that includes the necessary pregnancy alterations taking into account physiologic changes induced by the pregnancy and unique circumstances of both the mother and the fetus. Course Overview: In this class we will discuss the causes of maternal arrest with management of proper cardiopulmonary arrest in pregnancy, and the implementation of perimortem cesarean delivery. We will further discuss the unstable gravid women with life-threatening situations of: Uterine rupture Amniotic fluid embolism Placenta abruption Shoulder dystocia Umbilical cord prolapse Ectopic pregnancy
Reference: American Academy of Emergency Medicine
Kaplan College of Obstetrical Emergencies
AWHONN Perinatal Nursing 4th Ed

Course Objectives

In this class we will discuss the causes of maternal arrest with management of proper cardiopulmonary arrest in pregnancy, and the implementation of perimortem cesarean delivery. We will further discuss the unstable gravid woman with life-threatening situations of:

Uterine rupture                            Amniotic fluid embolism

Placenta abruption                       Shoulder dystocia

Umbilical cord prolapse              Ectopic pregnancy

Upon conclusion of the course the learner will be able to:
  • Discuss the preexisting conditions that predispose a gravid woman to an arrest
  • Discuss the physiological changes that aggravate physiological changes
  • Discuss the maternal oxygen transport system and how it impacts the gravid woman
  • Discuss the cardiac/hematologic, gastrointestinal/genitourinary, hormonal, electrolyte changes that occur in a gravid woman
  • Interpret basic EKG with alterations for the gravid woman
  • Discuss the resuscitative drugs used in an arrest

For a gravid woman with Trauma:

  • Perform a head-to-toe assessment of the gravid patient with trauma
  • Discuss the management of maternal and fetal complications that may occur with trauma

For a gravid woman with placental abruption:

  • Discuss the differences between mild, moderate and severe placental abruption
  • Discuss the differences between marginal, central, and complete abruption
  • Discuss the presentation of a gravid woman with placental abruption
  • Discuss the clinical management of a gravid woman with placental abruption

For a gravid woman with umbilical cord prolapse:

  • Discuss the risk factors and clinical presentation of possible cord prolapse
  • Discuss the life-threatening intervention that must occur to prevent fetal compromise
  • Discuss the theory and clinical presentation that may cause an Anaphylactic Fluid Embolism
  • Discuss the rapid interventions that must occur with the gravid woman with AFE

For the gravid woman that presents with possible Shoulder Dystocia:

  • Discuss the preconceptional, antepartal, and intrapartal, risk factors of dystocia
  • Discuss the clinical management during labor and during delivery
  • Discuss the Mazzanti, McRobert, Zananelli, manipulation maneuvers
  • Discuss the nursing documentation required for shoulder dystocia

For the gravid woman that presents with Ectopic Pregnancy:

  • Discuss various implantations of ectopic pregnancies
  • Discuss the potential risk of ectopic pregnancies
  • Discuss the clinical presentation and management of ectopic pregnancies

For the gravid woman that presents with a cardiac arrest:

  • Discuss the impact of septic shock, anesthesia, hypertension, substance abuse, endocrine disorders, hypovolemia, polyhydraminase, hemorrhage, placental accrete, placental increta and placental percreta.
  • Discuss Aortocaval Syndrome and how it impacts resuscitation of a gravid woman.
  • Discuss the 5-minute window of a rapid caesarian section,
  • Discuss the tasks that are required of a maternal cardiac arrest state.

For the patient with fetal demise:

  • Discuss the features of grief
  • Discuss myths and truths of holding the infant after death
  • Discuss strategies that may be helpful for the parents experiencing grief
  • Discuss how to take photographic memories
  • Discuss the difference between mother’s grief and father’s grief


To reduce mortality and morbidity of the fetus with maternal life-threatening occurrences,

to improve the survival of both mother and fetus by implementing pregnancy-specific changes in response to an arrest.


American Academy of Emergency Medicine

Kaplan College of Obstetrical Emergencies

AWHONN Perinatal Nursing 4th Ed