Nursing Specialties

Obstetrics Nurse

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What is a Obstetrics Nurse

An Obstetric (OB) nurse is a healthcare professional who specializes in the field of obstetrics. This field encompasses care throughout a woman’s lifecycle, with a focus on pregnancy, childbirth, and the postpartum period. The primary objective of OB nurses is to ensure the overall health and wellness of women.

OB nursing goes beyond the realm of labor and delivery nursing. These skilled professionals care for women throughout the pregnancy journey, from the initial prenatal phase (antepartum), through the labor and birthing process (intrapartum), and following delivery during the recovery period (postpartum). While they are often seen assisting in labor and delivery, the expertise and training of OB nurses encompass a much wider skill set.

Their roles are multifaceted, involving everything from screening and monitoring women's health, offering care and support to expectant mothers, assisting during labor and delivery, to caring for newborns and their mothers immediately after birth.

OB nurses also play an indispensable role in disease prevention, patient education, patient and fetal health assessments, treatment planning, and postpartum care, thereby playing a key part in a comprehensive healthcare approach for women. They also provide essential advice and guidance on issues related to fertility, conception, birth control, and other gynecological concerns, such as cervical or uterine cancer.

Working closely with obstetricians, OB nurses are a primary source of information and support for women who may have questions or concerns about their sexual health or their unborn babies. Their specialized knowledge, combined with their empathetic approach, makes them a critical component in the delivery of women's healthcare.

What does a Obstetrics Nurse Do?

Obstetric nurses perform some of the same activities as other nurses, but they are mainly focused on women’s health. OB nursing can be separated into prenatal, labor and delivery, post-delivery, and postpartum care. Each area has specific roles: ‍

Prenatal: 

  • Pregnancy care of monitoring weight, collecting lab work and urine for prenatal screening
  • Assist the physician or NP during pelvic exams
  • Provide counseling and education during pregnancy

‍Labor and Delivery: 

  • Monitor the mother and baby during labor, prep the woman for delivery, and keep the physician or CNM abreast of her status
  • Attend and assist during delivery
  • Labor coaching and pain management

Post Delivery:‍‍

  • Assess newborn immediately after birth
  • Monitors mom and newborn vital signs for any change in status‍

Postpartum: 

  • Assist mother with lactation and post-delivery personal care
  • Assist with bonding and newborn teaching
  • Attend to incisions, provide ice, or pain medications
  • Provide counseling and education
Obstetrics Nurse

What skills does a Obstetrics Nurse need?

Obstetric nurses need to accurately assess women in any stage of labor. They also must be able to guide the woman and other team members down the path towards a successful delivery and beyond. 

Critical thinking skills, a strong ability to coach, and knowledge of other medical conditions that may interfere with a smooth birth are crucial.

Obstetric nurses know how to perform cervical exams, operate fetal monitors, and titrate medications to control labor.  

They must be able to essentially care for two patients, the woman and her infant, at the same time.

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What skills does a Obstetrics Nurse need?

Obstetric nurses need to accurately assess women in any stage of labor. They also must be able to guide the woman and other team members down the path towards a successful delivery and beyond. 

Critical thinking skills, a strong ability to coach, and knowledge of other medical conditions that may interfere with a smooth birth are crucial.

Obstetric nurses know how to perform cervical exams, operate fetal monitors, and titrate medications to control labor.  

They must be able to essentially care for two patients, the woman and her infant, at the same time.

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Obstetrics Nurses

Work settings for Obstetrics Nurses

OB nurses work in various healthcare settings including hospitals, specifically in maternity wards or labor and delivery units, and outpatient obstetrics and gynecology clinics where they assist with routine prenatal and postnatal care. They also provide care in birthing centers, private practices of obstetricians or family physicians, and community health centers. Additionally, some OB nurses extend their services to home health care, visiting patients at home to deliver postpartum care and support.

Common Cases Obstetrics Nurses Encounter

OB nurses encounter a wide spectrum of cases, from routine prenatal care and high-risk pregnancies to labor and delivery assistance. They provide postpartum care for both mother and newborn, including breastfeeding support and newborn care education. Additionally, they deal with various women's health issues such as menstrual disorders, contraception counseling, and fertility issues, while also being equipped to handle complications during pregnancy, labor, and delivery, including preterm labor, preeclampsia, and postpartum hemorrhage. The care they provide may also extend to neonatal care immediately following birth.

How to Become A Obstetrics Nurse

  1. Complete an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) degree. This takes two-to-four-years, depending on the program.
  2. Pass the NCLEX-RN exam and apply for your RN license after graduation
  3. Apply as a new grad or from another nursing discipline to an inpatient or outpatient OB setting

How to Advance Your Career As A Obstetrics Nurse

As an Obstetrics Nurse, you can elevate your career by obtaining certification as an Inpatient Obstetrics Nurse (RNC-OB). This requires fulfilling prerequisites, like logging 2,000 hours of work experience in obstetrics over a period of 24 months before qualifying to take the certification exam.

To further escalate your career, consider pursuing advanced degrees such as a Master's of Science in Nursing (MSN) or a doctoral degree, focusing on women's health or OB/GYN specialties. There are several pathways available. For instance, you could become an Obstetrics-Gynecology Nurse Practitioner (OGNP), specialize as a Women's Health Nurse Practitioner (WHNP), or acquire training to become a Certified Nurse-Midwife (CNM). 

Education Requirements & Helpful Certification

Obstetric nurses must graduate with an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) degree and pass the NCLEX to become an RN. A basic requirement is the BLS certification, but some facilities also want ACLS certification.

While it’s not necessary, employers often encourage OB nurses to become a certified Inpatient OB nurse (RNC-OB) after they’ve gained some work experience.  You’ll need to have worked for 2,000 hours in obstetrics within the last 24 months before taking the exam.

There are several other certifications through the National Certification Corporation divided into categories of: Core, Nurse Practitioner, and Subspecialty certifications. Some are focused on the care of the mother and others on the care of the neonate.

Average Salary For Obstetrics Nurses

Obstetric nurses typically make between $72,298 and $89,957, with a median salary of $79,435.  You can keep a tab on average nurse pay by checking out our Salary Explorer.

Source: Salary.com

Ideal Personality Traits

  • Thrives on unpredictability and a fast-paced environment
  • Flexibility and willingness to change course quickly
  • Ability to take emotional outbursts from patients without insult
  • Loves caring for babies

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Obstetrics Nurse


Education Requirements

Obstetric nurses must graduate with an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) degree and pass the NCLEX to become an RN. A basic requirement is the BLS certification, but some facilities also want ACLS certification.

While it’s not necessary, employers often encourage OB nurses to become a certified Inpatient OB nurse (RNC-OB) after they’ve gained some work experience.  You’ll need to have worked for 2,000 hours in obstetrics within the last 24 months before taking the exam.

There are several other certifications through the National Certification Corporation divided into categories of: Core, Nurse Practitioner, and Subspecialty certifications. Some are focused on the care of the mother and others on the care of the neonate.

How to advance/career pathway

As an Obstetrics Nurse, you can elevate your career by obtaining certification as an Inpatient Obstetrics Nurse (RNC-OB). This requires fulfilling prerequisites, like logging 2,000 hours of work experience in obstetrics over a period of 24 months before qualifying to take the certification exam.

To further escalate your career, consider pursuing advanced degrees such as a Master's of Science in Nursing (MSN) or a doctoral degree, focusing on women's health or OB/GYN specialties. There are several pathways available. For instance, you could become an Obstetrics-Gynecology Nurse Practitioner (OGNP), specialize as a Women's Health Nurse Practitioner (WHNP), or acquire training to become a Certified Nurse-Midwife (CNM). 

RESPONSIBILITIES


MOST COMMON CASES

OB nurses encounter a wide spectrum of cases, from routine prenatal care and high-risk pregnancies to labor and delivery assistance. They provide postpartum care for both mother and newborn, including breastfeeding support and newborn care education. Additionally, they deal with various women's health issues such as menstrual disorders, contraception counseling, and fertility issues, while also being equipped to handle complications during pregnancy, labor, and delivery, including preterm labor, preeclampsia, and postpartum hemorrhage. The care they provide may also extend to neonatal care immediately following birth.

How to become a

Obstetrics Nurse

  1. Complete an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) degree. This takes two-to-four-years, depending on the program.
  2. Pass the NCLEX-RN exam and apply for your RN license after graduation
  3. Apply as a new grad or from another nursing discipline to an inpatient or outpatient OB setting

The Pros


The Cons

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Personality Traits

  • Thrives on unpredictability and a fast-paced environment
  • Flexibility and willingness to change course quickly
  • Ability to take emotional outbursts from patients without insult
  • Loves caring for babies
piggy bank illustration

Average Salary

Obstetric nurses typically make between $72,298 and $89,957, with a median salary of $79,435.  You can keep a tab on average nurse pay by checking out our Salary Explorer.

Source: Salary.com

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Certifications

National Certification Corporation 

  • Inpatient Obstetrics Nursing (RNC-OB)
  • Obstetrics and Neonatal Quality and Safety (C-ONQS)
  • Certification in Electronic Fetal Monitoring (C-EFM)
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Work Setting

OB nurses work in various healthcare settings including hospitals, specifically in maternity wards or labor and delivery units, and outpatient obstetrics and gynecology clinics where they assist with routine prenatal and postnatal care. They also provide care in birthing centers, private practices of obstetricians or family physicians, and community health centers. Additionally, some OB nurses extend their services to home health care, visiting patients at home to deliver postpartum care and support.