Certifications, Education Requirements, Degree Requirements, Location Requirements, and Years of Experience: Compact with at least 2 years of experience in high-risk obstetrics nursing and current certification in AWHONN Intermediate Electronic Fetal Heart Monitoring; current certification in Advanced Electronic Fetal Monitoring is preferred; at least 3 years of experience in high-risk OB. Responsibilities include managing labor and delivery procedures such as C-sections, spontaneous vertex deliveries, D&C, D&E, twin deliveries including cesarean sections, scheduled and emergent hysterectomies, and massive transfusions.