Clinical responsibilities include labor and delivery, high-risk antepartum care, cesarean and vaginal delivery support, fetal monitoring, postpartum hemorrhage management, magnesium sulfate therapy, insulin drips, and care for multiple gestations. Additional skills include amnioinfusion, neonatal resuscitation, epidural anesthesia support, fetal heart rate assessment, uterine monitoring, sterile vaginal examinations, intravenous therapy, blood product administration, and postpartum assessment.