Obstetrical nurses typically start as registered nurses, which means that they first obtain a degree or nursing diploma. An internship in obstetrics suffices in order to start at an entry-level position. The
National Certification Corporation (NCC) offers certifications for obstetrical nurses. These include RNC-OB (Inpatient Obstetrics), a certification that allows graduate nurses who have completed a bachelor's degree in the US or Canada to expand into obstetrics. In order to gain an RNC-OB certificate, an online exam must be taken. RNC-MNN (Maternal Newborn Nursing) is another online exam for certified registered nurses, who have completed their bachelor's degrees in Nursing, have gained experience in the area of newborn nursing and want to gain a certification/qualification in the area. They have a 90-day window to complete the actual exam. Both tests cost approximately US$325. A third online certification is C-EFM (Electronic Fetal Monitoring). It is open to licensed registered nurses, nurse practitioners, nurse midwives, physicians, physician assistants, and paramedics, according to the US and Canada requirements. == Australian certification and requirements ==