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AWHONN Fetal Heart Monitoring Program

Today more than ever labor and delivery nurses are challenged to keep their fetal heart rate monitoring skills up-to-date.

The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) has created this comprehensive 2–day course and provides their own instructors to teach you the latest information on fetal monitoring.

The Joint Commission requires that staff demonstrate knowledge and skills appropriate to their assigned responsibilities. Documentation of those skills are also required by a qualified professional.

This is a comprehensive, instructor-led course which is critical to the enhancement and validation of the nurses' ability to interpret and respond to fetal heart monitoring tracings.

See more information and register below. See map and directions here.

Expected Level of Learner & Intended Audience

This course assumes that the learner has completed entry-level fetal monitoring education, and is designed for clinicians who utilize fetal heart monitoring in the perinatal setting.

AWHONN EFM Participants

AWHONN maintains its position that only registered nurses, advanced practice nurses and physicians with professional expertise should initiate and evaluate the ongoing use of EFM technology. Furthermore, AWHONN strongly advises that all nurses who perform fetal assessment during the antepartum or intrapartum period complete a course of study that includes the physiologic interpretation of EFM data and its implications for labor support.

Expected Level of Learner

This course is designed to build on learner’s knowledge and skills. It is meant for the registered nurse with a minimum of 6 months of clinical nursing experience using fetal heart rate assessment and monitoring techniques in the perinatal setting.

Skills taught and knowledge assessed include:

  • Maternal and fetal physiology
  • Interpretation of fetal and uterine monitor tracings
  • Evaluation of auscultated fetal heart sounds
  • Leopold’s Maneuvers
  • Placement of fetal spiral electrodes and intrauterine pressure catheters
  • Evaluation of and strategies for enhancing communication

Contact Hours

  • 18 contact hours of CNE and 15.25 hours of CME are provided.


  • Lisa Otterstrom RNC-OB, MSN, CNS, C-EFM
  • Jennifer Madkins, MSN, RNC-OB, C-EFM

Required Materials

Materials are purchased separately through

  • Intermediate Fetal Monitoring Course – Student Materials (includes test booklet and evaluation) 5th edition (978-0-7575-7785-7 ISBN): $110.00 plus shipping

Additional Options:

  • Fetal Monitoring Principles & Practice E-Book: $34.95
  • Fetal Monitoring Principles & Practice Print Book: $74.95

Order at least two weeks in advance of the class date to receive them before the course. Each participant is required to have their own materials, and the materials may not have previously been used by another participant.

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