Nurse Midwives

Overview

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Job Zone Five: Extensive Preparation Needed
Experience

Extensive skill, knowledge, and experience are needed for these occupations. Many require more than five years of experience. For example, surgeons must complete four years of college and an additional five to seven years of specialized medical training to be able to do their job.

Education

Most of these occupations require graduate school. For example, they may require a master's degree, and some require a Ph.D., M.D., or J.D. (law degree).

Job Training

Employees may need some on-the-job training, but most of these occupations assume that the person will already have the required skills, knowledge, work-related experience, and/or training.

Examples

These occupations often involve coordinating, training, supervising, or managing the activities of others to accomplish goals. Very advanced communication and organizational skills are required. Examples include pharmacists, lawyers, astronomers, biologists, clergy, physician assistants, and veterinarians.

Diagnose and coordinate all aspects of the birthing process, either independently or as part of a healthcare team. May provide well-woman gynecological care. Must have specialized, graduate nursing education.

Yearly Salary

High: $179K
Median: $111K
Low: $67K

Demand

Career Demand by State Career Demand by State Legend

Core Tasks

  • Document patients' health histories, symptoms, physical conditions, or other diagnostic information.
  • Monitor fetal development by listening to fetal heartbeat, taking external uterine measurements, identifying fetal position, or estimating fetal size and weight.
  • Provide prenatal, intrapartum, postpartum, or newborn care to patients.
  • Develop and implement individualized plans for health care management.
  • Prescribe medications as permitted by state regulations.
  • Provide patients with direct family planning services, such as inserting intrauterine devices, dispensing oral contraceptives, and fitting cervical barriers, including cervical caps or diaphragms.
  • Explain procedures to patients, family members, staff members or others.
  • Initiate emergency interventions to stabilize patients.
  • Order and interpret diagnostic or laboratory tests.
  • Document findings of physical examinations.
  • Educate patients and family members regarding prenatal, intrapartum, postpartum, newborn, or interconception care.
  • Perform physical examinations by taking vital signs, checking neurological reflexes, examining breasts, or performing pelvic examinations.
  • Provide primary health care, including pregnancy and childbirth, to women.
  • Write information in medical records or provide narrative summaries to communicate patient information to other health care providers.
  • Consult with or refer patients to appropriate specialists when conditions exceed the scope of practice or expertise.
  • Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in midwifery.
  • Instruct student nurse midwives, medical students, or residents on the birthing process.
  • Establish practice guidelines for specialty areas such as primary health care of women, care of the childbearing family, and newborn care.
  • Plan, provide, or evaluate educational programs for nursing staff, health care teams, or the community.
  • Conduct clinical research on topics such as maternal or infant health care, contraceptive methods, breastfeeding, and gynecological care.
  • Manage newborn care during the first weeks of life.

Technology Skills

Technology
Example
Hot Technology
Medical software
Epic Systems
Office suite software
Microsoft Office software
Spreadsheet software
Microsoft Excel

Tools Used

Tool
Example
Computer Equipment and Accessories
Laptop computers
Intravenous and arterial administration products
Intravenous IV administration equipment
Laboratory and scientific equipment
Evacuated blood collection containers
Laboratory supplies and fixtures
Microscope slides
Medical apparel and textiles
Protective face shields
Medical diagnostic imaging and nuclear medicine products
Fetal doppler units
Medical facility products
Infant warmers
Patient care and treatment products and supplies
Blood drawing syringes
Patient exam and monitoring products
Mechanical stethoscopes
Respiratory and anesthesia and resuscitation products
Infant oxygen masks
Surgical products
Curved hemostats
Wound care products
Suturing kits

Top 10 Knowledge Required

Medicine and Dentistry
97%
Importance

Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.

Psychology
87%
Importance

Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.

Customer and Personal Service
84%
Importance

Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

English Language
84%
Importance

Knowledge of the structure and content of the English language including the meaning and spelling of words, and rules of composition and grammar.

Biology
82%
Importance

Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.

Sociology and Anthropology
77%
Importance

Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures, and their history and origins.

Therapy and Counseling
75%
Importance

Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.

Education and Training
74%
Importance

Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.

Mathematics
63%
Importance

Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.

Law and Government
62%
Importance

Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.

Top 10 Skills

Active Listening
83%
Importance

Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Critical Thinking
83%
Importance

Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.

Social Perceptiveness
83%
Importance

Being aware of others' reactions and understanding why they react as they do.

Speaking
83%
Importance

Talking to others to convey information effectively.

Active Learning
80%
Importance

Understanding the implications of new information for both current and future problem-solving and decision-making.

Monitoring
80%
Importance

Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.

Reading Comprehension
80%
Importance

Understanding written sentences and paragraphs in work-related documents.

Complex Problem Solving
78%
Importance

Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

Coordination
78%
Importance

Adjusting actions in relation to others' actions.

Service Orientation
78%
Importance

Actively looking for ways to help people.

Top 10 Abilities

Written Comprehension
85%
Importance

The ability to read and understand information and ideas presented in writing.

Deductive Reasoning
83%
Importance

The ability to apply general rules to specific problems to produce answers that make sense.

Oral Comprehension
83%
Importance

The ability to listen to and understand information and ideas presented through spoken words and sentences.

Oral Expression
83%
Importance

The ability to communicate information and ideas in speaking so others will understand.

Problem Sensitivity
83%
Importance

The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing that there is a problem.

Inductive Reasoning
80%
Importance

The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).

Written Expression
80%
Importance

The ability to communicate information and ideas in writing so others will understand.

Near Vision
75%
Importance

The ability to see details at close range (within a few feet of the observer).

Speech Clarity
75%
Importance

The ability to speak clearly so others can understand you.

Speech Recognition
75%
Importance

The ability to identify and understand the speech of another person.

Top 10 Work Activities

Assisting and Caring for Others
99%
Importance

Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.

Documenting/Recording Information
97%
Importance

Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.

Getting Information
96%
Importance

Observing, receiving, and otherwise obtaining information from all relevant sources.

Identifying Objects, Actions, and Events
94%
Importance

Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.

Making Decisions and Solving Problems
93%
Importance

Analyzing information and evaluating results to choose the best solution and solve problems.

Establishing and Maintaining Interpersonal Relationships
92%
Importance

Developing constructive and cooperative working relationships with others, and maintaining them over time.

Updating and Using Relevant Knowledge
92%
Importance

Keeping up-to-date technically and applying new knowledge to your job.

Communicating with Supervisors, Peers, or Subordinates
91%
Importance

Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.

Monitoring Processes, Materials, or Surroundings
86%
Importance

Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.

Organizing, Planning, and Prioritizing Work
84%
Importance

Developing specific goals and plans to prioritize, organize, and accomplish your work.

Detailed Work Activities

  • Care for women during pregnancy and childbirth.
  • Examine patients to assess general physical condition.
  • Measure the physical or physiological attributes of patients.
  • Record patient medical histories.
  • Administer basic health care or medical treatments.
  • Prescribe medications.
  • Develop medical treatment plans.
  • Explain medical procedures or test results to patients or family members.
  • Analyze test data or images to inform diagnosis or treatment.
  • Order medical diagnostic or clinical tests.
  • Treat medical emergencies.
  • Provide health and wellness advice to patients, program participants, or caregivers.
  • Test patient nervous system functioning.
  • Prepare reports summarizing patient diagnostic or care activities.
  • Inform medical professionals regarding patient conditions and care.
  • Collaborate with healthcare professionals to plan or provide treatment.
  • Refer patients to other healthcare practitioners or health resources.
  • Maintain medical or professional knowledge.
  • Train medical providers.
  • Teach medical procedures to healthcare personnel.
  • Establish nursing policies or standards.
  • Conduct health or safety training programs.
  • Conduct research to increase knowledge about medical issues.

Education

Interests

Social
84%
Importance

Work involves helping, teaching, advising, assisting, or providing service to others. Social occupations are often associated with social, health care, personal service, teaching/education, or religious activities.

Investigative
62%
Importance

Work involves studying and researching non-living objects, living organisms, disease or other forms of impairment, or human behavior. Investigative occupations are often associated with physical, life, medical, or social sciences, and can be found in the fields of humanities, mathematics/statistics, information technology, or health care service.

Conventional
49%
Importance

Work involves following procedures and regulations to organize information or data, typically in a business setting. Conventional occupations are often associated with office work, accounting, mathematics/statistics, information technology, finance, or human resources.

Realistic
49%
Importance

Work involves designing, building, or repairing of equipment, materials, or structures, engaging in physical activity, or working outdoors. Realistic occupations are often associated with engineering, mechanics and electronics, construction, woodworking, transportation, machine operation, agriculture, animal services, physical or manual labor, athletics, or protective services.

Enterprising
42%
Importance

Work involves managing, negotiating, marketing, or selling, typically in a business setting, or leading or advising people in political and legal situations. Enterprising occupations are often associated with business initiatives, sales, marketing/advertising, finance, management/administration, professional advising, public speaking, politics, or law.

Artistic
28%
Importance

Work involves creating original visual artwork, performances, written works, food, or music for a variety of media, or applying artistic principles to the design of various objects and materials. Artistic occupations are often associated with visual arts, applied arts and design, performing arts, music, creative writing, media, or culinary art.

Work Values

Relationships
96%
Importance

Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.

Achievement
81%
Importance

Occupations that satisfy this work value are results oriented and allow employees to use their strongest abilities, giving them a feeling of accomplishment. Corresponding needs are Ability Utilization and Achievement.

Independence
77%
Importance

Occupations that satisfy this work value allow employees to work on their own and make decisions. Corresponding needs are Creativity, Responsibility and Autonomy.

Recognition
72%
Importance

Occupations that satisfy this work value offer advancement, potential for leadership, and are often considered prestigious. Corresponding needs are Advancement, Authority, Recognition and Social Status.

Working Conditions
72%
Importance

Occupations that satisfy this work value offer job security and good working conditions. Corresponding needs are Activity, Compensation, Independence, Security, Variety and Working Conditions.

Support
58%
Importance

Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.