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Related Experiment Video

Updated: Dec 26, 2025

Author Spotlight: Assessing the Feasibility of Using Amplitude-Integrated EEG During Neonatal Transport

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Electronic Fetal Monitoring Credentialing Examination: The First 4000.

Mark W Tomlinson¹, Sara A Brumbaugh², Marin O'Keeffe¹

¹Perinatal Quality Foundation, Northwest Perinatal Center/Women's Healthcare Associates, Providence Health and Services, Oregon, Women and Children's Program, Portland, Oregon.

|March 20, 2020

Summary

The Perinatal Quality Foundation Fetal Monitoring Credentialing exam reliably assesses both knowledge and judgment in obstetric providers and nurses. Findings suggest that while the exam is valid, knowledge alone doesn't guarantee clinical competency in fetal heart rate interpretation.

Keywords:

Fetal Monitoring Credentialing electronic fetal monitoring interpretation of fetal monitoring

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Area of Science:

Obstetrics and Gynecology
Medical Education
Healthcare Quality Improvement

Background:

Variability in fetal heart rate interpretation necessitates standardized assessment.
The Perinatal Quality Foundation developed the Fetal Monitoring Credentialing exam to address this need.
The exam assesses both knowledge and clinical judgment in obstetric providers and nurses.

Observation:

Over 4,000 Fetal Monitoring Credentialing exams were evaluated.
The study included physicians, nurses, and certified nurse midwives.
Reliability analyses indicated strong test consistency (Omega > 0.77).

Findings:

The Fetal Monitoring Credentialing exam demonstrated high reliability for both obstetric providers and nurses.
A moderate correlation was observed between knowledge and judgment scores (0.38-0.43).
This suggests that while knowledge is assessed, clinical judgment may be independently evaluated.

Implications:

The Fetal Monitoring Credentialing exam is a reliable and valid tool for credentialing in Electronic Fetal Monitoring.
The assessment provides a practical method for establishing competency in fetal heart rate interpretation.
Results highlight that clinical competency involves more than just knowledge recall, emphasizing the importance of judgment in practice.