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About this exam

The Afghanistan Midwifery Exit Examination is the assessment that graduating midwifery students sit before they can register and practise as midwives in Afghanistan. It is designed for students completing a recognised midwifery education programme, and it tests whether they can apply the full scope of midwifery care safely and independently, from the first antenatal visit through labour, birth, the postpartum period and the newborn's first days. The content is organised around the realities of Afghan practice: antenatal assessment and risk screening, labour monitoring and skilled birth attendance, immediate postpartum and newborn care, recognition and referral of obstetric and neonatal emergencies, reproductive health and family planning, infection prevention and safe medication practice, and the professional, ethical and legal framework of the midwife's role. Preparation is best built around the national midwifery curriculum and competency standards rather than around any single commercial review book. Work through each domain systematically, practise scenario-based reasoning aloud with classmates, drill the emergency algorithms until they are automatic, and rehearse the clinical skills you will be assessed on. Candidates should confirm current administrative details, including scheduling and eligibility requirements, with the official examining body or their education institution, as these are set nationally and are not published here.

What you'll study

Common questions

About Afghanistan Midwifery Exit Exam preparation

What is the format of the exam?

Expect multiple-choice questions together with case-based scenarios that present a woman or newborn and ask you to choose the next action, the most likely diagnosis, or the safest management. Scenario items reward clinical reasoning rather than isolated recall, so practise working through a case from presentation to decision.

How long is the exam and how many questions does it contain?

Those figures are set by the national examining body and can change between sittings, so they are not stated here. Check the official body's website or ask your midwifery school's examination coordinator for the current blueprint before you plan your exam-day timing.

What score do I need to pass?

The passing standard is determined by the official examining authority and is not fixed in this guide. Ask your institution or the examining body for the current passing requirement. Do not rely on a friend's experience from an earlier year, because standards and scoring methods can be revised.

Can I retake the exam if I fail?

Retake rules, waiting periods and any limit on the number of attempts are set nationally. Confirm the current policy directly with the examining body before you sit, so you understand your options in advance. Your midwifery school may also offer support or remediation requirements before a repeat attempt.

How difficult is it?

Most candidates find the content familiar but the application demanding. The scenarios often describe a normal-looking situation that is quietly deteriorating, and the correct answer is the safest next step rather than the most dramatic one. Candidates who have genuinely managed births and emergencies during clinical placement tend to reason through these items more confidently.

In what order should I study the domains?

Follow the continuum of care: antenatal assessment first, then intrapartum, postpartum and newborn care, then complications, which draw on all of them. Add reproductive health, infection prevention and pharmacology, and finish with ethics and scope of practice. This order mirrors how the scenarios unfold and makes recall easier under pressure.

What are the most common mistakes candidates make?

Two stand out: memorising facts without practising clinical decisions, and missing the urgency cues in a scenario, such as a rising blood pressure, a non-reassuring fetal heart pattern or a mother who is bleeding. Also common is choosing an intervention that exceeds the midwife's scope instead of the correct action, which is often prompt referral.

How should I prepare in the final weeks?

Shift from reading to retrieval. Answer scenario questions under timed conditions, explain your reasoning aloud, and review every wrong answer until you can state why the correct option is safer. Rehearse emergency drills, drug calculations and infection prevention steps practically, since these are skills you must perform, not merely recognise.

Does this page come from the official examining body?

No. This is independent study guidance and is not affiliated with or endorsed by the Afghan examining authority or any midwifery school. Always treat the official body and your institution as the authoritative source for eligibility, scheduling, fees, format and results.