Afghanistan Midwifery Exit Exam study guide
Afghanistan Midwifery Exit Exam · Work through your exam, one topic at a time.
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 Afghanistan Midwifery Exit Exam study guide has 8 sections and about 2,346 words.
01Antenatal Care and Midwifery Assessment
Antenatal care rests on risk identification, dating, and education . Know the schedule of focused ANC contacts (WHO's 8-contact model), the components of each visit (history, blood pressure, weight, fundal height, fetal heart, urine protein, danger-sign review), and the screening tests: haemoglobin, blood group and Rh, syphilis, HIV, hepatitis B, and glucose testing.
330 words, about 2 min02Intrapartum Care and Labor Management
Intrapartum care centers on the partograph , the stages of labor, and timely recognition of poor progress. Understand the first stage (latent and active phases), second stage (full dilatation to birth), and third stage (birth to placental delivery).
298 words, about 1 min03Postpartum Care and Immediate Newborn Care
Postpartum care focuses on haemorrhage prevention, infection surveillance, and newborn transition . Know the normal third and fourth stages : placental delivery, uterine contraction, and lochia progression (rubra, serosa, alba).
295 words, about 1 min04Complications of Pregnancy, Labor, and the Puerperium
This domain tests emergency obstetric and newborn care (EmONC) . Master the hypertensive disorders: pre-eclampsia (hypertension after 20 weeks with proteinuria or end-organ signs), eclampsia (seizures), and HELLP syndrome .
275 words, about 1 min05Newborn Health and Neonatal Resuscitation
Neonatal resuscitation follows a stepwise algorithm . At birth, ask three questions: term gestation?
292 words, about 1 min06Reproductive and Sexual Health, Family Planning, and Safe Abortion Care
This domain covers contraceptive counselling, method effectiveness, and safe abortion care . Know the WHO medical eligibility criteria for combined hormonal contraceptives (avoid in uncontrolled hypertension, migraine with aura, smoking over 35, breastfeeding under 6 weeks).
280 words, about 1 min07Infection Prevention, Pharmacology, and Safe Medication Practice
Infection prevention requires standard precautions : hand hygiene (WHO's five moments), gloves, safe sharps disposal, sterile technique for invasive procedures, and decontamination and sterilization of equipment. Understand transmission-based precautions and post-exposure prophylaxis for HIV and hepatitis B.
282 words, about 1 min08Professional Ethics, Law, Communication, and Midwifery Scope of Practice
This domain covers ethical principles (autonomy, beneficence, non-maleficence, justice), informed consent , confidentiality , and professional boundaries . Understand the midwifery scope of practice , referral pathways, and the legal framework governing practice, including documentation standards and mandatory reporting .
294 words, about 1 min