Afghanistan Midwifery Exit Exam study plan

List the major causes of maternal mortality and classify each as antepartum, intrapartum, or postpartum onset

Explain the pathophysiology and first-line management steps for postpartum hemorrhage, including uterotonic drug sequencing and bimanual compression

Outline the recognition and referral pathway for pre-eclampsia and eclampsia, including magnesium sulfate loading and monitoring parameters

Identify danger signs requiring emergency obstetric referral and state the stabilization steps before transport

Describe the diagnosis and management of obstructed and prolonged labor, including partograph warning and action lines

Differentiate the stages of labor and identify deviations that trigger escalation of care

Explain management of retained placenta, uterine rupture, and cord prolapse in sequence of priority actions

Practice documenting an emergency referral note with all essential clinical elements

Perform and interpret a partograph from a written case scenario, marking alert and action lines correctly

Describe evidence-based care in the first, second, and third stages of labor, including active management of the third stage

Explain fetal monitoring interpretation and appropriate response to non-reassuring patterns

List indications, contraindications, and technique steps for episiotomy and perineal repair

Calculate estimated date of delivery and gestational age from given clinical data

Outline the schedule and purpose of routine antenatal contacts and danger-sign counseling at each visit

Describe screening for anemia, hypertensive disorders, and infection in pregnancy with appropriate follow-up actions

Explain nutritional and iron-folic acid counseling and identify when supplementation dose should change

Sequence immediate postpartum assessment of mother and newborn in the first hour, including skin-to-skin and breastfeeding initiation

Describe newborn resuscitation steps in order, including stimulation, ventilation, and when to escalate

Explain postpartum hemorrhage prevention and monitoring in the fourth stage of labor

Identify newborn danger signs and state the referral threshold for each

Explain newborn thermal care, cord care, and early breastfeeding support with correct timing

Compare family planning methods by effectiveness, contraindications, and postpartum timing of initiation

Describe counseling steps for postpartum family planning including lactational amenorrhea criteria

Outline safe abortion care principles, including eligibility, method options, and post-abortion contraception

Apply infection prevention precautions to a written delivery and postnatal scenario, including hand hygiene and waste handling

State correct storage, dosing, and administration routes for oxytocin, magnesium sulfate, and antibiotics used in midwifery care

Identify common medication errors in obstetric care and the checks that prevent them

Describe post-exposure prophylaxis steps after occupational blood exposure

Describe the midwifery scope of practice and the boundary for referral and consultation

Apply consent, confidentiality, and respectful-care principles to written ethical scenarios

Integrate all domains through timed mixed practice sets under exam conditions

Review and re-test the weakest two domains identified in earlier weeks