Provimi i Shtetit - Mami study guide
Provimi i Shtetit - Mami · Work through your exam, one topic at a time.
The Provimi i Shtetit - Mami is Albania's state examination for midwives: the licensing step that confirms a graduate midwife has the knowledge and practical competence to practise independently within the Albanian health system. It is intended for graduates of accredited midwifery programmes who are seeking the professional licence, and for those whose qualification requires state verification before registration. The Provimi i Shtetit - Mami study guide has 10 sections and about 2,497 words.
01Antenatal Care and Normal Pregnancy
Antenatal care rests on risk assessment, dating, and surveillance . Know the recommended schedule (WHO's 2016 model: eight contacts; many national programmes still use monthly visits to 28 weeks, then fortnightly to 36, then weekly), the purpose of each visit, and the parameters tracked: weight, blood pressure, fundal height, fetal heart rate, urine protein, and fetal movement.
340 words, about 2 min02Intrapartum Care and Management of Normal Labor
Labor is diagnosed by regular painful contractions with progressive cervical change . Understand the stages: first (latent and active phases), second (full dilatation to birth), third (birth to placental delivery), and fourth (first 1–2 hours).
274 words, about 1 min03Postpartum Care and Newborn Adaptation
The postpartum period spans six weeks. Monitor uterine involution (fundus descends about 1 cm per day, palpable abdominally for ~10–14 days), lochia (rubra, serosa, alba), perineal healing, bladder function, and vital signs.
256 words, about 1 min04High-Risk Pregnancy and Obstetric Complications
High-risk pregnancy requires identifying conditions that threaten mother or fetus: hypertensive disorders (chronic hypertension, gestational hypertension, preeclampsia, eclampsia), gestational diabetes , placenta previa and abruption , multiple gestation , preterm labor and preterm rupture of membranes , intrauterine growth restriction , isoimmunization , and infection (including syphilis and HIV). Understand diagnostic criteria: new hypertension after 20 weeks with proteinuria or end-organ dysfunction (thrombocytopenia, renal insufficiency, liver involvement, pulmonary edema, visual or cerebral symptoms).
254 words, about 1 min05Midwifery Emergencies and Obstetric Resuscitation
Emergencies to master: postpartum hemorrhage , shoulder dystocia , cord prolapse , eclampsia , amniotic fluid embolism , uterine rupture , fetal distress , and maternal and neonatal resuscitation . Most common cause is uterine atony.
252 words, about 1 min06Family Planning, Reproductive Health, and Sexually Transmitted Infections
Know the WHO eligibility criteria for contraceptive methods (categories 1–4, where 4 means unacceptable risk) and the effectiveness hierarchy: implants and intrauterine devices are long-acting reversible methods with failure rates under 1%, while typical-use failure of pills and condoms is higher. Understand mechanisms, side effects, and non-contraceptive benefits: combined hormonal methods suppress ovulation; progestin-only methods thicken cervical mucus; copper IUDs are spermicidal; condoms are the only method that also prevents STIs.
240 words, about 1 min07Professional Ethics, Legislation, and Midwifery Practice Standards
Midwifery practice is governed by scope of practice, professional standards, codes of ethics, informed consent, confidentiality, and accountability . Understand the ethical principles: autonomy, beneficence, non-maleficence, and justice.
230 words, about 1 min08Pharmacology and Safe Medication Administration in Midwifery
Know the rights of medication administration : right client, drug, dose, route, time, and documentation (plus reason and response). Understand pharmacokinetics in pregnancy - increased plasma volume and renal clearance can alter drug levels - and the principles of safe prescribing and administration.
222 words, about 1 min09Infection Prevention and Control, Including Safe Motherhood Practices
Understand the chain of infection and standard precautions: hand hygiene, personal protective equipment, safe sharps handling, waste segregation, and environmental cleaning. Know the WHO five moments for hand hygiene and that alcohol-based rub is preferred for routine hand decontamination when hands are not visibly soiled.
225 words, about 1 min10Communication, Counseling, and Health Education
Effective communication is a clinical skill. Understand active listening, open-ended questions, reflection, summarizing, and empathy .
204 words, about 1 min