JNCLEX-RM (Jordan) study plan

Map every antenatal assessment component (history, dating, fundal height, fetal heart auscultation, danger-sign screening) into a one-page checklist you can reproduce from memory.

Calculate estimated date of delivery and gestational age from last menstrual period and from ultrasound dating, and state when the two disagree which one governs management.

Explain the schedule and purpose of routine Jordanian antenatal visit contacts, including the first-trimester booking visit and third-trimester frequency.

Differentiate normal physiological changes of pregnancy from findings that require referral, listing at least eight referral triggers with the reasoning for each.

Interpret a full antenatal risk profile (age, parity, prior caesarean, hypertensive or diabetic history, Rh status, consanguinity) and assign each woman to low- or high-risk care.

Describe screening pathways for gestational diabetes, pre-eclampsia risk, anaemia, and haemoglobinopathy, and state the action threshold for each result.

Counsel a pregnant woman on nutrition, iron and folic acid supplementation, and avoidance of teratogens using plain language you can deliver in under five minutes.

Identify the midwife's scope in antenatal care under Jordanian regulation and name the situations that must be escalated to an obstetrician.

Diagram the stages and phases of labour with the expected cervical change, fetal descent, and maternal behaviour at each point.

Interpret a partograph correctly: plot dilatation, descent, contractions, fetal heart rate, and maternal observations, and identify the action line and alert line.

Distinguish latent from active first stage and state the criteria for diagnosing prolonged labour and when to escalate.

Explain the physiology and midwifery management of the second and third stages, including controlled cord traction and active management of the third stage.

Recognize and describe immediate management of non-reassuring fetal heart patterns, including the intrauterine resuscitation bundle and when to call for operative delivery.

Differentiate the four main causes of postpartum haemorrhage and sequence the response: uterine massage, uterotonics in order, IV access, fluid resuscitation, and transfer.

Identify shoulder dystocia and describe the manoeuvres in the order you would perform them, plus what documentation is required afterwards.

Explain the midwife's role in preterm labour and prelabour rupture of membranes, including corticosteroid and antibiotic timing and infection surveillance.

Perform and document a systematic immediate newborn assessment covering Apgar scoring, tone, breathing, colour, and temperature, and state the actions for each low score.

Describe essential newborn care steps in the first hour: drying, skin-to-skin contact, delayed cord clamping, early breastfeeding initiation, and vitamin K prophylaxis.

Assess the postpartum mother for uterine involution, lochia pattern, perineal healing, and thrombotic risk, and distinguish normal from abnormal findings.

Counsel on breastfeeding positioning, latch, and common problems, and identify when to refer to a lactation specialist.

Screen for postpartum depression and explain the referral pathway available to women in Jordan.

Manage the hypertensive disorders of pregnancy: differentiate gestational hypertension, pre-eclampsia, and eclampsia, and state magnesium sulphate dosing, monitoring, and toxicity antidote.

Sequence the midwifery response to antepartum haemorrhage from placenta praevia and placental abruption, including what not to do on vaginal examination.

Describe the recognition and immediate care of uterine rupture, cord prolapse, and maternal collapse, naming the first three actions for each.

Explain sepsis in pregnancy and the puerperium: warning signs, cultures before antibiotics, and fluid and antibiotic escalation.

Classify the high-alert medications used in maternity care (oxytocin, magnesium sulphate, insulin, opioids, antihypertensives) and state the double-check and labelling rules for each.

Apply the rights of medication administration to obstetric scenarios, including weight-based dosing, renal adjustment, and compatibility of infusions.

Explain the midwife's role in infection prevention: hand hygiene moments, aseptic technique for invasive procedures, safe sharps handling, and correct use of personal protective equipment.

Describe standard precautions and transmission-based precautions for common maternity pathogens, and outline safe waste segregation and spill management.

Identify quality and safety mechanisms such as incident reporting, root cause analysis, and surgical safety checklists, and state how each prevents harm in a maternity unit.

State the legal and ethical duties of the midwife in Jordan: informed consent, confidentiality, documentation standards, mandatory reporting, and scope of practice boundaries.

Resolve three ethical dilemmas (refusal of caesarean, adolescent confidentiality, conscientious objection) using a structured decision framework.

Complete two full-length timed mock examinations under exam conditions and score each by domain.

Re-teach your three weakest domain areas from your error logs and confirm improvement on a targeted 20-question retest.