Cambodia Midwifery Exit Exam study plan

List the schedule of focused antenatal care contacts (first visit, 20, 26, 30, 34, 36, 38, 40 weeks) and state the screening and counseling tasks performed at each contact.

Calculate gestational age from last menstrual period and from symphysis-fundal height, and identify the fundal height at which the uterus becomes palpable abdominally.

Explain the physiology of the three stages of normal labour, including cervical effacement and dilatation, fetal descent and cardinal movements, and the mechanism of placental separation.

Describe how to plot and interpret a partograph, naming the action line, alert line, and the dilatation rate that triggers referral.

Demonstrate (verbally or with a model) the four Leopold maneuvers and state what each maneuver confirms.

Differentiate the causes of prolonged first stage and obstructed labour, and state the clinical signs that distinguish true obstruction from slow progress.

Outline the immediate management and referral decision for antepartum haemorrhage, separating placenta praevia from abruptio placentae by presentation and ultrasound findings.

Explain the management steps for postpartum haemorrhage in sequence: uterine massage, uterotonics with doses, bimanual compression, aortic compression, and transfer.

Describe the recognition and first response to eclampsia and severe pre-eclampsia, including magnesium sulfate loading and maintenance dosing and monitoring for toxicity.

Identify shoulder dystocia and describe the sequence of maneuvers used to release the impacted shoulder.

Sequence the immediate newborn care steps in the first minute and first hour of life, including drying, warmth, delayed cord clamping, and initiation of breastfeeding.

State the indications, equipment check, and step-by-step technique for bag-and-mask ventilation of a non-breathing newborn, including the recommended rate and reassessment point.

Describe how to assess uterine involution, lochia, and perineal healing during postpartum visits, and identify signs of puerperal sepsis.

Explain the management of a retained placenta and of a perineal tear by degree, including which degrees require referral.

List the danger signs in a newborn that require immediate referral and the pre-referral care given before transfer.

Apply a referral decision framework to ten short case vignettes, stating whether to manage locally, refer, or refer urgently, and justifying each choice.

Write a complete referral note containing the information a receiving facility needs, and describe how to stabilize the woman during transport.

Identify the antenatal risk factors that mandate birth preparedness planning and facility delivery, and describe how to build a birth plan with a family.

Explain the actions midwives take for preterm rupture of membranes and for preterm labour before referral.

Compare available contraceptive methods by effectiveness, duration, side effects, and return to fertility, and match methods to client situations.

Explain the criteria for safe abortion care under Cambodian law and the midwife's role in counselling, referral, and post-abortion care including contraception.

Describe standard precautions and correct hand hygiene moments, and state the steps for safe sharps handling and post-exposure prophylaxis after a needlestick.

Outline the prevention-of-mother-to-child-transmission cascade from antenatal HIV testing through infant follow-up, naming the key drug and infant feeding counselling points.

Explain syndromic management of common sexually transmitted infections and the counselling messages that accompany it.

State the boundaries of midwifery scope of practice, naming tasks a midwife may perform independently and tasks requiring referral or supervision.

Explain informed consent, confidentiality, and the midwife's duty of care using two short ethical scenarios.

Describe the structure of the Cambodian health system from health centre to referral and national level, and explain where midwives fit in referral pathways.

Design a short health education session for a community group on one maternal or newborn topic, including key messages and a way to check understanding.

Answer timed practice questions across the four heaviest domains and record accuracy per domain.

Review every missed question from the timed set and write the correct fact in your own words.

Rehearse aloud the management sequence for postpartum haemorrhage and for eclampsia until each can be delivered without notes.

Recheck weak areas identified in weeks 1 to 4 and update your emergency action cards.

Answer timed practice questions across the five remaining domains and record accuracy per domain.

Recite the neonatal resuscitation steps and the PMTCT cascade from memory under time pressure.

Consolidate all error logs into a single one-page revision sheet of facts you repeatedly miss.

Complete one full-length mock examination under exam conditions and review the result.