NNC NLEM Midwifery case studies
NNC NLEM Midwifery · Put your knowledge to work in context.
The Nurses and Midwives Council of Malawi (NNC) licensure examination in midwifery - often searched as NLEM Midwifery - is the regulatory gateway that determines whether a graduate midwife or nurse-midwife can be registered and licensed to practise in Malawi. It is aimed at candidates who have completed an approved midwifery programme (direct-entry midwifery or a post-basic midwifery qualification for registered nurses) and who need to demonstrate that they meet the Council's minimum competence standard before entering practice. The NNC NLEM Midwifery case studies are 5 cases and about 3,321 words.
1Hypertension at 34 Weeks in a Woman Planning Home Birth
A 28-year-old woman, G3P2 (one previous caesarean for fetal distress, one vaginal birth), attends a community antenatal clinic at 34 weeks and 2 days. She has had two readings of 148/96 mmHg and 152/98 mmHg four hours apart, and a dipstick urinalysis showing 1+ protein.
719 words, about 4 min2An Overwhelming Urge to Push at 8 cm in a Midwife-Led Unit
A 24-year-old primigravida at 38 weeks and 4 days is in a midwife-led unit. She has been in established labour for 5 hours.
672 words, about 3 min3A 2.35 kg Term Baby with Feeding Concerns at 72 Hours
A 26-year-old primipara had a spontaneous vaginal birth at 38 weeks and 5 days in a health centre. Her baby girl weighed 2.35 kg at birth, with Apgar scores of 8 at 1 minute and 9 at 5 minutes.
672 words, about 3 min4Meconium-Stained Liquor and a Baby with Heart Rate 60 at One Minute
A 38-year-old woman, G4P3, gives birth at 38 weeks in a health centre after a precipitate labour. The liquor was thick meconium-stained.
640 words, about 3 min5Postpartum Contraception with Migraine with Aura and Smoking
A 35-year-old woman attends a family planning clinic 8 weeks after an uncomplicated vaginal birth. She is exclusively breastfeeding, her body mass index is 32, and her blood pressure is 128/82 mmHg.
618 words, about 3 min