Registered Midwifery (RM) Licensing Exam BREAK-DOWN

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 Below is the structure of the Registered Midwifery (RM) Licensing Examination:


Paper 1

Paediatrics, Obstetric Anatomy, and Management of High-Risk Neonates – 180 MCQs

Duration: 3 hours


Paper 2

Midwifery – 180 MCQs

Duration: 3 hours


Paper 3

General Paper – 100 MCQs

Duration: 1 hour 30 minutes


Paper 4

Practical Examination – Basic Nursing and Midwifery Practice

 • Antenatal care

 • Intrapartum care (labour and delivery)

 • Postnatal care

 • Newborn care


Paper 5

Care Study (Care Plan)-FCMC


The Care Study for midwifery focuses on the nursing and midwifery process in maternal and newborn care. Candidates are expected to:

 1. Introduction

 • Client’s profile (gravida, parity, age, reason for admission).

 2. History Taking & Assessment

 • Obstetric history (LMP, EDD, previous pregnancies, antenatal care).

 • Current complaint and examination findings.

 • Relevant lab/scan investigations.

 3. Midwifery/Nursing Diagnoses

 • Identification of actual and potential problems in pregnancy, labour, puerperium, or neonatal care.

 4. Planning

 • Setting measurable objectives to promote safe motherhood and newborn wellbeing.

 • Prioritization of maternal and child needs.

 5. Implementation

 • Midwifery interventions (monitoring labour, health education, immediate newborn care, breastfeeding support, etc.).

 • Collaborative interventions with the health team.

 6. Evaluation

 • Reviewing progress of mother and baby.

 • Modifying care as needed.

 7. Conclusion and Recommendations

 • Summarizing the care provided.

 • Recommendations for follow-up and community support.


Duration: Completed during clinical posting; deadline is set by the NMC.

Note: Adequate preparation in both theory and clinical practice is essential for success in the examination.


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