100+ Free Provimi i Shtetit — Mami Practice Questions
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Key Facts: Provimi i Shtetit — Mami Exam
The Albania Midwifery State Exam (Provimi i Shtetit për Maminë) is a mandatory 60-minute computerised licensing test administered by QSHA in Tirana for the professions of the Order of Nurses (UISH), passed with at least 50% of the paper's points. Before applying, graduates must complete supervised professional practice and pass UISH's practical skills assessment (Provimi i Vlerësimit të Aftësimit Praktik, VAP). This 100-question bank is an English-language study adaptation, not an official translation of the exam or a simulation of its format.
Sample Provimi i Shtetit — Mami Practice Questions
Try these sample questions to test your Provimi i Shtetit — Mami exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A pregnant woman presents for her first prenatal visit reporting that the first day of her last normal menstrual period (LMP) was April 10. According to Naegele's rule, what is her estimated date of delivery (EDD)?
2During abdominal palpation of a pregnant woman at 32 weeks of gestation, which Leopold maneuver is performed primarily to identify whether the fetal head or breech occupies the uterine fundus?
3At approximately how many gestational weeks does the uterine fundus normally reach the level of the maternal umbilicus in a singleton pregnancy?
4Which daily dose of preconception and first-trimester folic acid supplementation is universally recommended for low-risk pregnant women to prevent neural tube defects?
5What is the primary physiological mechanism responsible for the 'physiologic anemia of pregnancy' observed during the second trimester?
6Which clinical manifestation is considered a presumptive sign of pregnancy rather than a probable or positive sign?
7An Rh-negative, non-sensitized pregnant woman delivers an Rh-positive infant. Within how many hours postpartum must Rho(D) immune globulin (Anti-D) be administered to prevent maternal alloimmunization?
8Between which gestational weeks is universal screening for Gestational Diabetes Mellitus (GDM) routinely performed using an Oral Glucose Tolerance Test (OGTT) in average-risk pregnancies?
9A 28-year-old primigravida at 34 weeks of gestation presents with a blood pressure of 150/95 mmHg on two occasions 4 hours apart and 2+ proteinuria on dipstick (0.4 g/24h). She has no headache or visual disturbances. What is the most accurate diagnosis?
10What is the primary drug of choice for the prevention and treatment of eclamptic convulsions in pregnant women with severe preeclampsia?
About the Provimi i Shtetit — Mami Exam
The State Exam for the Regulated Profession of Midwife (Provimi i Shtetit për Profesionin e Rregulluar të Mamisë) is the mandatory national licensing examination in the Republic of Albania required for graduates in midwifery to obtain the license to practice (Licenca e Ushtrimit të Profesionit). Established pursuant to Law No. 10171 dated 22.10.2009 'On Regulated Professions in the Republic of Albania' (as amended), the examination is organized and administered by the Educational Services Center (Qendra e Shërbimeve Arsimore - QSHA) in close collaboration with the Order of Nurses of Albania (Urdhri i Infermierit të Shqipërisë - UISH) and the Ministry of Health and Social Protection (Ministria e Shëndetësisë dhe Mbrojtjes Sociale). To be eligible to sit the State Exam, candidates must hold an accredited Bachelor of Science degree in Midwifery (Mami) from a recognized higher education institution and must have successfully completed the mandatory supervised clinical internship (praktika profesionale) registered with and verified by UISH. Candidates submit their application and documentation online through the governmental e-Albania portal. The exam is administered electronically on dedicated computer terminals at the QSHA testing hall in Tirana under continuous invigilation and video surveillance. It runs as a single 60-minute round. QSHA does not publish the number of items: the regulation requires the official question fund to hold at least 1,500 alternative-response items per profession or profile and every item to offer at least four alternatives with one correct answer, while the State Exam Commission approves the structure of each paper. The paper totals 100 points and the pass mark is at least 50% of those points. Before applying, graduates must also pass UISH's practical skills assessment (Provimi i Vlerësimit të Aftësimit Praktik, VAP). This practice question bank provides a comprehensive English-language multiple-choice study adaptation designed to reflect the official QSHA orienting syllabus and clinical midwifery competencies. It covers antenatal health, intrapartum emergencies, puerperal care, neonatal resuscitation, family planning, and professional deontology. Please note: The official Albanian state exam is delivered in the Albanian language (Shqip); this practice resource is an English-language multiple-choice study adaptation intended for conceptual mastery, clinical reasoning, and self-assessment. It is not an official translation of the exam and does not simulate its format.
Assessment
One 60-minute computerised round at the QSHA examination centre in Tirana (Bulevardi Zhan D'Ark, Nr. 23). The system selects the items automatically and they are identical for every candidate in that session; marking is automatic and the result appears on screen at the end. Candidates report 30 minutes early with photo ID, mobile phones are prohibited, and a written appeal may be sent to QSHA within 10 days of the result.
Time Limit
60 minutes
Passing Score
At least 50% of the paper's total points (at least 50 of 100 points). Grades run from 4 (under 50 points) to 10 (95-100 points); grade 5 (50-54 points) is the minimum pass.
Exam Fee
10,000 ALL for the 1st attempt, 12,500 ALL (2nd), 15,000 ALL (3rd), 17,500 ALL (4th), 20,000 ALL (5th) and 25,000 ALL for the 6th or later attempt, under Council of Ministers Decision No. 560, dated 29.9.2018 on QSHA service tariffs. The fee is prepaid and non-refundable. (Qendra e Shërbimeve Arsimore (QSHA) & Urdhri i Infermierit të Shqipërisë (UISH))
Provimi i Shtetit — Mami Exam Content Outline
Antenatal Care & Pregnancy Physiology/Pathology (Kujdesi Antenatal)
Physiological adaptations in pregnancy, routine prenatal care, Leopold maneuvers, gestational age calculation, screening for fetal anomalies, preeclampsia/eclampsia management, gestational diabetes mellitus, placenta previa, placental abruption, ectopic pregnancy, hyperemesis gravidarum, and maternal-fetal pharmacology.
Intrapartum Care & Obstetric Emergencies (Kujdesi Intrapartum & Emergjencat)
Labor stages and cervical dynamics, fetal monitoring (partograph and cardiotocography), active management of the third stage of labor (AMTSL), shoulder dystocia management (McRoberts maneuver, suprapubic pressure), postpartum hemorrhage management (4 Ts, uterotonics), umbilical cord prolapse, uterine rupture, assisted deliveries, and perineal trauma repair.
Postpartum Care & Puerperium (Kujdesi Postpartum & Periudha e Lehonisë)
Uterine involution, lochia characteristics and stages, maternal BUBBLE-HE assessment, lactation physiology and breastfeeding support (engorgement, mastitis), puerperal infection/endometritis management, postpartum mood disorders, and maternal venous thromboembolism prevention.
Neonatal Assessment & Newborn Care (Vlerësimi dhe Kujdesi i të Porsalindurit)
Immediate newborn stabilization and thermal management, 1-minute and 5-minute APGAR scoring, neonatal resuscitation protocol (NRP), routine newborn prophylaxis (vitamin K, ophthalmic ointment), Ballard gestational age scoring, primitive reflexes, neonatal jaundice (phototherapy), and neonatal hypoglycemia management.
Gynecology & Family Planning (Gjinekologjia & Planifikimi Familjar)
Menstrual cycle physiology and neuroendocrine regulation, modern contraceptive methods (oral contraceptives, IUDs, implants, barrier methods, emergency contraception), sexually transmitted infections diagnosis and prevention, cervical screening (Pap test, HPV), and benign gynecological conditions.
Professional Ethics, Midwifery Deontology & Infection Control (Etika & Deontologjia)
Law No. 10171 regulatory framework, UISH Code of Ethics and Deontology, midwife scope of practice and clinical autonomy, informed consent, maternal rights and respectful maternity care (RMC), patient confidentiality, standard and transmission-based precautions, aseptic technique, instrument sterilization, and sharp disposal.
How to Pass the Provimi i Shtetit — Mami Exam
What You Need to Know
- Passing score: At least 50% of the paper's total points (at least 50 of 100 points). Grades run from 4 (under 50 points) to 10 (95-100 points); grade 5 (50-54 points) is the minimum pass.
- Assessment: One 60-minute computerised round at the QSHA examination centre in Tirana (Bulevardi Zhan D'Ark, Nr. 23). The system selects the items automatically and they are identical for every candidate in that session; marking is automatic and the result appears on screen at the end. Candidates report 30 minutes early with photo ID, mobile phones are prohibited, and a written appeal may be sent to QSHA within 10 days of the result.
- Time limit: 60 minutes
- Exam fee: 10,000 ALL for the 1st attempt, 12,500 ALL (2nd), 15,000 ALL (3rd), 17,500 ALL (4th), 20,000 ALL (5th) and 25,000 ALL for the 6th or later attempt, under Council of Ministers Decision No. 560, dated 29.9.2018 on QSHA service tariffs. The fee is prepaid and non-refundable.
Keys to Passing
- Work through all 100 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
Provimi i Shtetit — Mami Study Tips from Top Performers
Frequently Asked Questions
What is the Provimi i Shtetit për Profesionin e Rregulluar të Mamisë?
It is the official national state licensing examination in Albania that midwifery graduates must pass to obtain their professional license (Licenca e Ushtrimit të Profesionit) and legally practice as a midwife in public or private healthcare institutions across the Republic of Albania.
Which regulatory bodies govern and administer the Midwifery State Exam?
The examination is organized and administered by the Educational Services Center (Qendra e Shërbimeve Arsimore - QSHA) under the Ministry of Education and Sports, in partnership with the Order of Nurses of Albania (Urdhri i Infermierit të Shqipërisë - UISH) and the Ministry of Health and Social Protection, under Law No. 10171.
What are the eligibility requirements to register for the exam?
Candidates must have completed a certified Bachelor of Science degree in Midwifery (Mami) from an accredited university and successfully completed the mandatory supervised clinical internship (praktika profesionale) registered and approved by the Order of Nurses of Albania (UISH).
What is the format, duration, and question count of the state exam?
The exam is delivered on a secure computer terminal at QSHA in Tirana and lasts 60 minutes. QSHA does not publish a fixed item count: the regulation approved by Order No. 365, dated 28.12.2020 requires the official question fund to hold at least 1,500 alternative-response items per profession or profile, requires every item to offer at least four alternatives with only one correct answer, and leaves the structure of each paper to the State Exam Commission. The system selects the items automatically, they are identical for every candidate in that session, they carry different point values, and marking is automatic with the result shown on screen.
What is the passing score for the Albanian Midwifery State Exam?
The exam is passed with at least 50% of the total points of the paper, that is at least 50 of 100 points. The published grading scale runs from 4 (under 50 points) through 5 (50-54), 6 (55-64), 7 (65-74), 8 (75-84), 9 (85-94) to 10 (95-100), so grade 5 is the minimum pass. The result appears on screen immediately and a written appeal may be sent to QSHA within 10 days of the result.
How much does the examination cost and how is the fee paid?
Pursuant to Council of Ministers Decision No. 560 dated 29.09.2018, the fee is 10,000 ALL for the first attempt. For retakes, the fee increases incrementally: 12,500 ALL for the 2nd attempt, 15,000 ALL for the 3rd, 17,500 ALL for the 4th, 20,000 ALL for the 5th, and 25,000 ALL for any sitting beyond the 5th. Payment is made at a bank or post office using the invoice generated through e-Albania or QSHA.
How do candidates apply and submit their exam documentation?
Applications are submitted electronically through the government portal e-Albania. Candidates upload their university diploma, transcript of records, UISH professional internship completion booklet (libri i praktikës profesionale), proof of identity, and the exam fee payment receipt.
Is this OpenExamPrep question bank an official exam simulator?
No. The official Albanian State Exam is conducted exclusively in the Albanian language (Shqip) at QSHA terminals. This OpenExamPrep resource is an English-language MCQ study adaptation developed to help candidates and international students master core midwifery competencies, obstetrical decision-making, and clinical guidelines.
What happens if a candidate fails the exam?
Candidates who do not achieve the 50% pass mark may re-register for a subsequent examination season announced by QSHA and UISH. Each candidate may sit the exam once per examination season upon paying the applicable tiered retake tariff.