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100+ Free Ahpra Midwifery OBA Practice Questions

Pass your Ahpra/NMBA Midwifery Outcomes-Based Assessment exam on the first try — instant access, no signup required.

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A low-risk woman in established labour declines continuous CTG and asks about intermittent auscultation. What is the best midwifery response?

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2026 Statistics

Key Facts: Ahpra Midwifery OBA Exam

180

Midwifery MCQ questions

Ahpra Midwifery MCQ Candidate Handbook

3 hours

Midwifery MCQ time limit

Ahpra Midwifery MCQ Candidate Handbook

10

Midwifery OSCE stations

Ahpra Midwifery OSCE Candidate Handbook

12 min

OSCE time per station, including reading time

Ahpra Midwifery OSCE Candidate Handbook

$4,000 AUD

OSCE fee per sitting

Ahpra Midwifery OSCE Candidate Handbook

8 weeks

OSCE results release timeframe

Ahpra Midwifery OSCE Candidate Handbook

The Ahpra/NMBA Midwifery OBA combines a 180-question, 3-hour Aspeq-delivered Midwifery MCQ with a 10-station in-person Midwifery OSCE. It is for Stream B internationally qualified midwives and is assessed at the level of an Australian graduate midwife against the NMBA Midwife Standards for Practice.

Sample Ahpra Midwifery OBA Practice Questions

Try these sample questions to test your Ahpra Midwifery OBA exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which statement best describes the midwifery MCQ component of the Outcomes-Based Assessment?
A.It is a computer-based adaptive test with 180 questions completed over 3 hours.
B.It is a written short-answer examination completed over 2 hours.
C.It is an oral viva with 10 clinical stations.
D.It is a portfolio review scored by two assessors.
Explanation: The midwifery MCQ is a computer-based CAT delivered through Aspeq Quadrant, with 180 questions over 3 hours.
2An internationally qualified midwife in Stream B asks what assessment occurs after the portfolio stage. What is the best response?
A.A profession-specific MCQ followed, if eligible, by an OSCE.
B.An OSCE first, followed by Orientation Part 1.
C.A supervised practice placement instead of examination.
D.A general nursing MCQ only.
Explanation: Stream B applicants complete Orientation Part 1, portfolio, then the OBA, which includes the profession-specific MCQ and OSCE.
3Which OSCE station timing is consistent with the midwifery OBA format?
A.2 minutes reading time and 10 minutes performance time.
B.5 minutes reading time and 5 minutes performance time.
C.10 minutes reading time and 2 minutes performance time.
D.No reading time and 15 minutes performance time.
Explanation: Each OSCE station provides 2 minutes for reading and 10 minutes for performance or demonstration.
4A woman at 28 weeks asks whether she must accept a recommended anti-D injection. What is the midwife's best response?
A.Explain the indication, benefits, risks, alternatives, and respect her informed decision.
B.Tell her the injection is mandatory in Australia.
C.Ask her partner to decide because the baby may be affected.
D.Document refusal without further discussion.
Explanation: Informed consent requires clear information, voluntary decision-making, and respect for the woman's choice.
5A woman declines continuous fetal monitoring in labour after discussion of clinical concerns. What should the midwife do next?
A.Assess capacity, ensure she understands the information, document the discussion, and escalate concerns appropriately.
B.Proceed with monitoring because fetal safety overrides consent.
C.Discharge her from care for refusing advice.
D.Ask security to remove the monitor if she objects.
Explanation: A capable woman can refuse care. The midwife should support informed decision-making, document, and escalate clinical risk.
6A midwife realises she has administered a medication 1 hour later than prescribed. What is the most professional action?
A.Assess the woman, notify the appropriate clinician, disclose according to policy, document, and complete incident reporting.
B.Document the medication as given on time to avoid concern.
C.Tell the woman only if she develops symptoms.
D.Ask another midwife to sign the medication chart.
Explanation: Professional conduct requires honesty, timely escalation, open disclosure, accurate documentation, and risk management.
7A student midwife asks to perform a vaginal examination. What must occur before the examination?
A.The woman must be told the student's role and give voluntary consent.
B.Consent is implied because the woman attended hospital.
C.Only the supervising midwife needs to consent.
D.Consent is unnecessary if the examination is clinically indicated.
Explanation: The woman must know who is providing care and must consent voluntarily, especially for intimate examinations.
8A woman who speaks limited English is attending her first antenatal visit. What is the safest approach for consent and history-taking?
A.Use a qualified interpreter and speak directly to the woman.
B.Ask her child to interpret because the child knows her well.
C.Use only written English information sheets.
D.Speak louder and use simplified medical terms.
Explanation: Qualified interpreters support accurate communication, consent, privacy, and culturally safe care.
9Which action best demonstrates culturally safe midwifery care for an Aboriginal woman?
A.Ask what cultural, family, and community supports she wants included in her care.
B.Avoid asking about culture unless she raises it first.
C.Apply the same care plan to every woman to ensure equality.
D.Ask a family member instead of the woman about cultural needs.
Explanation: Cultural safety is woman-defined and requires respectful enquiry, partnership, and avoidance of assumptions.
10At an antenatal visit, a woman appears withdrawn and her partner answers all questions for her. What should the midwife do?
A.Create an opportunity to speak with the woman alone and assess safety sensitively.
B.Accept the partner's answers because he is supportive.
C.Ask directly in front of the partner whether he is violent.
D.Avoid the topic unless the woman has visible injuries.
Explanation: Possible family violence requires private, sensitive enquiry and safety-focused assessment.

About the Ahpra Midwifery OBA Exam

The Ahpra/NMBA Midwifery Outcomes-Based Assessment is the Stream B assessment pathway for internationally qualified midwives whose qualifications are relevant to midwifery but not assessed as substantially equivalent to an Australian approved qualification. NMBA states that Stream B candidates must complete Orientation Part 1, Portfolio, a profession-specific multiple-choice question exam, and an Objective Structured Clinical Examination before they are eligible to apply for registration. The Midwifery MCQ is delivered by Aspeq and assesses professional knowledge, application, and critical thinking at Australian graduate midwife level. The Midwifery OSCE is a 10-station in-person clinical simulation exam that assesses practical skill, communication, safety, documentation, and competence against the NMBA Midwife Standards for Practice.

Assessment

Stream B outcomes-based assessment for internationally qualified midwives: Orientation Part 1 and Portfolio are followed by the Ahpra/NMBA Midwifery MCQ, then the Midwifery OSCE. The MCQ is a computer-based CAT exam delivered by Aspeq. The OSCE is an in-person simulated clinical examination with 10 stations.

Time Limit

MCQ: 3 hours. OSCE: 10 stations of 12 minutes each, made up of 2 minutes reading time and 10 minutes performance or skills demonstration time.

Passing Score

Pass/fail. The MCQ handbook states the pass mark is set at the level of knowledge required by graduate midwives in Australia. The OSCE handbook states candidates receive station pass marks, achieved marks, station outcomes, and an overall pass/fail result.

Exam Fee

$410 AUD IQNM assessment fee; Midwifery MCQ $186.27 AUD plus local sitting fee, remote invigilating fee, or adjustment-related costs where applicable; Midwifery OSCE $4,000 AUD per sitting. (Nursing and Midwifery Board of Australia and Ahpra)

Ahpra Midwifery OBA Exam Content Outline

Stream B

IQNM Assessment Pathway

Orientation Part 1, Portfolio, Midwifery MCQ, and Midwifery OSCE sequencing, including eligibility, candidate conduct, reasonable adjustments, result release, and registration application timing.

180 questions in 3 hours

Midwifery MCQ Knowledge Test

Four-option one-best-answer questions covering knowledge, application, critical thinking, antenatal care, labour and birth, postpartum care including breastfeeding, newborn care, pharmacology, well woman education, and professional issues.

10 stations, 12 minutes each

Midwifery OSCE Clinical Stations

Simulated clinical stations requiring practical demonstration, safety checks, communication, documentation, informed consent, ISBAR handover, infection prevention, medication calculation, and risk management.

Antenatal, intrapartum, postnatal, and neonatal

Clinical Midwifery Practice

Assessment and management of normal and abnormal maternal, fetal, and newborn findings, including escalation, emergency response, fetal movement concerns, birth complications, feeding, jaundice, sepsis, and perinatal mental health.

Mapped to NMBA standards

Professional and Culturally Safe Practice

Woman-centred care, cultural safety, especially for Aboriginal and Torres Strait Islander Peoples, professional boundaries, confidentiality, informed consent, collaborative practice, evidence-informed care, and accountability.

How to Pass the Ahpra Midwifery OBA Exam

What You Need to Know

  • Passing score: Pass/fail. The MCQ handbook states the pass mark is set at the level of knowledge required by graduate midwives in Australia. The OSCE handbook states candidates receive station pass marks, achieved marks, station outcomes, and an overall pass/fail result.
  • Assessment: Stream B outcomes-based assessment for internationally qualified midwives: Orientation Part 1 and Portfolio are followed by the Ahpra/NMBA Midwifery MCQ, then the Midwifery OSCE. The MCQ is a computer-based CAT exam delivered by Aspeq. The OSCE is an in-person simulated clinical examination with 10 stations.
  • Time limit: MCQ: 3 hours. OSCE: 10 stations of 12 minutes each, made up of 2 minutes reading time and 10 minutes performance or skills demonstration time.
  • Exam fee: $410 AUD IQNM assessment fee; Midwifery MCQ $186.27 AUD plus local sitting fee, remote invigilating fee, or adjustment-related costs where applicable; Midwifery OSCE $4,000 AUD per sitting.

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

Ahpra Midwifery OBA Study Tips from Top Performers

1Start with the Midwife Standards for Practice and Code of conduct for midwives, because both MCQ and OSCE expectations are mapped to NMBA professional standards.
2Practise one-best-answer clinical reasoning questions under a one-minute-per-question pace to mirror the 180-question, 3-hour MCQ format.
3Use OSCE drills that force action within two minutes of reading and 10 minutes of performance, including introductions, ID checks, consent, hand hygiene, focused assessment, explanation, escalation, and documentation.
4Review Australian healthcare-context resources used in the handbooks, including NSQHS standards, ISBAR, hand hygiene, medication safety, perinatal mental health, fetal movement guidance, and neonatal resuscitation.
5Build escalation scripts for abnormal maternal, fetal, and newborn findings so that consultation, referral, transfer, and emergency response decisions are clear and timely.

Frequently Asked Questions

Who takes the Ahpra/NMBA Midwifery OBA?

It is for Stream B internationally qualified midwives who must complete the outcomes-based assessment before they are eligible to apply for registration in Australia.

How many questions are on the Midwifery MCQ?

The Ahpra Midwifery MCQ Candidate Handbook states that the exam consists of 180 questions with three hours to complete them.

How is the Midwifery OSCE structured?

The 2026 Ahpra Midwifery OSCE Candidate Handbook states that the OSCE has 10 stations, each with two minutes of reading time and 10 minutes of performance or skills demonstration time.

Can the Ahpra Midwifery OBA be completed remotely?

The MCQ can be completed remotely by eligible international candidates, but the OSCE is an in-person clinical assessment and candidates must travel to Australia.

How much does the Midwifery OSCE cost?

The 2026 Ahpra Midwifery OSCE Candidate Handbook lists the Midwifery OSCE fee as $4,000 AUD for each examination sitting.