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Free Practice Questions for Cambodia Midwifery Exit Exam

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Key Facts: Cambodia Midwifery Exit Exam Exam

114 SNRB

MoH Prakas of 6 December 2013 issuing the Core Competency Framework for Midwives used for the national exit protocol

https://citizenambassador.org/wp-content/uploads/2023/04/Cambodia-Midwifery-core-competency.pdf

2 degrees

Bachelor and Associate Degree in Midwifery graduates of public and private institutions sit the national exit exam (Prakas 114 SNRB)

https://citizenambassador.org/wp-content/uploads/2023/04/Cambodia-Midwifery-core-competency.pdf

Free 100-question English MCQ practice for Cambodia's national midwifery exit exam. Scope follows MoH Prakas 114 SNRB (2013) core competencies. Independent study aid, not an official NECHS paper.

Sample Cambodia Midwifery Exit Exam Practice Questions

Try these sample questions to review concepts for the Cambodia Midwifery Exit Exam exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1In a healthy conception, fertilization of the ovum by a sperm most often takes place in which part of the female reproductive tract?
A.The endometrial cavity of the uterus
B.The ampulla of the fallopian tube
C.The isthmus of the cervix
D.The infundibulum of the vagina
Explanation: Fertilization normally occurs in the ampulla, the widest portion of the fallopian tube, after ovulation. The resulting zygote then travels toward the uterus over several days before implantation in the endometrium. Knowing this anatomy helps midwives counsel on ectopic pregnancy risk when a fertilized ovum implants in the tube instead.
2After ovulation, which ovarian hormone is primarily responsible for maintaining the endometrium until the placenta takes over in early pregnancy?
A.Progesterone from the corpus luteum
B.Follicle-stimulating hormone from the ovary
C.Oxytocin from the ovarian stroma
D.Relaxin from the anterior pituitary
Explanation: The corpus luteum secretes progesterone, which stabilizes the secretory endometrium and supports early pregnancy. Trophoblastic human chorionic gonadotropin (hCG) keeps the corpus luteum functioning until the placenta produces enough progesterone. Loss of this support can lead to early pregnancy failure.
3A normal human zygote formed by fertilization of a haploid ovum by a haploid sperm contains how many chromosomes?
A.23 chromosomes
B.69 chromosomes
C.46 chromosomes
D.92 chromosomes
Explanation: Each gamete contributes 23 chromosomes. Fusion restores the diploid number of 46 chromosomes (23 pairs) in the zygote. This is the genetic starting point of embryonic development taught in midwifery scientific foundations.
4The milk-ejection (let-down) reflex during breastfeeding is triggered mainly by which hormone acting on myoepithelial cells of the breast?
A.Prolactin from the posterior pituitary
B.Oestrogen from the adrenal medulla
C.Human placental lactogen from the hypothalamus
D.Oxytocin from the posterior pituitary
Explanation: Infant suckling stimulates the posterior pituitary to release oxytocin, which contracts myoepithelial cells and ejects milk. Prolactin from the anterior pituitary supports milk synthesis, a different step. Distinguishing production from ejection is a core lactation-physiology point for midwives.
5Which single routine practice most effectively reduces transmission of infection during midwifery procedures at a Cambodian health centre?
A.Performing hand hygiene with soap and water or alcohol-based rub at the indicated moments
B.Wearing a sterile gown for every antenatal blood-pressure check
C.Soaking used instruments in plain water overnight instead of processing them
D.Using the same pair of examination gloves for several women if they look clean
Explanation: Hand hygiene is the foundation of infection prevention in maternity care and is required before and after contact with each woman and newborn. Gloves and sterile barriers add protection for procedures, but they do not replace clean hands. Reusing gloves or skipping instrument processing spreads pathogens.
6In the human placenta, how do maternal and fetal blood normally relate to each other?
A.They mix freely in the intervillous space so the fetus can receive maternal cells
B.They remain in separate circulations and exchange gases and nutrients across placental membranes
C.Fetal blood enters the maternal veins after 20 weeks of gestation
D.Maternal arterial blood flows through the umbilical arteries to the fetus
Explanation: Maternal blood bathes the villi in the intervillous space, while fetal blood stays inside villous capillaries. Oxygen, nutrients, and wastes cross the placental barrier without the two bloodstreams mixing. The umbilical arteries carry deoxygenated fetal blood to the placenta; the umbilical vein returns oxygenated blood to the fetus.
7Why does a pregnant woman’s iron requirement increase compared with the non-pregnant state?
A.Because gastric acid production stops and iron can no longer be absorbed from food
B.Because the fetus stores iron only in the first four weeks after conception
C.Because maternal red-cell mass expands and iron is transferred to the fetus and placenta
D.Because progesterone blocks all dietary iron throughout pregnancy
Explanation: Pregnancy increases maternal plasma and red-cell mass and transfers iron to the fetus and placenta, raising total iron need. Daily iron–folate supplementation in antenatal care helps prevent anaemia, which is common and worsens the effect of bleeding at birth. Absorption still occurs; it is not blocked by progesterone.
8Human chorionic gonadotropin (hCG) that keeps the corpus luteum functioning in early pregnancy is produced mainly by which tissue?
A.The maternal anterior pituitary
B.The trophoblast of the implanting conceptus
C.The fetal adrenal cortex
D.The myometrium of the uterine fundus
Explanation: Trophoblast (especially syncytiotrophoblast) secretes hCG after implantation. hCG rescues the corpus luteum so progesterone continues until the placenta can take over. This is the physiological basis of a positive urine or blood pregnancy test.
9A woman asks why some medicines are especially dangerous in the first weeks after a missed period. During which developmental window is the embryo most vulnerable to major structural malformations from teratogens?
A.The embryonic period of organogenesis, roughly weeks 3 to 8 after fertilization
B.The first 24 hours after fertilization only
C.After 28 weeks, when the fetus is fully formed
D.Only during the second stage of labour
Explanation: Organogenesis occurs mainly in the embryonic period (about weeks 3–8 after fertilization), when cells are forming organs and teratogens can cause major structural defects. Later fetal life is more associated with growth restriction or functional effects than with new major organ malformations. Midwives use this to time counselling on medicines, alcohol, and infections.
10A healthy pregnant woman at 28 weeks has a haemoglobin concentration a little below her pre-pregnancy value but is not iron-deficient. What physiological change best explains this finding?
A.Sudden bone-marrow failure caused by oestrogen
B.Plasma volume expanding more than red-cell mass, diluting haemoglobin
C.Complete halt of red-cell production after 12 weeks
D.Direct transfer of maternal red cells into the amniotic fluid
Explanation: Plasma volume rises more than red-cell mass, producing a dilutional (physiological) fall in haemoglobin concentration. True iron-deficiency anaemia is diagnosed by a larger drop plus iron studies or clinical signs and still requires supplementation and investigation. Midwives must not dismiss severe anaemia as “normal dilution.”

About the Cambodia Midwifery Exit Exam Exam

Cambodia requires bachelor and associate midwifery graduates of public and private institutions to sit a national exit examination. MoH Prakas No. 114 SNRB (6 December 2013) issued the Core Competency Framework for Midwives and states that the framework was developed primarily for that national-exit protocol and that the exam is mandatory for licensing midwifery practice. NECHS administers the sitting. Official item count, duration, fee, and pass mark are unpublished. This free bank is independent OpenExamPrep English MCQ study for those competency domains, not an official translation and not Cambodian Midwives Council registration (a separate dossier/CPD process).

Exam sponsor: National Examination Committee for Health Sector Training (NECHS). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

National competency exit sitting in Khmer for bachelor and associate midwifery graduates. Content follows MoH Prakas 114 SNRB: scientific foundations, provision of midwifery service (antenatal, labour, postpartum, newborn, abortion-related care within the law), and professional behaviours. This 100-question bank is an independent English MCQ study adaptation, not an official paper or OSCE simulation.

Time Limit

Not published as a single sitting duration in Prakas 114 SNRB

Passing Score

Not published as a numeric cut score in Prakas 114 SNRB

Exam / Certification Fees

Not published in Prakas 114 SNRB

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

Official weight unpublished (20 practice questions)

Scientific foundations

Reproductive science, infection, and pharmacology relevant to midwifery.

Official weight unpublished (20 practice questions)

Antenatal care

Pregnancy assessment, risk identification, and referral.

Official weight unpublished (25 practice questions)

Labour and birth

Labour monitoring, normal birth, and emergency recognition.

Official weight unpublished (20 practice questions)

Postpartum and newborn

Postpartum care, haemorrhage recognition, and newborn support.

Official weight unpublished (5 practice questions)

Abortion-related care and law

Emergency and legal knowledge within Cambodian abortion law.

Official weight unpublished (10 practice questions)

Professional behaviour

Ethics, documentation, scope, and referral.

Preparing for the Cambodia Midwifery Exit Exam Exam

What You Need to Know

  • Passing score: Not published as a numeric cut score in Prakas 114 SNRB
  • Assessment: National competency exit sitting in Khmer for bachelor and associate midwifery graduates. Content follows MoH Prakas 114 SNRB: scientific foundations, provision of midwifery service (antenatal, labour, postpartum, newborn, abortion-related care within the law), and professional behaviours. This 100-question bank is an independent English MCQ study adaptation, not an official paper or OSCE simulation.
  • Time limit: Not published as a single sitting duration in Prakas 114 SNRB
  • Exam / certification fees: Not published in Prakas 114 SNRB Official sources

Using Our Practice Resources

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Cambodia Midwifery Exit Exam: Suggested Study Strategy

1Organise revision around antenatal, labour, postpartum, and newborn competencies named in Prakas 114 SNRB.
2Practise emergency recognition and referral (PPH, eclampsia, obstructed labour) rather than trying to simulate OSCE stations in MCQ form.
3Review Khmer clinical terms because the official sitting is in Khmer.

Frequently Asked Questions

Is Cambodian Midwives Council registration the same as this exam?

No. Council registration and licensing under the 2016 Law on Regulation of Health Practitioners are document and CPD processes. Prakas 114 SNRB identifies the national exit examination as the competency assessment used in the licensing pathway.

Does the official exam use multiple-choice questions?

World Bank SPESHP describes Cambodia's health-profession national exit examinations as using MCQ and OSCE. A midwifery-specific item count is unpublished. This bank is an English MCQ study adaptation, not an official-format simulation.