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Explore More Myanmar Nurse and Midwife Council Registration and Competency Examinations (မြန်မာနိုင်ငံသူနာပြုနှင့်သားဖွားကောင်စီ — MNMC)

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MNMC Nursing Registration and Competency Examinations (မြန်မာနိုင်ငံသူနာပြုနှင့်သားဖွားကောင်စီ — MNMC)

Practice Questions
Exam Review

Key Facts: MNMC Midwife Exam

2015 Law

Governing Statute

Myanmar Nurse and Midwife Council Law (Pyidaungsu Hluttaw Law No. 27, 2015)

MNMC

Regulatory Body

Myanmar Nurse and Midwife Council

100 MCQs

OpenExamPrep Practice Bank

OpenExamPrep Independent Study Adaptation

Mandatory

Competency Route

MNMC Licensing Policy for Non-Appointed Registration

MNMC's current licensing policy requires midwife graduates in the non-appointed registration route to pass an MNMC competency examination under the Myanmar Nurse and Midwife Council Law (2015). Public sources do not publish item counts, passing marks, or fees; candidates should verify administrative details directly with MNMC.

Sample MNMC Midwife Practice Questions

Try these sample questions to review concepts for the MNMC Midwife exam. 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 initial antenatal visit reporting that the first day of her last normal menstrual period (LMP) was April 10, 2025. Her menstrual cycle is regular every 28 days. Using Naegele's rule, what is her estimated date of delivery (EDD)?
A.January 17, 2026
B.January 10, 2026
C.January 24, 2026
D.December 17, 2025
Explanation: According to Naegele's rule for a standard 28-day menstrual cycle, the estimated date of delivery is calculated by adding 7 days to the first day of the last normal menstrual period, subtracting 3 months, and adding 1 year. Adding 7 days to April 10 yields April 17; subtracting 3 months (March, February, January) and advancing one year gives January 17, 2026.
2A client is currently pregnant. Her obstetric history reveals she gave birth to one full-term infant who is alive, one preterm infant at 32 weeks who is alive, and experienced one spontaneous miscarriage at 10 weeks gestation. How should the midwife record her obstetric history using the GTPAL system?
A.G4 T1 P1 A1 L2
B.G3 T1 P1 A1 L2
C.G4 T2 P0 A1 L2
D.G4 T1 P2 A0 L2
Explanation: In GTPAL notation: Gravida (G) is total pregnancies including the current one (1 term + 1 preterm + 1 miscarriage + 1 current = 4); Term (T) is deliveries at ≥37 weeks (1); Preterm (P) is births between 20 and 36 weeks and 6 days (1); Abortions (A) is losses before 20 weeks (1); Living (L) is living children (2). Thus, the correct recording is G4 T1 P1 A1 L2.
3During a routine second-trimester antenatal checkup, a laboratory report shows maternal hemoglobin of 10.8 g/dL and hematocrit of 33%. The midwife explains that maternal blood volume increases during pregnancy. Which physiological mechanism primarily accounts for this 'physiological anemia of pregnancy'?
A.Plasma volume expands by approximately 45-50% while red blood cell mass expands by only 20-30%, causing relative hemodilution.
B.Maternal erythropoietin production ceases due to high circulating placental estrogen and progesterone.
C.Excessive fetal bone marrow sequestration of maternal iron stores prevents normal maternal erythropoiesis.
D.Increased maternal renal excretion of iron and folic acid leads to diminished red cell survival in the circulation.
Explanation: Physiological anemia of pregnancy results from disproportionate expansion of circulating blood components. Maternal plasma volume expands by approximately 45% to 50% above non-pregnant levels, whereas red blood cell volume increases by only 20% to 30%. This physiological discrepancy results in hemodilution, manifesting as a lower hemoglobin concentration and hematocrit despite an overall increase in total oxygen-carrying capacity.
4According to WHO antenatal-care guidance, what daily oral supplement is recommended during pregnancy to help prevent maternal anaemia, puerperal sepsis, low birth weight, and preterm birth?
A.30–60 mg of elemental iron and 400 mcg (0.4 mg) of folic acid daily
B.120 mg of elemental iron and 5 mg of folic acid daily
C.10 mg of elemental iron and 100 mcg of folic acid daily
D.200 mg of elemental iron and 1 mg of folic acid daily
Explanation: WHO recommends daily oral supplementation with 30–60 mg of elemental iron and 400 micrograms (0.4 mg) of folic acid during pregnancy. Treatment doses for anaemia and higher-dose folic acid for specific risk groups require an individual clinical indication; they are not the routine preventive regimen described here.
5A midwife is using MNMC's published midwife competency appendix to plan an initial antenatal assessment. Which group of investigations is explicitly included in that competency document?
A.Anaemia testing, HIV testing, syphilis testing, and urine protein testing
B.Cytomegalovirus, toxoplasmosis, and Epstein–Barr virus serology for every client
C.Routine amniocentesis, fetal karyotyping, and maternal tumour markers
D.Dengue serology, stool culture, and chest radiography for every client
Explanation: The antenatal-care section of MNMC's core competency appendix explicitly identifies tests for anaemia, HIV, syphilis, and proteinuria. Consent, counselling, local protocols, resources, and appropriate follow-up still govern how testing is offered and acted upon.
6A pregnant woman who has never received any tetanus toxoid vaccination in her life presents for antenatal care at 16 weeks gestation. To ensure protective immunity against maternal and neonatal tetanus, what is the appropriate schedule for the first two doses (Td1 and Td2)?
A.Give Td1 at the earliest contact, and give Td2 at least 4 weeks later, preferably at least 2 weeks before delivery.
B.Give Td1 at 16 weeks, and give Td2 exactly 6 months later after delivery.
C.Give Td1 and Td2 simultaneously in opposite deltoid muscles at the first visit.
D.Withhold vaccination until after delivery because tetanus toxoid is contraindicated in pregnancy.
Explanation: To protect against neonatal and maternal tetanus in an unimmunized pregnant woman, the first dose (Td1) should be administered as early as possible in pregnancy, and the second dose (Td2) must be administered at least 4 weeks after Td1. To provide optimal protective maternal antibodies that cross the placenta to protect the newborn, Td2 should be given at least 2 weeks prior to delivery.
7When measuring symphysis-fundal height (SFH) with a non-elastic tape measure between 24 and 36 weeks of gestation in a singleton pregnancy, what is the expected relationship between SFH in centimeters and gestational age in weeks?
A.SFH in centimeters corresponds approximately to gestational age in weeks, within a variance of ±2 cm.
B.SFH in centimeters is consistently 5 cm greater than gestational age in weeks.
C.SFH in centimeters is half the gestational age in weeks.
D.SFH measurement remains constant at 30 cm regardless of gestational week after 24 weeks.
Explanation: Between 24 and 36 weeks of gestation, the symphysis-fundal height (SFH) measured in centimeters from the superior border of the pubic symphysis to the top of the uterine fundus correlates closely with gestational age in weeks (e.g., 28 cm at 28 weeks), with an acceptable variance of ±2 cm. A discrepancy greater than 2 to 3 cm warrants further evaluation for fetal growth restriction, oligohydramnios, macrosomia, polyhydramnios, or multiple gestation.
8A midwife performs Leopold maneuvers on a woman at 36 weeks gestation. The midwife stands facing the woman's head, places both hands on the lateral sides of the maternal abdomen, and feels a firm, smooth, continuous resistance on the maternal left side and irregular small nodular parts on the maternal right side. Which maneuver is being performed and what does it identify?
A.Second maneuver (lateral palpation); identifies the fetal back and extremities.
B.First maneuver (fundal grip); identifies the presenting part in the lower pelvis.
C.Third maneuver (Pawlik's grip); assesses whether the fetal head is engaged.
D.Fourth maneuver (pelvic grip); determines the degree of cephalic flexion.
Explanation: The second Leopold maneuver involves placing hands on both sides of the uterus to determine the fetal back and extremities. The fetal back feels like a smooth, continuous, firm resistance, while the fetal extremities (arms and legs) feel like small, irregular, mobile nodular structures. This information helps confirm fetal lie, position, and the optimal site for fetal heart rate auscultation.
9What is the normal baseline range for the fetal heart rate (FHR) in a healthy fetus at term when auscultated during routine antenatal examination?
A.110 to 160 beats per minute
B.80 to 100 beats per minute
C.170 to 200 beats per minute
D.60 to 90 beats per minute
Explanation: The recognized normal baseline fetal heart rate range at term is 110 to 160 beats per minute. A sustained baseline below 110 bpm is defined as fetal bradycardia, while a sustained baseline above 160 bpm is classified as fetal tachycardia, both of which require urgent clinical evaluation for underlying hypoxia, maternal fever, infection, or medication effects.
10A 22-year-old primigravida at 9 weeks gestation presents with persistent severe nausea and vomiting, inability to tolerate oral fluids for 3 days, weight loss of 6% from pre-pregnancy weight, dry mucous membranes, and 3+ ketonuria on urinalysis. Which diagnosis is most consistent with these findings?
A.Hyperemesis gravidarum
B.Physiological morning sickness (nausea and vomiting of pregnancy)
C.Acute gestational pyelonephritis
D.Peptic ulcer perforation
Explanation: Hyperemesis gravidarum is characterized by intractable nausea and vomiting in early pregnancy leading to dehydration, electrolyte imbalances, significant weight loss (>5% of pre-pregnancy weight), and ketonuria resulting from fat catabolism. Unlike mild physiological morning sickness, hyperemesis gravidarum causes objective systemic depletion and requires intravenous rehydration, electrolyte correction, and antiemetic therapy.

About the MNMC Midwife Exam

MNMC's current policy requires midwife graduates using the non-appointed registration route to pass a competency examination. The MNMC Law also permits proficiency testing when the Council considers recognition of foreign qualifications. This OpenExamPrep resource provides independent English-language MCQ practice for published competency topics. It is not an official translation, official-format simulation, or substitute for hands-on clinical midwifery training.

Exam sponsor: Myanmar Nurse and Midwife Council (MNMC / မြန်မာနိုင်ငံသူနာပြုနှင့်သားဖွားကောင်စီ). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

MNMC publishes registered nurse and midwife competencies spanning ethics and law, core practice, continuing care, family and reproductive health, procedures, professional development, leadership, research, communication, technology, and social practice. Its midwife appendix includes antenatal, intrapartum, postnatal, abortion-related, newborn, health-promotion, communication, and record-keeping skills. MNMC does not publicly state examination duration, question type, response language, component weights, or whether oral, practical, assignment, or case-study tasks are mandatory.

Time Limit

Not published by MNMC in the current public sources reviewed

Passing Score

Not published by MNMC in the current public sources reviewed

Exam / Certification Fees

Not published in the current public sources reviewed

Exam sponsor website

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

Official sources

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.

Not published

Antenatal Care and Assessment

Pre-conception, pregnancy assessment, danger sign screening, nutrition, and maternal-fetal surveillance.

Not published

Intrapartum Care and Normal Delivery

Labor stages, partograph monitoring, physiological birth management, AMTSL, and immediate postpartum care.

Not published

Postpartum and Neonatal Care

Maternal physiological involution, neonatal resuscitation, thermal regulation, breastfeeding, and infant danger signs.

Not published

Obstetric & Neonatal Emergencies

Postpartum hemorrhage, pre-eclampsia/eclampsia, obstructed labor, sepsis, shoulder dystocia, and emergency referral.

Not published

Ethics, Regulation & MNMC Law

Myanmar Nurse and Midwife Council Law (2015), professional code of ethics, licensing rules, and patient rights.

Preparing for the MNMC Midwife Exam

What You Need to Know

  • Passing score: Not published by MNMC in the current public sources reviewed
  • Assessment: MNMC publishes registered nurse and midwife competencies spanning ethics and law, core practice, continuing care, family and reproductive health, procedures, professional development, leadership, research, communication, technology, and social practice. Its midwife appendix includes antenatal, intrapartum, postnatal, abortion-related, newborn, health-promotion, communication, and record-keeping skills. MNMC does not publicly state examination duration, question type, response language, component weights, or whether oral, practical, assignment, or case-study tasks are mandatory.
  • Time limit: Not published by MNMC in the current public sources reviewed
  • Exam / certification fees: Not published in the current public sources reviewed 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

MNMC Midwife: Suggested Study Strategy

1Master the Active Management of the Third Stage of Labor (AMTSL) protocol including uterotonic administration and Brandt-Andrews maneuver.
2Review the WHO Labour Care Guide and the clinical findings that require escalation during labour.
3Know the emergency management protocol for postpartum hemorrhage, including the 4 Ts and medical and surgical interventions.
4Understand the dosage, monitoring requirements, and toxicity signs of magnesium sulfate in pre-eclampsia/eclampsia management.
5Familiarize yourself with the Myanmar Nurse and Midwife Council Law (2015) and statutory requirements for registration and licensing.

Frequently Asked Questions

Who must take the MNMC Midwifery Competency Examination?

MNMC's current policy requires graduates applying through the non-appointed registration route to pass its competency examination. Under Sections 14, 16, and 17 of the Myanmar Nurse and Midwife Council Law (2015), the Council may also require proficiency testing when considering recognition of foreign qualifications.

What is the official format and duration of the MNMC Midwifery Examination?

MNMC does not publish a standardized public item count, duration, question type, response language, pass mark, or requirement for oral, practical, assignment, or case-study components. Candidates should consult MNMC directly for current schedules and instructions.

Is this practice question bank an official MNMC simulation?

No. This question bank provides independent English-language MCQ practice developed by OpenExamPrep based on MNMC core competencies and clinical standards. It is not affiliated with, endorsed by, or an official translation of the Myanmar Nurse and Midwife Council.

What laws govern midwifery licensing in Myanmar?

Midwives and nurse-midwives in Myanmar are regulated under the Myanmar Nurse and Midwife Council Law (Pyidaungsu Hluttaw Law No. 27, 2015), which mandates registration and holding a valid license issued by the Council before practicing.