Free Practice Questions for Mongolia Midwife Licensing Exam

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Key Facts: Mongolia Midwife Licensing Exam Exam

100 items

Items per candidate, drawn at random from the HDC bank

Health Development Center candidate guide and sample tests

100 minutes

Time allowed for the computer-based test

Health Development Center hr.hdc.gov.mn candidate guide

70 points

Minimum score that gives the right to a licence

Order A/295, Annex 1, §3.8

12,000 MNT

Examination fee per sitting in 2026

Health Development Center 2026 registration notice

75% / 10% / 5% / 10%

Midwifery, public health, law and ethics split

Order A/295, Annex 1, §3.4.4

3 credits

CPD credits (багц цаг) a midwife must earn each year

Order A/295, Annex 1, §4.1

Mongolia's midwife licensing examination is run by the Health Development Center on hr.hdc.gov.mn. HDC materials describe 100 randomly drawn items in 100 minutes; a score of 70 gives the right to a licence. Order A/295 weights the items 75% midwifery, 10% public health, 5% law and 10% ethics. The exam is in Mongolian; this free bank is an independent English-language MCQ study adaptation.

Sample Mongolia Midwife Licensing Exam Practice Questions

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

1A 24-year-old primigravida presents for her initial antenatal visit. She reports that her last normal menstrual period (LMP) began on May 14, 2026, and she has regular 28-day cycles. Using Naegele's rule, what is her estimated date of delivery (EDD)?

A.March 7, 2027

B.February 14, 2027

C.February 28, 2027

D.February 21, 2027

Explanation: According to Naegele's rule, the estimated date of delivery is calculated by adding 7 days to the first day of the last menstrual period, subtracting 3 months, and adding 1 year. For an LMP of May 14, 2026: May 14 + 7 days = May 21; subtracting 3 months gives February 21; adding 1 year results in February 21, 2027.

2During an abdominal examination of a woman at 36 weeks gestation, the midwife performs the first Leopold maneuver (fundal grip) and palpates a broad, soft, irregular, and non-ballotable mass in the uterine fundus. What fetal presentation does this finding indicate?

A.Breech presentation

B.Shoulder presentation (transverse lie)

C.Cephalic presentation

D.Face presentation

Explanation: In cephalic presentation, the fetal breech occupies the uterine fundus. The breech palpates as a broad, soft, irregular, and non-ballotable pole, whereas the fetal head is hard, round, smooth, and easily ballotable. Because the breech is in the fundus, the head is presenting at the pelvic inlet, confirming cephalic presentation.

3Which of the following maternal cardiovascular physiological adaptations is considered normal during an uncomplicated singleton pregnancy?

A.Decrease in resting heart rate by 10 to 15 beats per minute

B.Marked elevation in systemic vascular resistance during the second trimester

C.Increase in cardiac output by 30% to 50% above pre-pregnancy levels

D.Significant reduction in total plasma volume leading to hemoconcentration

Explanation: Normal maternal cardiovascular adaptations include an increase in cardiac output by 30% to 50%, peaking in late second and early third trimesters. This is achieved through increased stroke volume and an elevated resting maternal heart rate of 10 to 15 bpm. Systemic vascular resistance decreases due to progesterone-mediated vasodilation, and plasma volume expands by 40% to 50%.

4A 35-year-old multigravida undergoes second-trimester quadruple serum screening at 16 weeks gestation. Which maternal serum biochemical marker pattern is most suggestive of fetal Down syndrome (Trisomy 21)?

A.Elevated maternal serum alpha-fetoprotein (MSAFP) and elevated unconjugated estriol (uE3)

B.Decreased hCG, decreased inhibin A, and elevated MSAFP

C.Elevated human chorionic gonadotropin (hCG) and elevated inhibin A, with decreased MSAFP and decreased uE3

D.Normal hCG, elevated MSAFP, and normal inhibin A

Explanation: The quadruple screen for Down syndrome (Trisomy 21) characteristically demonstrates elevated levels of human chorionic gonadotropin (hCG) and dimeric inhibin A, accompanied by decreased levels of maternal serum alpha-fetoprotein (MSAFP) and unconjugated estriol (uE3). Elevated MSAFP is associated with neural tube defects or abdominal wall defects.

5An Rh-negative, unsensitized primigravida (antibody screen negative) presents at 28 weeks gestation. Which clinical intervention is standard practice to prevent Rh(D) alloimmunization?

A.Perform immediate diagnostic amniocentesis to determine fetal blood group antigens

B.Withhold anti-D immune globulin until immediately after delivery regardless of maternal antibody status

C.Administer oral dexamethasone to downregulate maternal antibody response

D.Administer 300 mcg (1,500 IU) of anti-D immune globulin intramuscularly

Explanation: Standard antenatal care requires administering 300 mcg (1,500 IU) of Rh(D) immune globulin intramuscularly to all unsensitized Rh-negative pregnant women at 28 weeks gestation. A second dose is administered within 72 hours of delivery if the infant is confirmed to be Rh-positive. This substantially decreases the risk of maternal isoimmunization caused by silent fetomaternal hemorrhage.

6A 29-year-old woman undergoes a 75 g 2-hour oral glucose tolerance test (OGTT) for gestational diabetes screening at 26 weeks gestation. According to WHO criteria, which plasma glucose result confirms the diagnosis of gestational diabetes mellitus (GDM)?

A.Fasting venous plasma glucose of 4.4 mmol/L

B.1-hour venous plasma glucose of 8.2 mmol/L

C.2-hour venous plasma glucose of 8.8 mmol/L

D.Fasting venous plasma glucose of 4.9 mmol/L

Explanation: Under WHO and IADPSG criteria, gestational diabetes is diagnosed if one or more venous plasma glucose values meet or exceed: Fasting >= 5.1 mmol/L (92 mg/dL), 1-hour >= 10.0 mmol/L (180 mg/dL), or 2-hour >= 8.5 mmol/L (153 mg/dL). A 2-hour plasma glucose of 8.8 mmol/L exceeds the 8.5 mmol/L threshold and establishes the diagnosis of GDM.

7A midwife measures the symphysis-fundal height (SFH) of a pregnant woman with an uncomplicated singleton pregnancy at 28 weeks gestation. Which measurement is within normal expected clinical limits using McDonald's rule?

A.21 cm

B.28 cm

C.34 cm

D.18 cm

Explanation: Between 20 and 36 weeks gestation, the symphysis-fundal height in centimeters approximates the gestational age in weeks within a margin of plus or minus 2 to 3 cm. At 28 weeks, an SFH of 28 cm is exactly on target (normal range 26 to 30 cm). Measurements discordant by more than 3 cm warrant ultrasound evaluation for fetal growth restriction, macrosomia, oligohydramnios, or polyhydramnios.

8A midwife teaches a nulliparous woman at 32 weeks gestation a daily 'count-to-ten' fetal movement method: resting on her side, she notes how long it takes to feel ten distinct movements. What should the midwife advise about a reassuring count?

A.Fetal movements naturally cease entirely after 32 weeks due to limited intrauterine space

B.She must feel at least 10 movements within 24 hours regardless of activity

C.Any perception of fewer than 30 movements in 1 hour warrants immediate emergency delivery

D.She should perceive at least 10 distinct movements within a maximum of 2 hours while resting quietly

Explanation: In the count-to-ten approach the woman rests on her side in a quiet setting and counts distinct movements (kicks, flutters, rolls). Feeling at least 10 movements within 2 hours is reassuring; the original Cardiff chart allowed a longer window, but many services now use the 2-hour count. Fewer than 10 movements in that time, or a clear reduction from the usual pattern, needs prompt assessment (CTG and ultrasound).

9A cardiotocograph (CTG) non-stress test (NST) is performed on a 34-week gestation fetus. Over a 20-minute tracing, the baseline heart rate is 140 bpm with moderate variability, and there are two heart rate accelerations of 16 bpm above baseline lasting 20 seconds. How should the midwife interpret this tracing?

A.Non-reactive, requiring prolonged 40-minute acoustic stimulation

B.Equivocal, indicating impending fetal acidemia and requiring immediate cesarean delivery

C.Reactive (reassuring), indicating fetal autonomic competence and adequate oxygenation

D.Pathological, demonstrating severe fetal cardiac rhythm disturbance

Explanation: A reactive non-stress test at >= 32 weeks gestation requires a normal baseline rate (110-160 bpm), moderate variability (6-25 bpm), and at least 2 accelerations that peak at >= 15 bpm above baseline and last for at least 15 seconds from onset to return within a 20-minute window (the '15 by 15' rule). This pattern reflects a well-oxygenated fetal central nervous system and autonomic reactivity.

10Under WHO's initiative for the triple elimination of mother-to-child transmission, pregnant women should be tested at their first antenatal visit for which three infections?

A.Toxoplasmosis, Rubella, and Cytomegalovirus

B.Measles, Varicella-Zoster virus, and Chlamydia

C.Syphilis, Hepatitis B virus (HBsAg), and Human Immunodeficiency Virus (HIV)

D.Helicobacter pylori, Brucellosis, and Rabies

Explanation: WHO's triple elimination initiative calls for all pregnant women to be tested for HIV, syphilis and hepatitis B (HBsAg), ideally at the first antenatal contact. Early detection allows benzathine penicillin for syphilis, antiviral therapy and infant birth-dose vaccination (with HBIG where available) for hepatitis B, and antiretroviral therapy for HIV.

About the Mongolia Midwife Licensing Exam Exam

The Midwife Licensing Examination is the Health Development Center test that midwifery graduates must pass to obtain the midwifery (эх барих) licence in Mongolia. Under Minister of Health Order A/295 it covers midwifery care, public health, health law and ethics. This free bank offers independent English-language MCQ practice on those topic areas.

Exam sponsor: Health Development Center (HDC / Эрүүл мэндийн хөгжлийн төв), Ministry of Health of Mongolia; licences are granted by decision of the Minister of Health. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

The licensing examination (мэргэжлийн үйл ажиллагаа эрхлэх зөвшөөрлийн шалгалт) is taken on the Health Development Center's hr.hdc.gov.mn system. Under Order A/295, Annex 1, §3.4.4, items for midwives are 75% midwifery, 10% public health, 5% health-sector law and 10% medical-professional and medical ethics. Each candidate receives a random selection of items (§3.5); HDC materials describe 100 items in 100 minutes, and a score of 70 or more gives the right to a licence (§3.8). The official test is in Mongolian and uses five-option single-answer, multiple-answer and cause-and-effect items, which may include images, audio or video. This practice bank is an independent English-language MCQ study adaptation by OpenExamPrep, not an official translation or a simulation of the examination.

Time Limit

100 minutes

Passing Score

70 points or more (Order A/295, Annex 1, §3.8)

Exam / Certification Fees

12,000 MNT examination fee, plus 5,000 MNT stamp duty after passing

Exam sponsor website

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

Official sources

Law of Mongolia on Health (Эрүүл мэндийн тухай хууль), Article 25 on professional practice licences, as amended on 3 July 2026 · Source checked 2026-09-26
Minister of Health Order A/295 of 14 August 2023 approving the licensing procedures · Source checked 2026-09-26
Order A/295, Annex 1: procedure for the licensing examination, CPD credits and licence certificates · Source checked 2026-09-26
Health Development Center: professional practice licence page with the 2026 examination schedule · Source checked 2026-09-26
Health Development Center: 2026 licensing examination registration notice (fee, pass mark, stamp duty) · Source checked 2026-09-26
Health Development Center: licensing examination sample tests (жишиг сорил) · Source checked 2026-09-26
Health Development Center: examination page and hr.hdc.gov.mn candidate guide · Source checked 2026-09-26

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.

75%

Midwifery care

Antenatal care and screening, normal labour and the partograph, third-stage management, postpartum care and breastfeeding, obstetric emergencies (PPH, pre-eclampsia, shoulder dystocia, cord prolapse), and newborn care and resuscitation.

10%

Public health

Maternal mortality measures and the Three Delays, maternity waiting homes, family planning and emergency contraception, immunization, triple elimination of mother-to-child transmission, and death audit.

Health-sector law

The definition of midwifery and licence types in the Law on Health (Articles 3.1.11 and 25), emergency powers under Article 28.1.2, and the examination and CPD rules in Order A/295.

10%

Medical-professional and medical ethics

Autonomy and informed refusal in labour, respectful maternity care, confidentiality, conscientious objection, open disclosure, the International Code of Marketing of Breast-milk Substitutes, and speaking up for safety.

Preparing for the Mongolia Midwife Licensing Exam Exam

What You Need to Know

Passing score: 70 points or more (Order A/295, Annex 1, §3.8)
Assessment: The licensing examination (мэргэжлийн үйл ажиллагаа эрхлэх зөвшөөрлийн шалгалт) is taken on the Health Development Center's hr.hdc.gov.mn system. Under Order A/295, Annex 1, §3.4.4, items for midwives are 75% midwifery, 10% public health, 5% health-sector law and 10% medical-professional and medical ethics. Each candidate receives a random selection of items (§3.5); HDC materials describe 100 items in 100 minutes, and a score of 70 or more gives the right to a licence (§3.8). The official test is in Mongolian and uses five-option single-answer, multiple-answer and cause-and-effect items, which may include images, audio or video. This practice bank is an independent English-language MCQ study adaptation by OpenExamPrep, not an official translation or a simulation of the examination.
Time limit: 100 minutes
Exam / certification fees: 12,000 MNT examination fee, plus 5,000 MNT stamp duty after passing Official sources

Using Our Practice Resources

Work through all 100 available questions
Review every answer and explanation
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Mongolia Midwife Licensing Exam: Suggested Study Strategy

1Midwifery care is 75% of the test: know WHO antenatal and intrapartum recommendations, the partograph, AMTSL, and newborn resuscitation steps.

2Drill obstetric emergencies: PPH (4 Ts, uterotonics, bimanual compression), eclampsia and magnesium toxicity, shoulder dystocia, cord prolapse and uterine inversion.

3Public health is 10%: review maternal mortality measures, the Three Delays, maternity waiting homes, contraception and triple elimination.

4Learn the Health Law articles on midwifery (3.1.11, 25, 28.1.2) and the examination and CPD rules in Order A/295.

5Use the Health Development Center's free sample tests (жишиг сорил) and practise timed 100-question sets.

Frequently Asked Questions

What is the Mongolia Midwife Licensing Exam?

It is the licensing examination that midwifery graduates take to obtain the midwifery (эх барих) licence. Article 25.1 of the Law on Health allows only licensed medical professionals to provide care, Article 3.1.11 defines midwifery, and Minister of Health Order A/295 sets out how the Health Development Center organizes the examination.

How is the examination structured, timed and scored?

It is a computer-based test on the hr.hdc.gov.mn system. Each candidate receives items drawn at random from the Health Development Center bank; HDC materials describe 100 items in 100 minutes. The score appears immediately, and 70 points or more gives the right to a licence (Order A/295, Annex 1, §3.8).

What topics does the examination cover?

Order A/295, Annex 1, §3.4.4 weights the items for midwives: 75% midwifery, 10% public health, 5% health-sector law and 10% medical-professional and medical ethics.

How do I register, and what does it cost?

Registration is online at hr.hdc.gov.mn during the windows announced by the Health Development Center (quarterly in 2026). The examination fee is 12,000 MNT. After passing, you submit a licence request and pay a 5,000 MNT stamp duty within 10 working days; otherwise the result lapses (Order A/295, Annex 1, §§3.10-3.11).

How long is the licence valid, and how is it kept?

Midwives must earn 3 CPD credits (багц цаг) each year; when they do, the licence is extended for 5 years (Law on Health Art. 25.5; Order A/295, Annex 1, §§4.1-4.2). A midwife who misses the credits must sit the licensing examination (§4.13). Every medical professional must also repeat emergency-care training every 2 years (§4.5).

Is this practice bank an official exam, past paper or translation?

No. The official examination is written in Mongolian and uses five-option computer-based items. This bank is an independent English-language MCQ study adaptation by OpenExamPrep; it is not an official translation, an HDC item bank, or a simulation of the examination software.