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Free Practice Questions for SCFHS Midwifery Specialist

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Exam Review

Key Facts: SCFHS Midwifery Specialist Exam

150

Official MCQ count

SCFHS Midwifery Specialist Blueprint 2024

3 hours

Official examination time

SCFHS Midwifery Specialist Blueprint 2024

60%

Specialist passing score

SCFHS Midwifery Specialist Blueprint 2024

60%

Combined weight of Pregnancy and Labor sections

SCFHS Midwifery Specialist Blueprint 2024

Prometric

CBT delivery partner

Prometric SCFHS Examination Schedule

The Saudi Licensure Examination - Midwifery Specialist is an SCFHS exam booked through Prometric. The 2024 blueprint specifies 150 MCQs in 3 hours with a 60% pass mark, weighted to pregnancy 30%, labor and obstetric emergencies 30%, postpartum and newborn 20%, and 10% each for pre-pregnancy/family planning and gynecology. SCFHS lists a separate Midwifery Technician exam at a 55% pass mark.

Sample SCFHS Midwifery Specialist Practice Questions

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

1A 26-year-old woman presents for preconception counseling. She has no chronic medical conditions and no family history of neural tube defects. What is the recommended daily dose of preconception folic acid supplementation?
A.0.4 mg (400 mcg) daily starting at least 1 month before conception
B.5.0 mg daily starting as soon as a positive pregnancy test is confirmed
C.1.0 mg daily starting during the second trimester of pregnancy
D.0.4 mg weekly starting 3 months prior to planned conception
Explanation: Standard preconception guidance recommends 0.4 mg (400 mcg) of oral folic acid daily for low-risk women, initiated at least one month before conception and continued through the first 12 weeks of gestation. This significantly reduces the incidence of open neural tube defects such as spina bifida and anencephaly. High-risk women (e.g., prior affected child, pre-gestational diabetes, antiepileptic therapy) require a higher dose of 4.0 to 5.0 mg daily.
2Which clinical condition represents a World Health Organization (WHO) Medical Eligibility Criteria Category 4 (unacceptable health risk) contraindication to combined oral contraceptive pills (COCP)?
A.Uncomplicated well-controlled asthma
B.Migraine with visual aura at any age
C.Mild primary dysmenorrhea
D.Past history of treated iron deficiency anemia
Explanation: Migraine with aura at any age is classified as WHO Category 4 for combined hormonal contraceptives because the estrogen component significantly increases the baseline risk of ischemic stroke. Progestin-only methods or non-hormonal copper IUDs are safe and preferred alternatives for women with focal neurological migraines.
3A client requests post-coital emergency contraception following unprotected intercourse that occurred 4 days (96 hours) ago. Which emergency contraceptive modality remains highly effective when initiated up to 5 days (120 hours) after intercourse?
A.Standard levonorgestrel 1.5 mg oral tablet
B.Combined oral contraceptive pills (Yuzpe regimen)
C.Oral medroxyprogesterone acetate 150 mg
D.Copper intrauterine device (Cu-IUD)
Explanation: The copper intrauterine device (Cu-IUD) is the most effective method of emergency contraception, with a failure rate under 0.1%, and can be inserted up to 5 days (120 hours) after unprotected intercourse or up to 5 days after the earliest estimated day of ovulation. It immediately provides ongoing long-term reversible contraception.
4A 32-year-old woman is counseled regarding the levonorgestrel-releasing intrauterine system (LNG-IUS 52 mg). What bleeding pattern change should the midwife emphasize during the first 3 to 6 months following insertion?
A.Immediate permanent amenorrhea starting on the day of insertion
B.Predictable 28-day cyclic menses with heavier mid-cycle flow
C.Irregular light spotting and bleeding that progressively decreases over time
D.Severe monthly menorrhagia requiring antifibrinolytic therapy
Explanation: Anticipatory counseling for the 52 mg LNG-IUS must explain that unscheduled light spotting and irregular bleeding are common during the initial 3 to 6 months as the endometrium undergoes decidualization and glandular atrophy. Over time, overall menstrual flow and cramping decrease substantially, with up to 50-60% of users experiencing oligomenorrhea or amenorrhea by one year.
5A breastfeeding mother at 6 weeks postpartum chooses a traditional norethindrone progestin-only pill (POP) for contraception. What critical instruction regarding the dosing window must the midwife provide?
A.The pill can be taken at any time within a 24-hour flexible window without loss of efficacy
B.The pill must be taken at the exact same time every day, with a late window of only 3 hours
C.The pill must be taken strictly once a week on the same day
D.The pill requires a 7-day pill-free interval every month to induce withdrawal bleeding
Explanation: Traditional progestin-only pills (such as norethindrone) rely heavily on thickening cervical mucus, which peaks about 4 hours after ingestion and wanes after 24 hours. Therefore, they must be taken within a tight 3-hour window daily; if taken more than 3 hours late, backup barrier contraception is required for 48 hours.
6A 22-year-old nulliparous woman is considering depot medroxyprogesterone acetate (DMPA) injections. What key clinical factor regarding long-term use and cessation should the midwife counsel her about?
A.Return of fertility occurs immediately within 14 days of the missed injection
B.Temporary bone density loss and delayed return of fertility
C.Increased lifetime risk of endometrial and ovarian cancers
D.Requirement for weekly intramuscular injections by a healthcare provider
Explanation: DMPA is associated with a reversible loss of bone mineral density due to hypoestrogenism, prompting advice on calcium, vitamin D, and weight-bearing exercise. Additionally, women should be counseled that ovulation and fertility may be delayed for an average of 9 to 18 months following the last injection.
7A 28-year-old woman with pre-existing type 1 diabetes mellitus attends a preconception clinic. What target glycated hemoglobin (HbA1c) level should ideally be achieved prior to conception to minimize the risk of congenital anomalies?
A.Below 6.5% (48 mmol/mol) without significant hypoglycemia
B.Between 8.0% and 9.0% (64-75 mmol/mol)
C.Strictly below 5.0% (31 mmol/mol) regardless of hypoglycemic unawareness
D.Above 7.5% (58 mmol/mol) to protect maternal brain glucose supply
Explanation: Targeting an HbA1c below 6.5% (48 mmol/mol) prior to conception significantly reduces the risk of congenital malformations (including cardiac defects, neural tube defects, and caudal regression syndrome) and spontaneous abortion, provided this target can be achieved safely without severe hypoglycemia.
8During a preconception visit, serology reveals a woman is non-immune to rubella. What is the correct clinical management and preconception timeline?
A.Administer the measles-mumps-rubella (MMR) vaccine immediately after delivery only
B.Withhold vaccination because rubella immunity develops spontaneously during pregnancy
C.Administer the MMR vaccine now and advise avoidance of pregnancy for at least 28 days (4 weeks)
D.Administer rubella immunoglobulin and advise immediate conception
Explanation: Rubella is a live-attenuated vaccine. When a non-pregnant woman of reproductive age is found to be seronegative, the MMR vaccine should be administered preconception with explicit advice to avoid conception for at least 28 days (4 weeks) to eliminate theoretical teratogenic risks to the fetus.
9A couple in Saudi Arabia undergoes premarital screening. Hemoglobin electrophoresis reveals that both the man and woman are heterozygous carriers of the beta-thalassemia trait (beta-thalassemia minor). What is the risk that each child will inherit beta-thalassemia major?
A.0% because trait carriers cannot have an affected child
B.50% for every male child only (X-linked recessive)
C.25% (1 in 4) for each pregnancy regardless of infant sex
D.100% for all biological offspring
Explanation: Beta-thalassemia is inherited in an autosomal recessive pattern. When both parents carry the beta-thalassemia trait (heterozygous), each pregnancy has a 25% (1 in 4) probability of inheriting two mutated alleles resulting in beta-thalassemia major, a 50% probability of being an asymptomatic carrier, and a 25% probability of being unaffected and non-carrier.
10A 30-year-old woman with a body mass index (BMI) of 34 kg/m2 requests oral emergency contraception 80 hours after unprotected intercourse. Why is ulipristal acetate preferred over levonorgestrel in this clinical scenario?
A.Ulipristal acetate maintains efficacy up to 120 hours and is less impacted by higher BMI than levonorgestrel
B.Ulipristal acetate induces immediate endometrial shedding via prostaglandin synthesis
C.Ulipristal acetate can be taken concurrently with regular combined oral contraceptives without interruption
D.Levonorgestrel is strictly contraindicated in women with a BMI over 25 kg/m2
Explanation: Ulipristal acetate (a selective progesterone receptor modulator) can be taken up to 120 hours (5 days) post-coitus and delays follicular rupture even after the LH surge has begun. Clinical studies demonstrate that levonorgestrel has reduced efficacy in women with BMI >25-30 kg/m2, whereas ulipristal acetate retains superior effectiveness up to BMI 35 kg/m2 (though the copper IUD remains the absolute gold standard for all BMIs).

About the SCFHS Midwifery Specialist Exam

This resource is an independent English-language MCQ study adaptation developed by OpenExamPrep for candidates preparing for the Saudi Licensure Examination - Midwifery Specialist (SCFHS). SCFHS lists the Midwifery Specialist examination, which is separate from the Midwifery Technician diploma-level examination. The official examination comprises 150 multiple-choice questions delivered over 3 hours at Prometric test centers with a passing threshold of 60%. Primary clinical domains evaluated include pre-pregnancy health and family planning (10%), low- and high-risk pregnancy management (30%), intrapartum care and obstetric emergencies (30%), postpartum recovery and neonatal stabilization (20%), and core gynecology (10%). OpenExamPrep is an independent educational platform and is not affiliated with, sponsored by, or endorsed by SCFHS or Prometric.

Exam sponsor: Saudi Commission for Health Specialties (SCFHS), administered through Prometric test centers. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

The official SCFHS Midwifery Specialist blueprint establishes a 150-MCQ, 3-hour computer-based exam administered through Prometric. Content covers five weighted clinical domains: Pre-pregnancy and Family Planning (10%), Pregnancy (Low and High Risk) (30%), Labor and Obstetric Emergencies (30%), Postpartum and Newborn (20%), and Gynecology (10%).

Time Limit

3 hours

Passing Score

60%

Exam / Certification Fees

Not published by SCFHS

Exam sponsor website

Reported exam pass rate: Not published. No official candidate pass-rate data for the Midwifery Specialist licensure examination is published by SCFHS. 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.

10%

Pre-pregnancy and Family Planning

Preconception evaluation, folic acid supplementation, genetic risk counseling, hormonal and barrier contraception, IUD management, and fertility awareness.

30%

Pregnancy (Low and High Risk)

Physiologic maternal adaptations, antenatal risk stratification, gestational dating, routine screening, gestational diabetes, preeclampsia, antepartum hemorrhage, multiple gestations, and fetal growth restriction.

30%

Labor and Obstetric Emergencies

Normal labor progression, partograph interpretation, intrapartum CTG monitoring, pain relief, malpresentations, induction/augmentation, shoulder dystocia, cord prolapse, PPH protocols, uterine rupture, and maternal resuscitation.

20%

Postpartum and Newborn

Puerperal maternal physiology, involution, perineal healing, lactation management, postpartum mood disorders, immediate newborn assessment, APGAR scoring, neonatal resuscitation, thermoregulation, and jaundice evaluation.

10%

Gynecology

Abnormal uterine bleeding, pelvic inflammatory disease, sexually transmitted infections, cervical cancer screening guidelines, benign pelvic masses, endometriosis, PCOS, and menopause transition care.

Preparing for the SCFHS Midwifery Specialist Exam

What You Need to Know

  • Passing score: 60%
  • Assessment: The official SCFHS Midwifery Specialist blueprint establishes a 150-MCQ, 3-hour computer-based exam administered through Prometric. Content covers five weighted clinical domains: Pre-pregnancy and Family Planning (10%), Pregnancy (Low and High Risk) (30%), Labor and Obstetric Emergencies (30%), Postpartum and Newborn (20%), and Gynecology (10%).
  • Time limit: 3 hours
  • Exam / certification fees: Not published by SCFHS 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

SCFHS Midwifery Specialist: Suggested Study Strategy

1Concentrate on the highest-weight sections first: Pregnancy (30%) and Labor and Obstetric Emergencies (30%) together comprise 60% of all questions.
2Master emergency obstetric algorithms, specifically step-by-step maneuvers for shoulder dystocia (HELPERR/McRoberts), cord prolapse, and primary postpartum hemorrhage (the 4Ts and uterotonics).
3Thoroughly review electronic fetal monitoring, practicing identification of baseline variability, early, late, and variable decelerations, and categories of fetal heart rate tracings.
4Understand hypertensive disorders in pregnancy, focusing on diagnostic thresholds for preeclampsia, severe features, magnesium sulfate toxicity monitoring, and first-line antihypertensive agents.
5Practice neonatal resuscitation (NRP) algorithms, including initial assessment, positive pressure ventilation timing, chest compressions ratio, and pulse oximetry targets.
6Pace your practice test sessions to solve roughly 50 questions per hour to mirror the Prometric 150-question, 3-hour examination format.

Frequently Asked Questions

What is the official title of the SCFHS midwifery specialist exam?

The 2024 blueprint is titled Saudi Licensure Examination - Midwifery Specialist, and SCFHS lists it on its Classification Exams page as the Midwifery Specialist exam.

How does the Midwifery Specialist exam differ from the Midwifery Technician exam?

They are separate SCFHS exams with their own blueprints. Both specify 150 MCQs in 3 hours, but the Specialist pass mark is 60% while the Technician (2026 blueprint) pass mark is 55%, and the section weights differ.

How many questions are on the exam and what is the testing time?

The official blueprint specifies 150 multiple-choice questions administered over a 3-hour computer-based testing session at Prometric testing centers.

What is the passing score for the Midwifery Specialist examination?

The official passing score set by the Saudi Commission for Health Specialties (SCFHS) for the Midwifery Specialist exam is 60%.

What content areas carry the highest weight on the blueprint?

Pregnancy (Low and High Risk) and Labor and Obstetric Emergencies each represent 30% of the examination (60% combined), followed by Postpartum and Newborn care at 20%, Pre-pregnancy and Family Planning at 10%, and Gynecology at 10%.

How much does the examination cost?

SCFHS does not publish an exam fee on its Classification Exams page or in the blueprint. Check the current charges in Mumaris+ and when booking with Prometric.