What is the published passing criterion for the Thai midwifery licensing exam?

The published TNMC route announcement states at least 60% in each subject, or the criterion set by the Council. Candidates should check the current sitting instructions. Previously passed subjects are subject to TNMC result-validity and resit rules, so credit should not be assumed to last indefinitely.

What are the 3 statutory subjects evaluated on the midwifery-only licensing route?

Section 8.3 of TNMC's route announcement lists Midwifery (การผดุงครรภ์), Maternal and Newborn Nursing (การพยาบาลมารดาและทารก), and professional law, ethics and related law. The First Class subject codes in the 2026 timetable are 1101, 1102 and 1108. The reviewed official outlines list topics without percentage weights; this bank uses an editorial study allocation.

How is the midwifery licensing examination distinct from the general nursing examination?

The general First Class Professional Nurse and Midwife licensing examination evaluates 8 statutory subjects, while the nursing-only route evaluates 7 subjects (excluding midwifery). The midwifery-only licensing route evaluates the 3 specific subjects dedicated to maternal-neonatal healthcare, obstetric care, and professional jurisprudence.

Is this practice resource an official TNMC examination simulation?

No. OpenExamPrep provides this independent English-language MCQ study adaptation for concept review. It preserves selected Thai statutory terms but is not an official translation or a simulation of the exam's format or Thai-language environment, and it does not replace clinical education or supervised skills practice.

How long is the First Class Professional Midwife License valid?

The First Class Professional Midwife License is valid for 5 years. License renewal requires completing accredited Continuing Nursing and Midwifery Education Units (CNEU) administered under TNMC regulations.

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Key Facts: Thai Midwifery License Exam

3 Subjects

Subjects listed for the distinct midwifery route in section 8.3 of the TNMC route announcement

TNMC route announcement; 2026 timetable

60% Pass Mark

Published subject pass criterion, subject to the criterion set by the Council and current sitting instructions

TNMC published route announcement, section 11

110 Minutes

Total examination duration across all three subjects in the official timetable

TNMC 2026 Examination Timetable

100 Questions

Independent practice bank items covering all 3 statutory subject areas

OpenExamPrep Practice Bank

Independent practice by OpenExamPrep for Thai First Class Midwifery licensure: an English-language MCQ study adaptation for Midwifery, Maternal and Newborn Nursing, and Professional Law/Ethics. The official assessment is in Thai. This is not an official translation, format simulation or substitute for clinical training and supervised performance practice.

Sample Thai Midwifery License Practice Questions

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

1At an antenatal visit, a woman's symphysis-fundal height has stopped increasing on serial measurements. Her pregnancy dates are reliable. What is the most appropriate interpretation and next step?

A.Review measurement technique and arrange assessment of fetal growth; the finding is a screening concern

B.Diagnose fetal growth restriction from the tape measurement alone

C.Reassure her that any fundal-height plateau is normal late in pregnancy

D.Change the estimated gestational age to match the latest fundal-height measurement

Explanation: Serial fundal-height measurements can identify a concern about fetal growth but do not establish a diagnosis. Check technique and arrange clinical review, with ultrasound when indicated, rather than changing reliable pregnancy dates or assuming the finding is harmless.

2A midwife performs abdominal palpation (Leopold maneuvers) on a pregnant client at 36 weeks of gestation. When placing both hands on the lateral sides of the maternal abdomen to identify the fetal spine and small extremities, which Leopold maneuver is being executed?

A.First maneuver (Fundal grip)

B.Second maneuver (Umbilical grip)

C.Third maneuver (Pawlik grip)

D.Fourth maneuver (Pelvic grip)

Explanation: The second Leopold maneuver uses the hands on the sides of the abdomen to locate the fetal back and small parts. The back feels smooth and firm, while the limbs feel irregular. Combine this finding with the other maneuvers when assessing lie and presentation.

3A postpartum woman chooses an intrauterine contraceptive after appropriate counseling. She also wants protection against sexually transmitted infections. What additional advice should the midwife provide?

A.Use condoms correctly and consistently as well as the chosen contraceptive

B.The intrauterine contraceptive also protects against sexually transmitted infections

C.Replace the intrauterine contraceptive with an oral contraceptive for infection protection

D.Use emergency contraceptive pills after intercourse to prevent infection

Explanation: Condoms reduce the risk of most sexually transmitted infections when used correctly and consistently. An intrauterine contraceptive can provide pregnancy prevention while condoms provide additional infection protection; neither method makes infection risk zero.

4A midwife evaluates a client at 38 weeks of gestation in the labor room. Leopold maneuvers reveal that the fetus is in a longitudinal lie, cephalic presentation, Left Occipitoanterior (LOA) position. Where is the fetal heart sound (FHS) expected to be heard with maximal intensity using a fetal Doppler or Pinard stethoscope?

A.Left lower quadrant of the maternal abdomen, below the umbilicus

B.Right upper quadrant of the maternal abdomen, above the umbilicus

C.Left upper quadrant of the maternal abdomen, near the costal margin

D.Right lower quadrant of the maternal abdomen, below the umbilicus

Explanation: In a left occipitoanterior vertex presentation, the fetal back generally lies toward the left anterior maternal abdomen. Heart sounds are usually clearest over the back below the umbilicus. Position alone does not establish whether the head is engaged.

5A pregnant client is admitted to the labor suite. The midwife notes regular uterine contractions occurring every 3 minutes, lasting 50 seconds. On vaginal examination, the cervix is 6 cm dilated, 80% effaced, and the vertex is at station 0 with intact membranes. According to standard obstetric definitions, in which stage and phase of labor is this client?

A.First stage, active phase

B.First stage, latent phase

C.Second stage, pelvic phase

D.Third stage, placental phase

Explanation: The first stage ends at complete cervical dilation. At 6 cm with regular painful contractions, this woman is in the active first stage; WHO describes the active stage from 5 cm, while other clinical frameworks use 6 cm. Contraction frequency alone does not determine the stage.

6During a normal occiput-anterior vertex birth, which sequence correctly describes the movements around delivery of the fetal head and shoulders?

A.Internal rotation, extension of the head, restitution and external rotation, then birth of the shoulders and body

B.Extension of the head, birth of both shoulders, internal rotation of the head, then restitution

C.Restitution, internal rotation of the head, extension, then birth of the shoulders

D.Birth of the shoulders, flexion of the head into the pelvis, then extension of the head

Explanation: The occiput rotates anteriorly before the head extends beneath the pubic arch. After the head is born, restitution releases the twist in the neck, and external rotation accompanies rotation of the shoulders before the shoulders and body emerge. Descent continues through several movements rather than occurring as one isolated step.

7A woman planning pregnancy asks why folic acid is recommended before conception and early in pregnancy. Which explanation is most appropriate?

A.It helps prevent neural tube defects, which develop early in embryonic development

B.It treats an established neural tube defect after it has been detected on ultrasound

C.It replaces the need for a balanced diet and routine antenatal assessment

D.Its main purpose is to prevent fetal malpresentation during labor

Explanation: Folic acid taken before conception and in early pregnancy helps prevent neural tube defects. Starting before pregnancy matters because neural tube development occurs early, often before pregnancy is recognized. Individual risk factors may require a clinician to adjust the usual supplementation plan.

8During the second stage of labor, the fetal head crowns at the vulvar opening. Which anatomical structure of the fetal head acts as the pivot (hypomochlion) beneath the maternal subpubic arch, allowing the fetal head to deliver by extension?

A.Suboccipital region (nape of the neck)

B.Bregma (anterior fontanelle)

C.Glabella (root of the nose)

D.Mentum (chin)

Explanation: As the flexed fetal head descends in an occiput anterior position, the suboccipital region (the nape of the neck just beneath the occipital protuberance) impinges directly under the lower border of the maternal pubic symphysis, serving as the fulcrum or pivot (hypomochlion). The head then extends, sequentially delivering the bregma, forehead, face, and chin over the perineum.

9During an antenatal visit, a woman becomes tearful and hints that she feels unsafe at home. Her partner is answering every question for her. What is the most appropriate next step?

A.Create a safe opportunity to speak with her privately, listen without judgment, and assess immediate safety and support needs

B.Ask the partner to explain what happened while the woman remains silent

C.Confront the partner with the suspected abuse during the joint consultation

D.Insist that she leave the relationship immediately before discussing her preferences

Explanation: A private, confidential conversation allows the woman to disclose concerns without pressure from a possible abuser. Listen, validate her concerns, assess urgent danger, and offer appropriate support and referral while respecting her choices and explaining any limits to confidentiality.

10Which statement correctly describes WHO's current approach to interpreting cervical dilation during spontaneous labor?

A.Progress slower than 1 cm per hour alone is not a reliable reason for routine obstetric intervention

B.Every woman must dilate at least 1 cm per hour from the start of painful contractions

C.Crossing a historical partograph alert line alone proves mechanical obstruction

D.Cervical dilation is sufficient for assessing labor without maternal or fetal observations

Explanation: WHO advises against using a fixed 1 cm-per-hour dilation threshold alone to identify abnormal labor or trigger intervention. Interpret progress with maternal condition, fetal wellbeing, contractions and the overall examination. This does not mean ignoring persistent delay or signs of obstruction.

About the Thai Midwifery License Practice Questions

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