Heart & Hands Course Work is comprised of ten beginning and three advanced modules. It provides an integrated overview of core knowledge and skills for midwifery practice and lays the foundation for the rest for more in depth studies for the remainder of the academic program.

About This Page

The Heart & Hands modules are provided to you in two documents, The Beginning/Intermediate Modules and the Advanced Modules.

In each segment, Heart & Hands modules must be completed and submitted in order, with a passing rubric score achieved before moving on to the next module. 

Required Reading

Both Beginning/Intermediate and Advanced Heart & Hands coursework have required reading lists. Prior to beginning your work, you will need to obtain the necessary books/texts to complete the assignments. Also, please carefully read through the following document:

  • Heart & Hands, “Introduction to the Modules.” This is critical to your understanding of how the modules work, how they are evaluated, and how to interact with the instructor.

Beginning/Intermediate Heart & Hands Modules

(To access the following modules, please click the link in red, above.)

1. Orientation to Midwifery

2. Prenatal Care, Part I

3. Prenatal Care, Part II

4. Complications of Pregnancy

5. Labor Facilitation and Assessment

6. Normal Delivery & Immediate Care of the Newborn

7. Complications of Labor, Part I 

8. Complications of Labor & Delivery, Part II

9. Postpartum Care and Suturing

10. Professional Opportunities and Summary

Advanced Heart & Hands Modules

(To access the following modules, please click the link in red, above.)

1. Non-Pregnant Client Assessment & Initial Interview

2. Prenatal Care, Applied

3. Labor and Postpartum Care, and Lab Work, Applied


Once I have confirmed that you have completed all Heart and Hands coursework with a passing rubric score, I will contact Erin Ryan, who will send you the link to the pretest.

The pretest must be taken prior to beginning the Study Group Coursework. It is meant to assess progress in learning by comparing your pretest score to the exam when taken again upon completion of Study Group. It consists primarily of multiple choice questions, several short answer questions, and a few fill-in-the-blank items. You will have plenty of time to complete the exam, but use your time wisely.

Note: You will NOT receive a score following the pretest. You will find out how much your knowledge has grown when we provide you with both scores upon completion of your academic work.

Final Evaluation

Students enrolled in NMI's certificate program are required to complete the following form upon completion of Advanced Heart & Hands:

Please complete and submit by e-mail to the NMI office