The "general rule" to form an "Adjective + most" superlative is, tack on most after an adjective, and see if it's meaningful and sounds right; which is how most such words were formed. There are some interesting "misformed" exceptions, for example foremost which derives as a corruption or variant of formest or fyrmest, "altered on the assumption that it is a compound of fore and most."
Most itself is a superlative of much, many, or more (but is sometimes used colloquially in place of almost). As a suffix, it lends a "most extreme" meaning, in the same sense or "direction" suggested by the word it suffixes.