10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The CM exam has 175 questions and runs 4 hours.
These 10 free CM questions are organized by exam domain, so you can see how each part of the Certified Midwife blueprint is tested. Reveal the answer and explanation under each question.
A nulliparous client at 35 weeks has blood pressures of 164/108 and 168/110 taken 30 minutes apart, a platelet count of 82,000/µL, and no protein on urine dipstick. Which diagnosis is MOST accurate?
Correct answer: B - Preeclampsia with severe features
A nonstress test performed at 30 weeks shows two accelerations, each rising 11 bpm above baseline and lasting 12 seconds, within a 20-minute period. The baseline is 140 bpm with moderate variability. How should this tracing be interpreted?
Correct answer: B - Reactive, as 10 bpm for 10 seconds applies before 32 weeks
Immediately after birth of the fetal head, the head retracts tightly against the perineum and external rotation does not occur. After calling for assistance, which action should the midwife perform NEXT?
Correct answer: D - Hyperflex the client's hips sharply onto her abdomen
A client with one prior low transverse cesarean birth is admitted at 41 weeks for induction. Her cervix is 1 cm dilated, 30% effaced, and firm. Which method of cervical ripening is CONTRAINDICATED?
Correct answer: C - Vaginal misoprostol
A 53-year-old with an intact uterus and severe hot flashes is beginning systemic estrogen therapy. Which addition to her regimen is essential?
Correct answer: A - A progestogen to protect the endometrium
A client with a BMI of 36 presents 3 days after a single act of unprotected intercourse and requests emergency contraception. Which option is MOST effective for her?
Correct answer: A - Placement of a copper intrauterine device
A client who had an uncomplicated vaginal birth 6 days ago telephones reporting a headache unrelieved by acetaminophen and 'spots' in her vision. Her home cuff reads 168/110. Which action is MOST appropriate?
Correct answer: A - Arrange immediate evaluation for postpartum preeclampsia
After reviewing a newly hired certified midwife's documented training and clinical experience, a hospital grants her permission to perform repair of first- and second-degree perineal lacerations. This process is MOST accurately termed:
Correct answer: D - Privileging
At 1 minute of life, a newborn has a heart rate of 130 bpm, slow and irregular respirations, some flexion of the extremities, a grimace in response to suctioning, and a pink body with blue hands and feet. What is this newborn's Apgar score?
Correct answer: B - 6
A term newborn is noted to have visible jaundice of the face and chest at 16 hours of age. Which interpretation is MOST appropriate?
Correct answer: C - This is always pathologic and requires prompt bilirubin evaluation
The full bank has 1,020 more CM questions with explanations.
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