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 CNM exam has 175 questions and runs 4 hours.
These 10 free CNM questions are organized by exam domain, so you can see how each part of the AMCB Certified Nurse-Midwife (CNM) Examination blueprint is tested. Reveal the answer and explanation under each question.
A client at 35 weeks' gestation has a blood pressure of 148/94 mm Hg on two occasions 6 hours apart. Her protein-to-creatinine ratio is 0.9, platelets are 165,000/microliter, transaminases and creatinine are normal, and she denies headache or visual changes. Ultrasound shows an estimated fetal weight at the 4th percentile. Which classification is MOST accurate?
Correct answer: D - Preeclampsia without severe features
An Rh-negative client with a negative antibody screen experiences a complete spontaneous abortion at 9 weeks' gestation. What is the midwife's BEST action?
Correct answer: A - Administer Rh immune globulin within 72 hours
During the birth of a macrosomic newborn, the fetal head delivers and then retracts tightly against the perineum. The anterior shoulder does not deliver with routine downward traction. Which action is CONTRAINDICATED?
Correct answer: B - Applying fundal pressure
A client in active labor has a fetal heart rate tracing showing a baseline of 145 bpm, minimal variability, and recurrent late decelerations. No accelerations are present. How should this tracing be categorized, and why?
Correct answer: C - Category II, because variability is minimal rather than absent
Fifteen minutes after a spontaneous vaginal birth, a client has a quantified blood loss of 1,300 mL. The uterus remains boggy despite sustained fundal massage and an oxytocin infusion running at the maximum rate. Her blood pressure is 162/104 mm Hg and she has a history of persistent asthma. Which medication is MOST appropriate to administer next?
Correct answer: D - Misoprostol
A client who is 3 weeks postpartum has a firm, reddened, wedge-shaped area on her left breast, a temperature of 38.6 C (101.5 F), and generalized body aches. Which instruction is MOST appropriate?
Correct answer: C - Continue frequent breastfeeding or milk removal from the affected breast
A client who is 3 weeks postpartum tearfully reports recurrent, unwanted mental images of dropping her newborn down the stairs. She finds the thoughts horrifying, has asked her partner to carry the baby on the stairs, and is fully oriented with no unusual beliefs about the newborn. Which condition is MOST consistent with this presentation?
Correct answer: B - Perinatal obsessive-compulsive disorder
A healthy 19-year-old requests to begin combined oral contraceptives. She has never had a pelvic examination or cervical cytology. Which assessment is REQUIRED before the midwife may prescribe this method?
Correct answer: C - Blood pressure measurement
A term newborn is 12 hours old. Which finding requires further evaluation rather than routine observation?
Correct answer: A - Jaundice of the face and sclerae
At 1 minute of life, a newborn has a heart rate of 96 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 the Apgar score?
Correct answer: B - 5
The CNM exam also covers these domains. Drill them in the full free practice test:
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