NARM CPM BOARD EXAM
NARM CPM BOARD EXAM 2025-
2026 ACTUAL EXAM Complete Verified
Questions And Correct Detailed Answers|
GUARANTEED PASS Graded A+
You are setting up the resuscitation station at a planned out-of-hospital birth. This includes
which of the following?
A. Opening the laryngeal airway so it's easily accessible if needed.
B. Checking the pop-off valve on the bag and mask resuscitator.
C. Ensuring the resuscitation station is way out of the way so no one trips over it.
D. Turning on the oxygen and leaving it running so it's ready to go if needed.
Answer: B
Reason:
A+ TEST BANK 1
, NARM CPM BOARD EXAM
Checking the pop-off valve on the bag and mask resuscitator is a routine part of setting up
the resuscitation station and ensures your equipment is in good working order.
Test specification: II.G.2
When inserting a speculum for a vaginal exam you should do all of the following except:
A. Apply a small amount of sterile, water-based lubricant to the end of the blades.
B. Insert the blades in the lateral diameter.
C. Advance the blades while gently applying 45-degree downward pressure.
D. During insertion, rotate the blades so that the handles are facing either the clitoris or the
anus.
Answer: B.
Reason:
The blades of the speculum should be inserted obliquely or in the anteroposterior diameter
and then gradually turned during insertion to the lateral position.
Source: Skills for Midwifery Practice page 165
Test specification: II.G.20
A client still needs to boost her iron intake, even after adjusting her diet to include more
whole-food sources of iron. Of the following options, which would you not recommend?
A. Floradix
B. Chlorophyll
C. Ferrous citrate
D. Ferrous sulfate
Answer: D
Reason:
There are many options for iron supplementation. Ferrous sulfate should be the last choice
due to its tendency to cause stomach upset and constipation.
Source: Holistic Midwifery Volume 1 page 224
Test specification: II.C
A+ TEST BANK 2
, NARM CPM BOARD EXAM
During an initial prenatal intake, a midwife is obtaining a comprehensive health,
reproductive, and family history. The client reports living near agricultural fields and states
that crop dusting occurs regularly during the growing season. She is unsure which chemicals
are used. Which action BEST demonstrates appropriate application of this information to the
current pregnancy?
A. Documenting the information but taking no further action unless symptoms develop
B. Documenting the exposure, assessing timing and frequency, discussing potential
pregnancy implications, providing risk-reduction strategies, and considering consultation or
referral if indicated
C. Advising the client to move during pregnancy to avoid all potential risk
D. Reassuring the client that environmental exposures are unlikely to affect pregnancy
outcomes
Answer: B
Reason:
NARM competencies require obtaining and maintaining detailed health and environmental
exposure histories and applying that information to pregnancy care. Identifying potential
toxin exposure includes documentation, client education, risk mitigation strategies, and
collaboration or referral when exposure may impact maternal or fetal health.
Test specification: III. A.4.
During an initial prenatal visit, a student midwife performs a bimanual examination to assess
the size of the uterus and ovaries. Which finding would MOST appropriately prompt further
evaluation or consultation?
A. Uterus larger than expected for gestational age with a unilateral enlarged, tender ovary
B. Cervix closed, firm, and posterior with a uterus consistent with early pregnancy
C. Uterus enlarged consistent with gestational age and ovaries non-palpable and non-tender
D. Slight uterine asymmetry with no adnexal masses or tenderness
Answer: A
Reason:
A bimanual exam assesses uterine size, shape, and consistency as well as adnexal masses or
tenderness. A uterus larger than expected for dates combined with a unilateral enlarged,
tender ovary may indicate pathology (e.g., ovarian cyst, torsion, or other adnexal concern)
A+ TEST BANK 3
, NARM CPM BOARD EXAM
and warrants further evaluation or consultation, particularly in out-of-hospital settings.
Test specification: III.B.1.
During a prenatal intake, a student midwife takes a detailed health, reproductive, and family
history. The client reports chronic experiences of racism in healthcare settings and ongoing
financial stress. She has a history of preterm birth. Which action BEST demonstrates
appropriate application of this information to the current pregnancy?
A. Documenting the history but focusing care solely on biomedical risk factors
B. Reassuring the client that stress is common in pregnancy and unlikely to affect outcomes
C. Advising the client to reduce stress through lifestyle changes without addressing systemic
factors
D. Documenting the impact of chronic stressors, acknowledging racism as a health risk,
adapting care to promote continuity and trust, and coordinating supportive resources
Answer: D
Reason:
NARM competencies recognize that chronic exposure to racism and resource scarcity
contributes to allostatic stress, which is associated with increased risk for adverse pregnancy
outcomes. Ethical midwifery care includes accurately documenting these stressors,
validating their health impact, adapting care to mitigate risk where possible, and connecting
clients with resources and continuity of care to support equitable outcomes.
Test specification: III.A.2
During a comprehensive prenatal intake, a midwife is obtaining the father's medical and
social history. Which documentation and counseling approach BEST demonstrates
appropriate application of this information to the current pregnancy?
A. Documenting paternal genetics and substance use, discussing potential impacts on
fertility, pregnancy, and neonatal outcomes, and providing education or referrals as
appropriate
B. Recording paternal alcohol, drug, and tobacco use solely for social history without
discussing pregnancy implications
C. Documenting the father's medical history only if there is a known genetic disorder in the
family
D. Avoiding discussion of the father's health behaviors to respect family privacy
A+ TEST BANK 4
NARM CPM BOARD EXAM 2025-
2026 ACTUAL EXAM Complete Verified
Questions And Correct Detailed Answers|
GUARANTEED PASS Graded A+
You are setting up the resuscitation station at a planned out-of-hospital birth. This includes
which of the following?
A. Opening the laryngeal airway so it's easily accessible if needed.
B. Checking the pop-off valve on the bag and mask resuscitator.
C. Ensuring the resuscitation station is way out of the way so no one trips over it.
D. Turning on the oxygen and leaving it running so it's ready to go if needed.
Answer: B
Reason:
A+ TEST BANK 1
, NARM CPM BOARD EXAM
Checking the pop-off valve on the bag and mask resuscitator is a routine part of setting up
the resuscitation station and ensures your equipment is in good working order.
Test specification: II.G.2
When inserting a speculum for a vaginal exam you should do all of the following except:
A. Apply a small amount of sterile, water-based lubricant to the end of the blades.
B. Insert the blades in the lateral diameter.
C. Advance the blades while gently applying 45-degree downward pressure.
D. During insertion, rotate the blades so that the handles are facing either the clitoris or the
anus.
Answer: B.
Reason:
The blades of the speculum should be inserted obliquely or in the anteroposterior diameter
and then gradually turned during insertion to the lateral position.
Source: Skills for Midwifery Practice page 165
Test specification: II.G.20
A client still needs to boost her iron intake, even after adjusting her diet to include more
whole-food sources of iron. Of the following options, which would you not recommend?
A. Floradix
B. Chlorophyll
C. Ferrous citrate
D. Ferrous sulfate
Answer: D
Reason:
There are many options for iron supplementation. Ferrous sulfate should be the last choice
due to its tendency to cause stomach upset and constipation.
Source: Holistic Midwifery Volume 1 page 224
Test specification: II.C
A+ TEST BANK 2
, NARM CPM BOARD EXAM
During an initial prenatal intake, a midwife is obtaining a comprehensive health,
reproductive, and family history. The client reports living near agricultural fields and states
that crop dusting occurs regularly during the growing season. She is unsure which chemicals
are used. Which action BEST demonstrates appropriate application of this information to the
current pregnancy?
A. Documenting the information but taking no further action unless symptoms develop
B. Documenting the exposure, assessing timing and frequency, discussing potential
pregnancy implications, providing risk-reduction strategies, and considering consultation or
referral if indicated
C. Advising the client to move during pregnancy to avoid all potential risk
D. Reassuring the client that environmental exposures are unlikely to affect pregnancy
outcomes
Answer: B
Reason:
NARM competencies require obtaining and maintaining detailed health and environmental
exposure histories and applying that information to pregnancy care. Identifying potential
toxin exposure includes documentation, client education, risk mitigation strategies, and
collaboration or referral when exposure may impact maternal or fetal health.
Test specification: III. A.4.
During an initial prenatal visit, a student midwife performs a bimanual examination to assess
the size of the uterus and ovaries. Which finding would MOST appropriately prompt further
evaluation or consultation?
A. Uterus larger than expected for gestational age with a unilateral enlarged, tender ovary
B. Cervix closed, firm, and posterior with a uterus consistent with early pregnancy
C. Uterus enlarged consistent with gestational age and ovaries non-palpable and non-tender
D. Slight uterine asymmetry with no adnexal masses or tenderness
Answer: A
Reason:
A bimanual exam assesses uterine size, shape, and consistency as well as adnexal masses or
tenderness. A uterus larger than expected for dates combined with a unilateral enlarged,
tender ovary may indicate pathology (e.g., ovarian cyst, torsion, or other adnexal concern)
A+ TEST BANK 3
, NARM CPM BOARD EXAM
and warrants further evaluation or consultation, particularly in out-of-hospital settings.
Test specification: III.B.1.
During a prenatal intake, a student midwife takes a detailed health, reproductive, and family
history. The client reports chronic experiences of racism in healthcare settings and ongoing
financial stress. She has a history of preterm birth. Which action BEST demonstrates
appropriate application of this information to the current pregnancy?
A. Documenting the history but focusing care solely on biomedical risk factors
B. Reassuring the client that stress is common in pregnancy and unlikely to affect outcomes
C. Advising the client to reduce stress through lifestyle changes without addressing systemic
factors
D. Documenting the impact of chronic stressors, acknowledging racism as a health risk,
adapting care to promote continuity and trust, and coordinating supportive resources
Answer: D
Reason:
NARM competencies recognize that chronic exposure to racism and resource scarcity
contributes to allostatic stress, which is associated with increased risk for adverse pregnancy
outcomes. Ethical midwifery care includes accurately documenting these stressors,
validating their health impact, adapting care to mitigate risk where possible, and connecting
clients with resources and continuity of care to support equitable outcomes.
Test specification: III.A.2
During a comprehensive prenatal intake, a midwife is obtaining the father's medical and
social history. Which documentation and counseling approach BEST demonstrates
appropriate application of this information to the current pregnancy?
A. Documenting paternal genetics and substance use, discussing potential impacts on
fertility, pregnancy, and neonatal outcomes, and providing education or referrals as
appropriate
B. Recording paternal alcohol, drug, and tobacco use solely for social history without
discussing pregnancy implications
C. Documenting the father's medical history only if there is a known genetic disorder in the
family
D. Avoiding discussion of the father's health behaviors to respect family privacy
A+ TEST BANK 4
