Texas Midwife Licensing Exam 2026: 100 Practice Questions & Answers — TDLR Study Guide to Pass Your Certified Professional Midwife (CPM) Test with Confidence

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TEXAS MIDWIFE LICENSING EXAM – PRACTICE
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EXAM QUESTIONS AND CORRECT ANSWERS
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(VERIFIED ANSWERS) PLUS RATIONALES 2025/2026
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Q&A | INSTANT DOWNLOAD PDF
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1. Which hormone is primarily responsible for initiating uterine contractions
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during labor?
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A. Progesterone
B. Estrogen
C. Oxytocin
D. Prolactin

Oxytocin stimulates uterine smooth muscle contractions and plays a key role in the
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onset and progression of labor.
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2. What is the normal fetal heart rate range at term?
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A. 80–110 bpm o


B. 100–140 bpm o


C. 110–160 bpm o


D. 150–190 bpm o




The normal fetal heart rate is between 110–160 beats per minute, indicating
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adequate oxygenation.
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,3. Which of the following is a contraindication for a midwife to manage at
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home birth in Texas?
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A. Multiparity
B. Gestational diabetes controlled with diet o o o o


C. Severe preeclampsia o


D. Maternal age over 35 o o o




Texas midwives must refer or transfer care if the client has severe preeclampsia, as
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it is outside the scope of safe home management.
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4. The primary purpose of Leopold’s maneuvers is to:
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A. Detect maternal pelvic adequacy o o o


B. Determine fetal position and presentation o o o o


C. Measure fundal height o o


D. Assess uterine tone o o




Leopold’s maneuvers allow the midwife to palpate the fetus and determine lie,
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presentation, and position.
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5. Which vitamin supplement is most critical in preventing neural tube defects?
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A. Vitamin B12 o


B. Vitamin D o



C. Folic acid o


D. Iron

Folic acid supplementation before and during early pregnancy prevents neural
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tube defects like spina bifida.
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6. When monitoring labor progress, the “station” refers to:
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, A. Cervical dilation o


B. Fetal head position relative to maternal ischial spines
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C. Uterine contraction strength o o


D. Fetal heart variability
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Station indicates how far the presenting part has descended into the pelvis,
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measured in relation to the ischial spines.
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7. A midwife in Texas must maintain birth records for a minimum of how
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many years?
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A. 3 years
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B. 5 years
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C. 7 years
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D. 10 years
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Texas Midwifery Rules require retention of birth records for at least 5 years after
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the last treatment.
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8. What is the normal range for maternal hemoglobin in pregnancy?
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A. 8–10 g/dL o


B. 11–13 g/dL o


C. 13–16 g/dL o


D. 15–18 g/dL o




Hemodilution of pregnancy lowers hemoglobin slightly, making 11–13 g/dL the
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expected range.
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9. Which maneuver is most effective for relieving shoulder dystocia?
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A. Suprapubic pressure alone o o


B. McRoberts maneuver o