NARM Study Questions – Certified
Professional Midwife (CPM) Exam
Review Guide”
"Midwives believe that every woman has a right to a safe, satisfying birth in the
setting of her own choice, with respect for human dignity, cultural sensitivity, and
informed choice." The quote is an example of a: - ---✔✔✔ANSWER----
Philosophy of Care
In which portion of the fallopian tubes does fertilization normally occur? - ---
✔✔✔ANSWER----the ampulla
A prenatal factor that may cause a hemorrhage is - ---✔✔✔ANSWER----
grand multipara
During an abdominal examination of a woman at term, the midwife feels the
cephalic prominence on the same side as the fetal parts. This is indicative of which
of the following - ---✔✔✔ANSWER----vertex (occipital) presentation
,The increased activity of the endometrial glands during the luteal phase of the
female reproductive cycle is stimulated by: - ---✔✔✔ANSWER----
progesterone
Shelley is a 25 year old gravida 3 para 2 who has missed two menstrual periods
and is making her initial visit to the midwife. The midwife gave her a pregnancy
test and it was positive. Shelley reports nausea and occasional vomiting in the
mornings. Which physiologic change of pregnancy is probably causing Shelley's
nausea and vomiting? - ---✔✔✔ANSWER----high levels of human
chorionic gonadotropin
Janine had a baby 10 days ago and during a routine check up, she mentions to her
midwife that the baby is requiring more frequent breast feeding. This change is
probably associated with: - ---✔✔✔ANSWER----Newborn's first growth
spurt
Fetal heart rate variability is not affected by - ---✔✔✔ANSWER----
Maternal Sleep
A woman is laboring at a birth center, and is acting irritable and cranky with her
husband and mother-in-law, who have been with her almost constantly all night.
She also has two sisters and a female cousin present, and a doula. The most
appropriate action for the midwife to take would be to - ---✔✔✔ANSWER--
--ask for some time alone with her and inquire whether the crowd is bothering her
,Which neonatal assessment finding should the midwife report to a physician if she
finds this while conducting a newborn exam at one hour after birth? - ---
✔✔✔ANSWER----a positive Ortolani's sign
What is the largest diameter of the fetal head? - ---✔✔✔ANSWER----
occipitomental
During the first 10-12 weeks of pregnancy, the corpus luteum: - ---
✔✔✔ANSWER----secretes progesterone to maintain the pregnancy
Constipation during pregnancy is usually the result of: - ---✔✔✔ANSWER--
--prolonged stomach emptying time and decreased intestinal motility
What is a positive sign of pregnancy: - ---✔✔✔ANSWER----ultrasound
A child born to a woman over the age of 35 has an increased risk of: - ---
✔✔✔ANSWER----Trisomy 21
What is the best recommendation for a woman with morning sickness? - ---
✔✔✔ANSWER----eat a dry carbohydrate, such as crackers, before getting
out of bed
, The definition of pica is - ---✔✔✔ANSWER----the craving for non-food,
non-nutritive substances such as ice, clay, dirt, starch or plaster
Which of the common discomforts of pregnancy generally have their initial onset
during the first trimester of pregnancy? - ---✔✔✔ANSWER----fatigue
A woman reports she is having some slight vaginal bleeding and occasional mild
cramps at 10 weeks from LMP. She is best characterized as having: - ---
✔✔✔ANSWER----Threatened Abortion
Dangerous complication of pregnancy would be characterized by shoulder pain? -
---✔✔✔ANSWER----ruptured tubal pregnancy, or ruptured uterus
Women with a diagnosis of severe preeclampsia have an increased risk of: - ---
✔✔✔ANSWER----placental abruption
Thrush in the newborn is directly related to contact in the birth canal with which of
the following organisms? - ---✔✔✔ANSWER----candida albicans
To protect her unborn child from toxoplasmosis, a pregnant woman should: - ---
✔✔✔ANSWER----avoid eating under cooked meets, and handling cat feces
Professional Midwife (CPM) Exam
Review Guide”
"Midwives believe that every woman has a right to a safe, satisfying birth in the
setting of her own choice, with respect for human dignity, cultural sensitivity, and
informed choice." The quote is an example of a: - ---✔✔✔ANSWER----
Philosophy of Care
In which portion of the fallopian tubes does fertilization normally occur? - ---
✔✔✔ANSWER----the ampulla
A prenatal factor that may cause a hemorrhage is - ---✔✔✔ANSWER----
grand multipara
During an abdominal examination of a woman at term, the midwife feels the
cephalic prominence on the same side as the fetal parts. This is indicative of which
of the following - ---✔✔✔ANSWER----vertex (occipital) presentation
,The increased activity of the endometrial glands during the luteal phase of the
female reproductive cycle is stimulated by: - ---✔✔✔ANSWER----
progesterone
Shelley is a 25 year old gravida 3 para 2 who has missed two menstrual periods
and is making her initial visit to the midwife. The midwife gave her a pregnancy
test and it was positive. Shelley reports nausea and occasional vomiting in the
mornings. Which physiologic change of pregnancy is probably causing Shelley's
nausea and vomiting? - ---✔✔✔ANSWER----high levels of human
chorionic gonadotropin
Janine had a baby 10 days ago and during a routine check up, she mentions to her
midwife that the baby is requiring more frequent breast feeding. This change is
probably associated with: - ---✔✔✔ANSWER----Newborn's first growth
spurt
Fetal heart rate variability is not affected by - ---✔✔✔ANSWER----
Maternal Sleep
A woman is laboring at a birth center, and is acting irritable and cranky with her
husband and mother-in-law, who have been with her almost constantly all night.
She also has two sisters and a female cousin present, and a doula. The most
appropriate action for the midwife to take would be to - ---✔✔✔ANSWER--
--ask for some time alone with her and inquire whether the crowd is bothering her
,Which neonatal assessment finding should the midwife report to a physician if she
finds this while conducting a newborn exam at one hour after birth? - ---
✔✔✔ANSWER----a positive Ortolani's sign
What is the largest diameter of the fetal head? - ---✔✔✔ANSWER----
occipitomental
During the first 10-12 weeks of pregnancy, the corpus luteum: - ---
✔✔✔ANSWER----secretes progesterone to maintain the pregnancy
Constipation during pregnancy is usually the result of: - ---✔✔✔ANSWER--
--prolonged stomach emptying time and decreased intestinal motility
What is a positive sign of pregnancy: - ---✔✔✔ANSWER----ultrasound
A child born to a woman over the age of 35 has an increased risk of: - ---
✔✔✔ANSWER----Trisomy 21
What is the best recommendation for a woman with morning sickness? - ---
✔✔✔ANSWER----eat a dry carbohydrate, such as crackers, before getting
out of bed
, The definition of pica is - ---✔✔✔ANSWER----the craving for non-food,
non-nutritive substances such as ice, clay, dirt, starch or plaster
Which of the common discomforts of pregnancy generally have their initial onset
during the first trimester of pregnancy? - ---✔✔✔ANSWER----fatigue
A woman reports she is having some slight vaginal bleeding and occasional mild
cramps at 10 weeks from LMP. She is best characterized as having: - ---
✔✔✔ANSWER----Threatened Abortion
Dangerous complication of pregnancy would be characterized by shoulder pain? -
---✔✔✔ANSWER----ruptured tubal pregnancy, or ruptured uterus
Women with a diagnosis of severe preeclampsia have an increased risk of: - ---
✔✔✔ANSWER----placental abruption
Thrush in the newborn is directly related to contact in the birth canal with which of
the following organisms? - ---✔✔✔ANSWER----candida albicans
To protect her unborn child from toxoplasmosis, a pregnant woman should: - ---
✔✔✔ANSWER----avoid eating under cooked meets, and handling cat feces
