Certified Nurse Midwife (CNM) Examination
Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A |
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Antepartum Care
1. A pregnant client at 10 weeks reports nausea and vomiting. What is the first-
line recommendation?
A. Ondansetron
B. Vitamin B6 and doxylamine
C. Metoclopramide
D. IV fluids
Answer: B
Vitamin B6 with doxylamine is the first-line treatment for nausea and vomiting
in pregnancy.
2. Fundal height measuring 28 cm at 28 weeks indicates:
A. IUGR
B. Polyhydramnios
C. Normal growth
D. Multiple gestation
Answer: C
Fundal height in centimeters should approximate gestational age between 20–
36 weeks.
3. Which finding is diagnostic for gestational hypertension?
A. BP 140/90 after 20 weeks without proteinuria
B. BP 130/80 before pregnancy
C. Proteinuria before 20 weeks
D. Seizures with hypertension
Answer: A
Gestational hypertension is new-onset hypertension after 20 weeks without
proteinuria.
,4. A client at 24 weeks requires screening for:
A. Group B strep
B. Gestational diabetes
C. Anemia only
D. HIV repeat testing
Answer: B
Glucose screening for gestational diabetes occurs between 24–28 weeks.
5. Which symptom suggests placental abruption?
A. Painless bleeding
B. Bright red bleeding
C. Painful bleeding with uterine tenderness
D. Bleeding after intercourse
Answer: C
Abruption typically presents with painful bleeding and a tender, firm uterus.
Fetal Assessment
6. Normal fetal heart rate baseline is:
A. 90–110 bpm
B. 110–160 bpm
C. 160–180 bpm
D. 80–100 bpm
Answer: B
Normal baseline fetal heart rate is 110–160 bpm.
7. Early decelerations are associated with:
A. Cord compression
B. Uteroplacental insufficiency
C. Head compression
D. Fetal hypoxia
Answer: C
Early decelerations mirror contractions and are due to head compression.
, 8. Variable decelerations indicate:
A. Placental insufficiency
B. Cord compression
C. Maternal hypotension
D. Fetal sleep
Answer: B
Variable decelerations are abrupt and caused by umbilical cord compression.
9. A biophysical profile score of 8/10 is:
A. Abnormal
B. Equivocal
C. Reassuring
D. Emergency
Answer: C
A score of 8–10 is considered normal and reassuring.
10. Absence of fetal movement for 12 hours should prompt:
A. Reassurance only
B. Immediate evaluation
C. Hydration and rest only
D. Repeat next week
Answer: B
Decreased fetal movement requires prompt assessment.
Labor and Delivery
11. The first stage of labor ends when:
A. Contractions begin
B. Membranes rupture
C. Full cervical dilation
D. Baby is delivered
Answer: C
Stage one ends at 10 cm dilation.
Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A |
Instant Download Pdf
Antepartum Care
1. A pregnant client at 10 weeks reports nausea and vomiting. What is the first-
line recommendation?
A. Ondansetron
B. Vitamin B6 and doxylamine
C. Metoclopramide
D. IV fluids
Answer: B
Vitamin B6 with doxylamine is the first-line treatment for nausea and vomiting
in pregnancy.
2. Fundal height measuring 28 cm at 28 weeks indicates:
A. IUGR
B. Polyhydramnios
C. Normal growth
D. Multiple gestation
Answer: C
Fundal height in centimeters should approximate gestational age between 20–
36 weeks.
3. Which finding is diagnostic for gestational hypertension?
A. BP 140/90 after 20 weeks without proteinuria
B. BP 130/80 before pregnancy
C. Proteinuria before 20 weeks
D. Seizures with hypertension
Answer: A
Gestational hypertension is new-onset hypertension after 20 weeks without
proteinuria.
,4. A client at 24 weeks requires screening for:
A. Group B strep
B. Gestational diabetes
C. Anemia only
D. HIV repeat testing
Answer: B
Glucose screening for gestational diabetes occurs between 24–28 weeks.
5. Which symptom suggests placental abruption?
A. Painless bleeding
B. Bright red bleeding
C. Painful bleeding with uterine tenderness
D. Bleeding after intercourse
Answer: C
Abruption typically presents with painful bleeding and a tender, firm uterus.
Fetal Assessment
6. Normal fetal heart rate baseline is:
A. 90–110 bpm
B. 110–160 bpm
C. 160–180 bpm
D. 80–100 bpm
Answer: B
Normal baseline fetal heart rate is 110–160 bpm.
7. Early decelerations are associated with:
A. Cord compression
B. Uteroplacental insufficiency
C. Head compression
D. Fetal hypoxia
Answer: C
Early decelerations mirror contractions and are due to head compression.
, 8. Variable decelerations indicate:
A. Placental insufficiency
B. Cord compression
C. Maternal hypotension
D. Fetal sleep
Answer: B
Variable decelerations are abrupt and caused by umbilical cord compression.
9. A biophysical profile score of 8/10 is:
A. Abnormal
B. Equivocal
C. Reassuring
D. Emergency
Answer: C
A score of 8–10 is considered normal and reassuring.
10. Absence of fetal movement for 12 hours should prompt:
A. Reassurance only
B. Immediate evaluation
C. Hydration and rest only
D. Repeat next week
Answer: B
Decreased fetal movement requires prompt assessment.
Labor and Delivery
11. The first stage of labor ends when:
A. Contractions begin
B. Membranes rupture
C. Full cervical dilation
D. Baby is delivered
Answer: C
Stage one ends at 10 cm dilation.
