Certified Nurse Midwife (CNM) Exam
Preparation Newest With Complete
Questions And Correct Detailed Answers|
Brand New Version
1. A pregnant client at 10 weeks gestation reports mild nausea.
Which recommendation is most appropriate?
A. Eat three large meals daily
B. Avoid carbohydrates
C. Eat small frequent meals
D. Drink fluids only with meals
Answer: C. Eat small frequent meals
Small, frequent meals help stabilize blood glucose levels and reduce
nausea during early pregnancy.
2. The presumptive sign of pregnancy is:
A. Chadwick sign
B. Hegar sign
C. Positive pregnancy test
D. Amenorrhea
Answer: D. Amenorrhea
Amenorrhea is a presumptive sign because it is subjective and may
have other causes.
3. Which laboratory value confirms pregnancy earliest?
A. Serum hCG
B. Urine protein
,C. Hemoglobin
D. Hematocrit
Answer: A. Serum hCG
Serum hCG is detectable earlier than urine tests and confirms
pregnancy.
4. Fundal height at 20 weeks gestation should be approximately:
A. At the symphysis pubis
B. At the umbilicus
C. Midway between umbilicus and xiphoid
D. At the xiphoid process
Answer: B. At the umbilicus
At 20 weeks, the uterus typically reaches the level of the umbilicus.
5. A client at 32 weeks reports sudden painless vaginal bleeding.
What condition is suspected?
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Ectopic pregnancy
Answer: B. Placenta previa
Placenta previa classically presents with painless vaginal bleeding in
late pregnancy.
6. Which nutrient requirement increases most during pregnancy?
A. Vitamin C
B. Iron
,C. Potassium
D. Sodium
Answer: B. Iron
Iron needs increase significantly due to expanded maternal blood
volume and fetal development.
7. Quickening usually occurs at:
A. 8–10 weeks
B. 12–14 weeks
C. 16–20 weeks
D. 24–28 weeks
Answer: C. 16–20 weeks
Quickening refers to the first maternal perception of fetal movement.
8. Which vaccine is contraindicated during pregnancy?
A. Influenza (inactivated)
B. Tdap
C. MMR
D. Hepatitis B
Answer: C. MMR
MMR is a live vaccine and contraindicated during pregnancy.
9. The normal fetal heart rate range is:
A. 90–110 bpm
B. 110–160 bpm
C. 160–190 bpm
D. 80–100 bpm
, Answer: B. 110–160 bpm
This range reflects normal fetal baseline heart rate.
10. Which condition increases risk for neural tube defects?
A. Folic acid deficiency
B. Vitamin D deficiency
C. Iron deficiency
D. Protein deficiency
Answer: A. Folic acid deficiency
Folic acid deficiency is strongly associated with neural tube defects.
11. Which position improves uteroplacental circulation?
A. Supine
B. Left lateral
C. Right lateral
D. Lithotomy
Answer: B. Left lateral
Left lateral positioning reduces vena cava compression and improves
blood flow.
12. A positive nitrazine test indicates:
A. Urinary infection
B. Rupture of membranes
C. Cervical dilation
D. Fetal distress
Answer: B. Rupture of membranes
Nitrazine paper detects alkaline amniotic fluid.
Preparation Newest With Complete
Questions And Correct Detailed Answers|
Brand New Version
1. A pregnant client at 10 weeks gestation reports mild nausea.
Which recommendation is most appropriate?
A. Eat three large meals daily
B. Avoid carbohydrates
C. Eat small frequent meals
D. Drink fluids only with meals
Answer: C. Eat small frequent meals
Small, frequent meals help stabilize blood glucose levels and reduce
nausea during early pregnancy.
2. The presumptive sign of pregnancy is:
A. Chadwick sign
B. Hegar sign
C. Positive pregnancy test
D. Amenorrhea
Answer: D. Amenorrhea
Amenorrhea is a presumptive sign because it is subjective and may
have other causes.
3. Which laboratory value confirms pregnancy earliest?
A. Serum hCG
B. Urine protein
,C. Hemoglobin
D. Hematocrit
Answer: A. Serum hCG
Serum hCG is detectable earlier than urine tests and confirms
pregnancy.
4. Fundal height at 20 weeks gestation should be approximately:
A. At the symphysis pubis
B. At the umbilicus
C. Midway between umbilicus and xiphoid
D. At the xiphoid process
Answer: B. At the umbilicus
At 20 weeks, the uterus typically reaches the level of the umbilicus.
5. A client at 32 weeks reports sudden painless vaginal bleeding.
What condition is suspected?
A. Placental abruption
B. Placenta previa
C. Uterine rupture
D. Ectopic pregnancy
Answer: B. Placenta previa
Placenta previa classically presents with painless vaginal bleeding in
late pregnancy.
6. Which nutrient requirement increases most during pregnancy?
A. Vitamin C
B. Iron
,C. Potassium
D. Sodium
Answer: B. Iron
Iron needs increase significantly due to expanded maternal blood
volume and fetal development.
7. Quickening usually occurs at:
A. 8–10 weeks
B. 12–14 weeks
C. 16–20 weeks
D. 24–28 weeks
Answer: C. 16–20 weeks
Quickening refers to the first maternal perception of fetal movement.
8. Which vaccine is contraindicated during pregnancy?
A. Influenza (inactivated)
B. Tdap
C. MMR
D. Hepatitis B
Answer: C. MMR
MMR is a live vaccine and contraindicated during pregnancy.
9. The normal fetal heart rate range is:
A. 90–110 bpm
B. 110–160 bpm
C. 160–190 bpm
D. 80–100 bpm
, Answer: B. 110–160 bpm
This range reflects normal fetal baseline heart rate.
10. Which condition increases risk for neural tube defects?
A. Folic acid deficiency
B. Vitamin D deficiency
C. Iron deficiency
D. Protein deficiency
Answer: A. Folic acid deficiency
Folic acid deficiency is strongly associated with neural tube defects.
11. Which position improves uteroplacental circulation?
A. Supine
B. Left lateral
C. Right lateral
D. Lithotomy
Answer: B. Left lateral
Left lateral positioning reduces vena cava compression and improves
blood flow.
12. A positive nitrazine test indicates:
A. Urinary infection
B. Rupture of membranes
C. Cervical dilation
D. Fetal distress
Answer: B. Rupture of membranes
Nitrazine paper detects alkaline amniotic fluid.
