NARM EXAM 2026 COMPLETE QUESTIONS
AND ANSWERS GRADED A+
◉ 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
◉ An example of a sex chromosome abnormality is: Answer: Turner
Syndrome
◉ A typical gynecoid pelvis has which of the following
characteristics? Answer: rounded inlet, nonprominenant ischial
spines and wide, round pubic arch
◉ A cephalic presentation includes all of the following, except:
Answer: Brow, Face, Vertex
AND ANSWERS GRADED A+
◉ 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
◉ An example of a sex chromosome abnormality is: Answer: Turner
Syndrome
◉ A typical gynecoid pelvis has which of the following
characteristics? Answer: rounded inlet, nonprominenant ischial
spines and wide, round pubic arch
◉ A cephalic presentation includes all of the following, except:
Answer: Brow, Face, Vertex
