NARM EXAM 2026 PRACTICE QUESTIONS AND
ANSWERS DETAILED REVIEW
◉ 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
◉ The midwife has been helping answer the questions of a woman who
has just given birth for the first time. Which behavior shows that the new
mother understands correct teaching on breastfeeding? Answer:
breastfeeding every 2-3 hours or on demand, whichever comes first
ANSWERS DETAILED REVIEW
◉ 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
◉ The midwife has been helping answer the questions of a woman who
has just given birth for the first time. Which behavior shows that the new
mother understands correct teaching on breastfeeding? Answer:
breastfeeding every 2-3 hours or on demand, whichever comes first
