Wisconsin Nurse Midwife
Certification Exam Practice
Questions And Correct Answers
(Verified Answers) Plus Rationales
2026 Q&A | Guaranteed Pass
(GRADED A+)
1. Under Wisconsin law, a Certified Nurse-Midwife (CNM)
must have a written collaborative agreement with a physician
who has which qualification?
A. Completed a residency in family medicine
B. Board certification in obstetrics and gynecology ✅
C. At least 5 years of clinical experience
D. A license to practice nursing
Rationale: Under previous regulations, Wisconsin law required the
collaborating physician to be board-certified in obstetrics and
gynecology.
2. Which of the following acts is prohibited for a CNM
practicing independently in Wisconsin?
A. Prescribing oral antibiotics for a urinary tract infection
B. Performing a low-force vacuum-assisted delivery ✅
C. Conducting a normal vaginal delivery without physician
,presence
D. Ordering routine prenatal labs
Rationale: Wisconsin statutes prohibit CNMs from performing
vacuum-assisted (or forceps) deliveries without physician
involvement.
3. In Wisconsin, which professional role is authorized to
provide prenatal, intrapartum, and postpartum care within
their scope of practice?
A. Certified Nurse-Midwife (CNM) ✅
B. Obstetrician-Gynecologist (OB-GYN)
C. Family Physician
D. Pediatrician
Rationale: CNMs are authorized to provide comprehensive
reproductive and maternity care within their scope of practice in
Wisconsin.
4. What is the temporary "Graduate Nurse-Midwife" (G.N.M.)
permit in Wisconsin valid for?
A. 3 months
B. 6 months ✅
C. 12 months
D. 24 months
Rationale: The G.N.M. permit allows practice for up to 6 months
under direct supervision.
5. Which regulation in Wisconsin ensures patient safety
concerning medication prescriptions?
A. No specific regulation exists
B. Controlled substances are prescribed under Schedules II-V,
,with restrictions ✅
C. Over-the-counter medications only
D. No controlled substances allowed
Rationale: Wisconsin law authorizes CNMs to prescribe controlled
substances in Schedules II-V under specific regulations.
6. Under the APRN Modernization Act (Act 17), how many
hours of advanced practice nursing are required for a CNM to
qualify for independent practice in Wisconsin?
A. 3,840 clinical hours ✅
B. 1,920 clinical hours
C. 5,760 clinical hours
D. 10,000 clinical hours
Rationale: The Act requires 3,840 hours of advanced practice
registered nursing in a recognized role before qualifying for
independent practice.
7. A CNM who intends to deliver babies outside a hospital
setting under Wisconsin's new law must:
A. Have a physician present at every birth
B. File a Board-approved "proactive plan" ✅
C. Obtain special permission from the local hospital
D. Only deliver in an accredited birth center
Rationale: APRN-CNMs who intend to deliver babies outside a
hospital setting must file a Board-approved "proactive plan".
8. Which organization is primarily responsible for certifying
nurse-midwives in the United States?
A. American Nurses Association (ANA)
B. American Association of Nurse Practitioners (AANP)
, C. American Midwifery Certification Board (AMCB) ✅
D. National Council of State Boards of Nursing (NCSBN)
Rationale: The AMCB is the certifying body for CNMs.
Antepartum & Prenatal Care
9. Which adult immunization is recommended for women to
prevent cervical cancer?
A. Influenza vaccine
B. HPV vaccine ✅
C. Tdap vaccine
D. Zoster vaccine
Rationale: The HPV vaccine prevents infection with high-risk HPV
types linked to cervical and other cancers.
10. During initial pregnancy assessment, which psychosocial
screening is recommended?
A. Screening for domestic violence and depression ✅
B. Blood typing
C. Genetic counseling only at delivery
D. Routine neonatal screening
Rationale: Screening for domestic violence and depression helps
identify at-risk women.
11. Which laboratory test is used to confirm pregnancy?
A. Complete blood count (CBC)
B. Urine hCG test or serum beta-hCG ✅
C. Blood glucose
D. Liver function tests
Certification Exam Practice
Questions And Correct Answers
(Verified Answers) Plus Rationales
2026 Q&A | Guaranteed Pass
(GRADED A+)
1. Under Wisconsin law, a Certified Nurse-Midwife (CNM)
must have a written collaborative agreement with a physician
who has which qualification?
A. Completed a residency in family medicine
B. Board certification in obstetrics and gynecology ✅
C. At least 5 years of clinical experience
D. A license to practice nursing
Rationale: Under previous regulations, Wisconsin law required the
collaborating physician to be board-certified in obstetrics and
gynecology.
2. Which of the following acts is prohibited for a CNM
practicing independently in Wisconsin?
A. Prescribing oral antibiotics for a urinary tract infection
B. Performing a low-force vacuum-assisted delivery ✅
C. Conducting a normal vaginal delivery without physician
,presence
D. Ordering routine prenatal labs
Rationale: Wisconsin statutes prohibit CNMs from performing
vacuum-assisted (or forceps) deliveries without physician
involvement.
3. In Wisconsin, which professional role is authorized to
provide prenatal, intrapartum, and postpartum care within
their scope of practice?
A. Certified Nurse-Midwife (CNM) ✅
B. Obstetrician-Gynecologist (OB-GYN)
C. Family Physician
D. Pediatrician
Rationale: CNMs are authorized to provide comprehensive
reproductive and maternity care within their scope of practice in
Wisconsin.
4. What is the temporary "Graduate Nurse-Midwife" (G.N.M.)
permit in Wisconsin valid for?
A. 3 months
B. 6 months ✅
C. 12 months
D. 24 months
Rationale: The G.N.M. permit allows practice for up to 6 months
under direct supervision.
5. Which regulation in Wisconsin ensures patient safety
concerning medication prescriptions?
A. No specific regulation exists
B. Controlled substances are prescribed under Schedules II-V,
,with restrictions ✅
C. Over-the-counter medications only
D. No controlled substances allowed
Rationale: Wisconsin law authorizes CNMs to prescribe controlled
substances in Schedules II-V under specific regulations.
6. Under the APRN Modernization Act (Act 17), how many
hours of advanced practice nursing are required for a CNM to
qualify for independent practice in Wisconsin?
A. 3,840 clinical hours ✅
B. 1,920 clinical hours
C. 5,760 clinical hours
D. 10,000 clinical hours
Rationale: The Act requires 3,840 hours of advanced practice
registered nursing in a recognized role before qualifying for
independent practice.
7. A CNM who intends to deliver babies outside a hospital
setting under Wisconsin's new law must:
A. Have a physician present at every birth
B. File a Board-approved "proactive plan" ✅
C. Obtain special permission from the local hospital
D. Only deliver in an accredited birth center
Rationale: APRN-CNMs who intend to deliver babies outside a
hospital setting must file a Board-approved "proactive plan".
8. Which organization is primarily responsible for certifying
nurse-midwives in the United States?
A. American Nurses Association (ANA)
B. American Association of Nurse Practitioners (AANP)
, C. American Midwifery Certification Board (AMCB) ✅
D. National Council of State Boards of Nursing (NCSBN)
Rationale: The AMCB is the certifying body for CNMs.
Antepartum & Prenatal Care
9. Which adult immunization is recommended for women to
prevent cervical cancer?
A. Influenza vaccine
B. HPV vaccine ✅
C. Tdap vaccine
D. Zoster vaccine
Rationale: The HPV vaccine prevents infection with high-risk HPV
types linked to cervical and other cancers.
10. During initial pregnancy assessment, which psychosocial
screening is recommended?
A. Screening for domestic violence and depression ✅
B. Blood typing
C. Genetic counseling only at delivery
D. Routine neonatal screening
Rationale: Screening for domestic violence and depression helps
identify at-risk women.
11. Which laboratory test is used to confirm pregnancy?
A. Complete blood count (CBC)
B. Urine hCG test or serum beta-hCG ✅
C. Blood glucose
D. Liver function tests
