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Exam (elaborations)

Alabama Midwife Licensure Exam – 250 Questions with Answers & Explanations | Latest 2026 CPM Prep Guide

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Prepare for the Alabama Midwife Licensure Exam 2026 with 250 practice questions, answers, and detailed explanations covering Certified Professional Midwife (CPM) licensure, prenatal care, labor and delivery, postpartum care, newborn care, maternal assessment, professional practice, and Alabama midwifery requirements. Alabama recognizes the CPM credential through the North American Registry of Midwives (NARM) as part of the licensing pathway.

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Alabama Midwife Licensure Exam – 250
Questions with Answers & Explanations |
Latest 2026 CPM Prep Guide



SECTION 1: LICENSURE REQUIREMENTS & ELIGIBILITY (Questions 1–40)

1. What is the minimum age requirement for Alabama midwife licensure?
A. 18 years
B. 21 years
C. 24 years
D. 25 years

Answer: B. Applicants must be at least 21 years of age per Ala. Code § 34-19-15(a)(1) .

2. Which credential is required for Alabama midwife licensure?
A. Certified Nurse Midwife (CNM)
B. Certified Professional Midwife (CPM)
C. Licensed Practical Nurse (LPN)
D. Registered Nurse (RN)

Answer: B. Alabama licenses Certified Professional Midwives (CPMs) through the Alabama
State Board of Midwifery. CNMs are regulated separately by the Board of Nursing .

,3. What educational accreditation is required for CPM credentialing in Alabama?
A. MEAC or USDE-recognized accreditor
B. NARM only
C. State Board approval only
D. No accreditation required

Answer: A. The CPM credential must be obtained through an education program or pathway
accredited by the Midwifery Education Accreditation Council (MEAC) or another accrediting
agency recognized by the US Department of Education .

4. An applicant who obtained CPM credential before January 1, 2020 through a non-
accredited pathway must:
A. Be denied licensure
B. Obtain the Midwifery Bridge Certificate or complete MEAC-accredited education
C. Wait 5 years before applying
D. Pay double fees

Answer: B. Applicants with pre-2020 non-accredited CPM credentials must obtain the
Midwifery Bridge Certificate or complete MEAC-accredited education .

5. What proof of examination is required for Alabama midwife licensure?
A. NCLEX-PN
B. NCLEX-RN
C. North American Registry of Midwives (NARM) Examination
D. Certified Midwife Examination

Answer: C. Applicants must pass the North American Registry of Midwives (NARM)
Examination .

,6. What is the minimum professional liability insurance coverage required?
A. $50,000/$100,000
B. $100,000/$300,000
C. $200,000/$500,000
D. $500,000/$1,000,000

Answer: B. Licensed midwives must maintain professional liability insurance of at least
$100,000 per occurrence and $300,000 aggregate .

7. What is the application fee for Alabama midwife licensure?
A. $100
B. $250
C. $500
D. $550

Answer: B. The application fee is $250, with a separate initial license fee of $550 .

8. What is the initial license fee for Alabama midwife licensure?
A. $250
B. $500
C. $550
D. $600

Answer: C. The initial license fee is $550 .

9. How long is an Alabama midwife license valid?
A. One year
B. Two years
C. Three years
D. Five years

, Answer: B. A midwife license is valid for two years and expires on July 1, two years from the
initial license date .

10. What is the renewal fee for an Alabama midwife license?
A. $250
B. $550
C. $600
D. $750

Answer: C. The renewal license fee is $600 for each two-year renewal period .

11. When must renewal documents be received by the Board?
A. January 1
B. May 1
C. June 1
D. July 1

Answer: B. Documents must be received by May 1, with a renewal deadline of July 1 .

12. What happens if a license is not renewed by July 1?
A. Grace period of 30 days
B. License is considered expired
C. Automatic extension
D. No penalty

Answer: B. The license will be considered expired if renewal has not occurred by July 1 .

13. What background check is required for licensure?
A. No background check
B. Criminal background check at applicant's expense

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October 1, 2026
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