LPM TEST EXAM 2025/2026 | Latest Verified Practice
Version | Already Graded A+ | 100% Verified
Licensed Practical Midwife / Licensed Practical Management Exam | Key Concepts: Patient
Assessment, Maternal & Newborn Care, Safety Protocols, Pharmacology, Infection Control, and
Professional Ethics | Expert-Verified Q&A | Clinical & Exam-Ready
Introduction
This updated 2025/2026 LPM Test Exam Practice resource offers comprehensive and expertly
developed study material aligned with professional competency standards. Content includes
clinical judgment, patient safety, infection control, therapeutic communication, and legal
responsibilities. Each section enhances professional readiness, supports safe and ethical
practice, and prepares learners for official LPM examination success.
Answer Format
All correct answers are highlighted in bold and green, with rationales that explain clinical
priorities, reinforce professional standards, and strengthen evidence-based decision-making for
LPM candidates.
1. A licensed practical midwife (LPM) is assessing a laboring patient at 4 cm
dilation with contractions every 5 minutes. The patient reports sudden
sharp pain between contractions. What is the priority action?
a) Encourage pushing
b) Assess fetal heart rate
c) Administer pain medication
d) Perform vaginal exam
b) Assess fetal heart rate
Rationale: Sharp pain between contractions may indicate placental abruption or uterine
rupture; immediate fetal monitoring ensures safety.
2. What is the standard newborn Apgar score assessment time?
a) At 1 and 5 minutes
b) At birth only
c) At 10 minutes
d) At 30 minutes
a) At 1 and 5 minutes
Rationale: Apgar scores are assessed at 1 and 5 minutes post-birth to evaluate newborn
adjustment.
, 3. A postpartum patient develops a temperature of 100.4°F on day 2. What
is the priority?
a) Administer acetaminophen
b) Assess for endometritis
c) Encourage ambulation
d) Skip lochia check
b) Assess for endometritis
Rationale: Postpartum fever suggests infection like endometritis; assess lochia, fundus, and
notify provider.
4. Which medication is used for postpartum hemorrhage?
a) Oxytocin
b) Ibuprofen
c) Acetaminophen
d) Aspirin
a) Oxytocin
Rationale: Oxytocin contracts the uterus to control bleeding in postpartum hemorrhage.
5. A LPM is monitoring a patient in labor. The fetal heart rate drops to 80
bpm for 2 minutes. What is the priority?
a) Continue monitoring
b) Notify the physician for immediate intervention
c) Administer oxygen
d) Change maternal position
b) Notify the physician for immediate intervention
Rationale: Bradycardia <110 bpm for >2 minutes indicates distress; immediate medical
intervention is required.
6. What is the normal range for newborn heart rate?
a) 60-100 bpm
b) 120-160 bpm
c) 80-120 bpm
d) 100-140 bpm
b) 120-160 bpm
Rationale: Newborn heart rate is 120-160 bpm at rest.
7. A patient in active labor has meconium-stained amniotic fluid. What is
the priority?
a) Continue normal delivery
b) Prepare for neonatal resuscitation
c) Administer antibiotics
d) Increase pushing
b) Prepare for neonatal resuscitation
Rationale: Meconium increases aspiration risk; prepare for resuscitation per NRP guidelines.
Version | Already Graded A+ | 100% Verified
Licensed Practical Midwife / Licensed Practical Management Exam | Key Concepts: Patient
Assessment, Maternal & Newborn Care, Safety Protocols, Pharmacology, Infection Control, and
Professional Ethics | Expert-Verified Q&A | Clinical & Exam-Ready
Introduction
This updated 2025/2026 LPM Test Exam Practice resource offers comprehensive and expertly
developed study material aligned with professional competency standards. Content includes
clinical judgment, patient safety, infection control, therapeutic communication, and legal
responsibilities. Each section enhances professional readiness, supports safe and ethical
practice, and prepares learners for official LPM examination success.
Answer Format
All correct answers are highlighted in bold and green, with rationales that explain clinical
priorities, reinforce professional standards, and strengthen evidence-based decision-making for
LPM candidates.
1. A licensed practical midwife (LPM) is assessing a laboring patient at 4 cm
dilation with contractions every 5 minutes. The patient reports sudden
sharp pain between contractions. What is the priority action?
a) Encourage pushing
b) Assess fetal heart rate
c) Administer pain medication
d) Perform vaginal exam
b) Assess fetal heart rate
Rationale: Sharp pain between contractions may indicate placental abruption or uterine
rupture; immediate fetal monitoring ensures safety.
2. What is the standard newborn Apgar score assessment time?
a) At 1 and 5 minutes
b) At birth only
c) At 10 minutes
d) At 30 minutes
a) At 1 and 5 minutes
Rationale: Apgar scores are assessed at 1 and 5 minutes post-birth to evaluate newborn
adjustment.
, 3. A postpartum patient develops a temperature of 100.4°F on day 2. What
is the priority?
a) Administer acetaminophen
b) Assess for endometritis
c) Encourage ambulation
d) Skip lochia check
b) Assess for endometritis
Rationale: Postpartum fever suggests infection like endometritis; assess lochia, fundus, and
notify provider.
4. Which medication is used for postpartum hemorrhage?
a) Oxytocin
b) Ibuprofen
c) Acetaminophen
d) Aspirin
a) Oxytocin
Rationale: Oxytocin contracts the uterus to control bleeding in postpartum hemorrhage.
5. A LPM is monitoring a patient in labor. The fetal heart rate drops to 80
bpm for 2 minutes. What is the priority?
a) Continue monitoring
b) Notify the physician for immediate intervention
c) Administer oxygen
d) Change maternal position
b) Notify the physician for immediate intervention
Rationale: Bradycardia <110 bpm for >2 minutes indicates distress; immediate medical
intervention is required.
6. What is the normal range for newborn heart rate?
a) 60-100 bpm
b) 120-160 bpm
c) 80-120 bpm
d) 100-140 bpm
b) 120-160 bpm
Rationale: Newborn heart rate is 120-160 bpm at rest.
7. A patient in active labor has meconium-stained amniotic fluid. What is
the priority?
a) Continue normal delivery
b) Prepare for neonatal resuscitation
c) Administer antibiotics
d) Increase pushing
b) Prepare for neonatal resuscitation
Rationale: Meconium increases aspiration risk; prepare for resuscitation per NRP guidelines.
