“Certified Nurse Midwife (CNM) Certification Practice
Exam 2025 | Verified CNM Questions, Correct Answers, and
Detailed Rationales for AMCB Board Success”
“Get ready for the CNM Certification Exam with this comprehensive 2025 practice exam
featuring verified CNM questions, correct answers, and detailed rationales. Master core AMCB
exam topics, strengthen clinical decision-making, and boost your confidence to pass the Certified
Nurse Midwife exam on your first attempt.”
• CNM practice exam questions
• Certified Nurse Midwife exam practice
• CNM verified answers 2025
• AMCB CNM exam questions
• CNM exam with rationales
The most common cause of postpartum hemorrhage is:
A. Retained placenta
B. Uterine atony
C. Vaginal laceration
, D. Coagulopathy
Rationale: Uterine atony prevents effective uterine contraction,
leading to excessive bleeding.
A normal lochia progression postpartum is:
E. Serosa → Rubra → Alba
F. Rubra → Serosa → Alba
G. Alba → Serosa → Rubra
H. Serosa → Alba → Rubra
Rationale: Lochia normally changes from rubra (red), to serosa (pink),
to alba (white) as healing progresses.
The primary hormone responsible for maintaining pregnancy is:
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Rationale: Progesterone maintains the uterine lining and prevents
contractions during pregnancy.
2. The normal fetal heart rate range is:
A. 100–120 bpm
, B. 110–160 bpm
C. 90–140 bpm
D. 120–180 bpm
Rationale: A normal baseline fetal heart rate is between 110–160
bpm, indicating good oxygenation and fetal well-being.
3. Which pelvic type is most favorable for vaginal delivery?
A. Android
B. Anthropoid
C. Gynecoid
D. Platypelloid
Rationale: The gynecoid pelvis has an ideal shape and dimensions for
vaginal birth.
5. The best position to relieve supine hypotensive syndrome in
pregnancy is:
A. Supine with legs elevated
B. Left lateral position
C. Right lateral position
D. Sitting upright
Rationale: The left lateral position prevents compression of the
inferior vena cava by the gravid uterus.
6. Which vitamin is recommended to prevent neural tube defects in
early pregnancy?
, A. Vitamin C
B. Vitamin D
C. Folic acid
D. Vitamin K
Rationale: Folic acid supplementation before conception and in early
pregnancy reduces neural tube defect risk.
7. The normal duration of the first stage of labor for a primigravida
is approximately: A. 4–6 hours
B. 12–14 hours C.
2–4 hours
D. 18–20 hours
Rationale: The first stage in a first-time mother typically lasts 12–14
hours, depending on labor progress.
8. Which fetal presentation is considered optimal for vaginal
delivery?
A. Brow
B. Face
C. Vertex
D. Shoulder
Rationale: The vertex (occiput anterior) presentation aligns best with
the birth canal.
9. During the second stage of labor, the nurse midwife should
encourage the mother to:
Exam 2025 | Verified CNM Questions, Correct Answers, and
Detailed Rationales for AMCB Board Success”
“Get ready for the CNM Certification Exam with this comprehensive 2025 practice exam
featuring verified CNM questions, correct answers, and detailed rationales. Master core AMCB
exam topics, strengthen clinical decision-making, and boost your confidence to pass the Certified
Nurse Midwife exam on your first attempt.”
• CNM practice exam questions
• Certified Nurse Midwife exam practice
• CNM verified answers 2025
• AMCB CNM exam questions
• CNM exam with rationales
The most common cause of postpartum hemorrhage is:
A. Retained placenta
B. Uterine atony
C. Vaginal laceration
, D. Coagulopathy
Rationale: Uterine atony prevents effective uterine contraction,
leading to excessive bleeding.
A normal lochia progression postpartum is:
E. Serosa → Rubra → Alba
F. Rubra → Serosa → Alba
G. Alba → Serosa → Rubra
H. Serosa → Alba → Rubra
Rationale: Lochia normally changes from rubra (red), to serosa (pink),
to alba (white) as healing progresses.
The primary hormone responsible for maintaining pregnancy is:
A. Estrogen
B. Progesterone
C. Oxytocin
D. Prolactin
Rationale: Progesterone maintains the uterine lining and prevents
contractions during pregnancy.
2. The normal fetal heart rate range is:
A. 100–120 bpm
, B. 110–160 bpm
C. 90–140 bpm
D. 120–180 bpm
Rationale: A normal baseline fetal heart rate is between 110–160
bpm, indicating good oxygenation and fetal well-being.
3. Which pelvic type is most favorable for vaginal delivery?
A. Android
B. Anthropoid
C. Gynecoid
D. Platypelloid
Rationale: The gynecoid pelvis has an ideal shape and dimensions for
vaginal birth.
5. The best position to relieve supine hypotensive syndrome in
pregnancy is:
A. Supine with legs elevated
B. Left lateral position
C. Right lateral position
D. Sitting upright
Rationale: The left lateral position prevents compression of the
inferior vena cava by the gravid uterus.
6. Which vitamin is recommended to prevent neural tube defects in
early pregnancy?
, A. Vitamin C
B. Vitamin D
C. Folic acid
D. Vitamin K
Rationale: Folic acid supplementation before conception and in early
pregnancy reduces neural tube defect risk.
7. The normal duration of the first stage of labor for a primigravida
is approximately: A. 4–6 hours
B. 12–14 hours C.
2–4 hours
D. 18–20 hours
Rationale: The first stage in a first-time mother typically lasts 12–14
hours, depending on labor progress.
8. Which fetal presentation is considered optimal for vaginal
delivery?
A. Brow
B. Face
C. Vertex
D. Shoulder
Rationale: The vertex (occiput anterior) presentation aligns best with
the birth canal.
9. During the second stage of labor, the nurse midwife should
encourage the mother to:
