ARIZONA MIDWIFERY CERTIFICATION EXAM
QUESTIONS WITH CORRECT ANSWERS AND
RATIONALES LATEST 2025-2026 UPDATE
SECTION A: Antepartum Care (1–15)
1.
A client is 10 weeks pregnant. Which finding is most concerning?
A. Mild nausea
B. Blood pressure 110/70
C. Vaginal spotting with cramping
D. Increased urination
Answer: C
Rationale: Vaginal bleeding with cramping may indicate miscarriage or
ectopic pregnancy.
2.
Which is the best test to confirm pregnancy in early gestation?
A. Urine hCG
B. Serum β-hCG
C. Ultrasound
D. Pelvic exam
Answer: B
Rationale: Serum β-hCG is more sensitive and detects pregnancy
earlier.
,3.
Fundal height at 20 weeks should be approximately:
A. 10 cm
B. 14 cm
C. 20 cm
D. 28 cm
Answer: C
Rationale: Fundal height in cm ≈ gestational age in weeks after 20
weeks.
4.
A pregnant client is Rh-negative. What is the next step?
A. No intervention needed
B. Give Rh immunoglobulin at 28 weeks
C. Give iron supplements
D. Start aspirin therapy
Answer: B
Rationale: Rhogam prevents alloimmunization.
5.
Which infection is routinely screened in pregnancy?
A. Hepatitis C
B. HIV
C. Syphilis
D. All of the above
Answer: D
Rationale: Standard prenatal panel includes all.
, 6.
Which is a warning sign of preeclampsia?
A. Proteinuria
B. Headache
C. Visual changes
D. All of the above
Answer: D
7.
Normal fetal heart rate baseline is:
A. 80–100 bpm
B. 100–120 bpm
C. 110–160 bpm
D. 160–200 bpm
Answer: C
8.
Which supplement is most important in pregnancy?
A. Vitamin C
B. Iron
C. Calcium only
D. Vitamin K
Answer: B
QUESTIONS WITH CORRECT ANSWERS AND
RATIONALES LATEST 2025-2026 UPDATE
SECTION A: Antepartum Care (1–15)
1.
A client is 10 weeks pregnant. Which finding is most concerning?
A. Mild nausea
B. Blood pressure 110/70
C. Vaginal spotting with cramping
D. Increased urination
Answer: C
Rationale: Vaginal bleeding with cramping may indicate miscarriage or
ectopic pregnancy.
2.
Which is the best test to confirm pregnancy in early gestation?
A. Urine hCG
B. Serum β-hCG
C. Ultrasound
D. Pelvic exam
Answer: B
Rationale: Serum β-hCG is more sensitive and detects pregnancy
earlier.
,3.
Fundal height at 20 weeks should be approximately:
A. 10 cm
B. 14 cm
C. 20 cm
D. 28 cm
Answer: C
Rationale: Fundal height in cm ≈ gestational age in weeks after 20
weeks.
4.
A pregnant client is Rh-negative. What is the next step?
A. No intervention needed
B. Give Rh immunoglobulin at 28 weeks
C. Give iron supplements
D. Start aspirin therapy
Answer: B
Rationale: Rhogam prevents alloimmunization.
5.
Which infection is routinely screened in pregnancy?
A. Hepatitis C
B. HIV
C. Syphilis
D. All of the above
Answer: D
Rationale: Standard prenatal panel includes all.
, 6.
Which is a warning sign of preeclampsia?
A. Proteinuria
B. Headache
C. Visual changes
D. All of the above
Answer: D
7.
Normal fetal heart rate baseline is:
A. 80–100 bpm
B. 100–120 bpm
C. 110–160 bpm
D. 160–200 bpm
Answer: C
8.
Which supplement is most important in pregnancy?
A. Vitamin C
B. Iron
C. Calcium only
D. Vitamin K
Answer: B
