1. Essential Midwifery Practice
2. Prenatal Care
3. Care of the Pregnant Woman With Prenatal Conditions
4. Care of the Woman During Labor and Birth
5. Care of the Newborn and the Postpartum Woman
6. Well-Woman Care Across the Life Span
7. Care of the Woman With Reproductive and Sexual Health
Conditions
8. Primary Care of Common Health Conditions
,Chapter 1: Essential Midwifery Practice
MULTIPLE CHOICE QUESTIONS
MCQ E1-1
Which of the following BEST defines the scope of practice for a Certified Nurse-Midwife (CNM)?
- A. Limited to intrapartum care and immediate postpartum management only
- B. Encompasses care of women across the lifespan, including gynecologic, reproductive, and primary
care services
- C. Restricted to hospital-based care under direct physician supervision
- D. Focuses exclusively on high-risk obstetric management
ANSWER KEY — E1-1
Correct Answer: B
Rationale:
CNMs are educated and licensed to provide a comprehensive range of health services to women across
the lifespan — including primary care, gynecology, family planning, preconception, prenatal,
intrapartum, postpartum, and newborn care. Their scope is not limited to intrapartum care (Option A),
not restricted to hospital-based physician-supervised care (Option C), and does not focus exclusively on
high-risk management (Option D).
Reference: Chapter 1 — Scope of Midwifery Practice
, MCQ E1-2
The American Midwifery Certification Board (AMCB) is responsible for:
- A. Establishing state licensure laws for midwives
- B. Developing the national certification examination for CNMs and CMs
- C. Accrediting midwifery education programs
- D. Determining hospital privileging requirements for midwives
ANSWER KEY — E1-2
Correct Answer: B
Rationale:
The AMCB is the national certifying body that develops and administers the certification examination for
Certified Nurse-Midwives (CNMs) and Certified Midwives (CMs). State licensure laws are established by
individual state legislatures and boards (Option A). Accreditation of midwifery education programs is the
responsibility of the Accreditation Commission for Midwifery Education (ACME) (Option C). Hospital
privileging requirements are determined by individual healthcare institutions, not the AMCB (Option D).
Reference: Chapter 1 — Midwifery Certification and Regulation
MCQ E1-3
Which of the following is a fundamental hallmark of midwifery care according to the Core Competencies
for Basic Midwifery Practice?
- A. Treating pregnancy as a high-risk condition requiring continuous medical intervention