NARM STUDY QUESTIONS (THE 700 SET
QUESTION NARM STUDY GUIDE) |
VERIFIED ANSWERS | 2026 UPDATE |
100% CORRECT - MIDWIVES COLLEGE OF
UTAH
**1. "Midwives believe that every woman has a right to a safe,
satisfying birth in the setting of her own choice, with respect
for human dignity, cultural sensitivity, and informed choice."
This statement is an example of a:**
**Answer:** Philosophy of Care
**Rationale:** This statement reflects the core values and
beliefs that guide midwifery practice. It is not a legal document
(scope of practice), a clinical protocol (standard of care), or a
code of ethics, though it aligns with ethical principles. The
philosophy emphasizes the midwife's role in supporting the
client's autonomy and choice, which is foundational to the
midwifery model of care .
,---
**2. According to the NARM written test specifications, which
of the following is a key competency in the area of professional
responsibilities?**
**Answer:** Applies understanding of human rights and their
effects on the health of individuals
**Rationale:** The NARM test specifications for professional
responsibilities explicitly include applying understanding of
human rights and their effects on health, including domestic
partner violence, female genital cutting, cultural effects of
religious beliefs, gender roles, and other cultural health
practices. This reflects the midwife's role in providing culturally
sensitive and rights-based care .
---
**3. What is the most appropriate method for documenting a
client's informed consent for a home birth?**
,**Answer:** A signed written consent form that outlines the
scope of care, risks, benefits, and alternatives
**Rationale:** Informed consent requires that the client
understands the information provided and voluntarily agrees to
the plan of care. A signed written consent form serves as legal
documentation that the client has been fully informed and
provides the best protection for both the client and the
midwife. Verbal agreement alone or email confirmation
without a signature does not provide adequate documentation
.
---
**4. A client at 30 weeks gestation presents with a fundal
height that is 5 cm less than expected. Which finding would
most strongly suggest intrauterine growth restriction (IUGR)?**
**Answer:** Elevated maternal blood pressure
**Rationale:** Maternal hypertension is a common cause of
placental insufficiency, which can lead to intrauterine growth
restriction (IUGR). When fundal height measurements deviate
by more than 3 cm from the expected gestational age, this
, warrants evaluation for IUGR, polyhydramnios, or
oligohydramnios. Elevated blood pressure is a key risk factor for
IUGR as it can compromise placental blood flow and nutrient
delivery to the fetus .
---
**5. Which of the following is NOT a component of a standard
newborn physical exam?**
**Answer:** Administration of the rotavirus vaccine at birth
**Rationale:** The rotavirus vaccine is not administered at
birth. The standard newborn physical exam includes
assessment of cranial sutures and fontanelles, evaluation of the
Moro reflex, and measurement of head circumference. The
rotavirus vaccine is typically given at 2 months of age as part of
the routine childhood immunization schedule .
---
**6. In the context of a home birth, which emergency transfer
plan element is essential?**
QUESTION NARM STUDY GUIDE) |
VERIFIED ANSWERS | 2026 UPDATE |
100% CORRECT - MIDWIVES COLLEGE OF
UTAH
**1. "Midwives believe that every woman has a right to a safe,
satisfying birth in the setting of her own choice, with respect
for human dignity, cultural sensitivity, and informed choice."
This statement is an example of a:**
**Answer:** Philosophy of Care
**Rationale:** This statement reflects the core values and
beliefs that guide midwifery practice. It is not a legal document
(scope of practice), a clinical protocol (standard of care), or a
code of ethics, though it aligns with ethical principles. The
philosophy emphasizes the midwife's role in supporting the
client's autonomy and choice, which is foundational to the
midwifery model of care .
,---
**2. According to the NARM written test specifications, which
of the following is a key competency in the area of professional
responsibilities?**
**Answer:** Applies understanding of human rights and their
effects on the health of individuals
**Rationale:** The NARM test specifications for professional
responsibilities explicitly include applying understanding of
human rights and their effects on health, including domestic
partner violence, female genital cutting, cultural effects of
religious beliefs, gender roles, and other cultural health
practices. This reflects the midwife's role in providing culturally
sensitive and rights-based care .
---
**3. What is the most appropriate method for documenting a
client's informed consent for a home birth?**
,**Answer:** A signed written consent form that outlines the
scope of care, risks, benefits, and alternatives
**Rationale:** Informed consent requires that the client
understands the information provided and voluntarily agrees to
the plan of care. A signed written consent form serves as legal
documentation that the client has been fully informed and
provides the best protection for both the client and the
midwife. Verbal agreement alone or email confirmation
without a signature does not provide adequate documentation
.
---
**4. A client at 30 weeks gestation presents with a fundal
height that is 5 cm less than expected. Which finding would
most strongly suggest intrauterine growth restriction (IUGR)?**
**Answer:** Elevated maternal blood pressure
**Rationale:** Maternal hypertension is a common cause of
placental insufficiency, which can lead to intrauterine growth
restriction (IUGR). When fundal height measurements deviate
by more than 3 cm from the expected gestational age, this
, warrants evaluation for IUGR, polyhydramnios, or
oligohydramnios. Elevated blood pressure is a key risk factor for
IUGR as it can compromise placental blood flow and nutrient
delivery to the fetus .
---
**5. Which of the following is NOT a component of a standard
newborn physical exam?**
**Answer:** Administration of the rotavirus vaccine at birth
**Rationale:** The rotavirus vaccine is not administered at
birth. The standard newborn physical exam includes
assessment of cranial sutures and fontanelles, evaluation of the
Moro reflex, and measurement of head circumference. The
rotavirus vaccine is typically given at 2 months of age as part of
the routine childhood immunization schedule .
---
**6. In the context of a home birth, which emergency transfer
plan element is essential?**
