NARM EXAM 2026 ACTUAL TEST PAPER
COMPLETE SOLUTIONS VERIFIED
◉ What can you conclude about clients who tested positive for COVID-
19 and had abnormal placentas? Answer: This is anecdotal evidence; it is
an interesting observation but not conclusive.
◉ What should you do if state law requires transferring care to an
obstetrician at 42.0 weeks, but your guidelines allow care up to 42.6
weeks? Answer: The state laws supersede your Practice Guidelines and
must be followed.
◉ How should you respond to a client who does not want a vaginal
exam during labor? Answer: Explain situations when a vaginal exam
might be necessary and the implications of not performing one.
◉ What is the appropriate action if a client makes a treatment decision
you believe is wrong? Answer: Discuss the risks and benefits of her
chosen treatment and alternative options, then follow her decision unless
it risks her out of your care.
◉ What is the benefit of encouraging Abril's husband to attend a birth
class? Answer: He may need childbirth education since he hasn't been
attending prenatal appointments.
,◉ What should you give to Abril's husband to help him understand labor
and postpartum? Answer: Provide him with paperwork about labor,
birth, and the postpartum period in Spanish.
◉ What does it imply if you observe abnormalities in more than 50% of
placentas from COVID-19 positive clients? Answer: This would be
considered definitive proof that COVID-19 increases the rate of
placental abnormalities.
◉ What should you do if a client refuses a vaginal exam and you believe
it is essential? Answer: You should explain the potential need for a
vaginal exam and the possible consequences of not performing one.
◉ What is the first step if a client makes a treatment decision you
disagree with? Answer: Ensure she fully understands the risks of her
chosen treatment and the benefits of your recommendation.
◉ What is the legal implication of continuing care beyond 42 weeks in a
regulated state? Answer: You must follow state laws that require
transferring care at 42.0 weeks.
◉ What should you do if a client's decision risks her out of your care?
Answer: Begin the process of transferring care, explaining why you feel
this is necessary.
,◉ What is the importance of a bilingual assistant during labor for non-
English speaking partners? Answer: It allows for direct communication
without relying on the laboring partner as a translator.
◉ What should be included in the discussion with a client about her
treatment options? Answer: Discuss risks and benefits of her chosen
treatment, alternative treatments, and the option of doing nothing.
◉ What does the term 'anecdotal evidence' imply in a clinical context?
Answer: It refers to observations that are interesting but not
scientifically conclusive.
◉ What should you do if a client is not aware of the implications of
refusing a vaginal exam? Answer: Explain the potential need for the
exam and the risks of not performing it.
◉ What is the significance of providing information in a client's
preferred language? Answer: It ensures they fully understand their care
and can make informed decisions.
◉ What is the ethical consideration when a client refuses a procedure?
Answer: Respect their autonomy while ensuring they are informed about
the consequences.
, ◉ What is the role of practice guidelines in relation to state laws?
Answer: Practice guidelines should be updated to reflect state laws that
must be followed.
◉ What should you do if you believe a client's treatment decision is
unsafe? Answer: Discuss the risks and benefits thoroughly and follow
her decision unless it risks her safety.
◉ What is the potential outcome of not providing a vaginal exam when
necessary? Answer: It may require transferring care in situations that
could have been managed if an exam was performed.
◉ What is a key factor in ensuring a supportive environment for a
laboring client? Answer: Effective communication between the client
and her support partner, especially if language barriers exist.
◉ What is the importance of childbirth education for partners? Answer:
It prepares them to be supportive during labor and enhances their
understanding of the process.
◉ What should you do before discussing a client's previous pregnancy
with a student midwife? Answer: You should have obtained your client's
permission before disclosing details of her previous care.
COMPLETE SOLUTIONS VERIFIED
◉ What can you conclude about clients who tested positive for COVID-
19 and had abnormal placentas? Answer: This is anecdotal evidence; it is
an interesting observation but not conclusive.
◉ What should you do if state law requires transferring care to an
obstetrician at 42.0 weeks, but your guidelines allow care up to 42.6
weeks? Answer: The state laws supersede your Practice Guidelines and
must be followed.
◉ How should you respond to a client who does not want a vaginal
exam during labor? Answer: Explain situations when a vaginal exam
might be necessary and the implications of not performing one.
◉ What is the appropriate action if a client makes a treatment decision
you believe is wrong? Answer: Discuss the risks and benefits of her
chosen treatment and alternative options, then follow her decision unless
it risks her out of your care.
◉ What is the benefit of encouraging Abril's husband to attend a birth
class? Answer: He may need childbirth education since he hasn't been
attending prenatal appointments.
,◉ What should you give to Abril's husband to help him understand labor
and postpartum? Answer: Provide him with paperwork about labor,
birth, and the postpartum period in Spanish.
◉ What does it imply if you observe abnormalities in more than 50% of
placentas from COVID-19 positive clients? Answer: This would be
considered definitive proof that COVID-19 increases the rate of
placental abnormalities.
◉ What should you do if a client refuses a vaginal exam and you believe
it is essential? Answer: You should explain the potential need for a
vaginal exam and the possible consequences of not performing one.
◉ What is the first step if a client makes a treatment decision you
disagree with? Answer: Ensure she fully understands the risks of her
chosen treatment and the benefits of your recommendation.
◉ What is the legal implication of continuing care beyond 42 weeks in a
regulated state? Answer: You must follow state laws that require
transferring care at 42.0 weeks.
◉ What should you do if a client's decision risks her out of your care?
Answer: Begin the process of transferring care, explaining why you feel
this is necessary.
,◉ What is the importance of a bilingual assistant during labor for non-
English speaking partners? Answer: It allows for direct communication
without relying on the laboring partner as a translator.
◉ What should be included in the discussion with a client about her
treatment options? Answer: Discuss risks and benefits of her chosen
treatment, alternative treatments, and the option of doing nothing.
◉ What does the term 'anecdotal evidence' imply in a clinical context?
Answer: It refers to observations that are interesting but not
scientifically conclusive.
◉ What should you do if a client is not aware of the implications of
refusing a vaginal exam? Answer: Explain the potential need for the
exam and the risks of not performing it.
◉ What is the significance of providing information in a client's
preferred language? Answer: It ensures they fully understand their care
and can make informed decisions.
◉ What is the ethical consideration when a client refuses a procedure?
Answer: Respect their autonomy while ensuring they are informed about
the consequences.
, ◉ What is the role of practice guidelines in relation to state laws?
Answer: Practice guidelines should be updated to reflect state laws that
must be followed.
◉ What should you do if you believe a client's treatment decision is
unsafe? Answer: Discuss the risks and benefits thoroughly and follow
her decision unless it risks her safety.
◉ What is the potential outcome of not providing a vaginal exam when
necessary? Answer: It may require transferring care in situations that
could have been managed if an exam was performed.
◉ What is a key factor in ensuring a supportive environment for a
laboring client? Answer: Effective communication between the client
and her support partner, especially if language barriers exist.
◉ What is the importance of childbirth education for partners? Answer:
It prepares them to be supportive during labor and enhances their
understanding of the process.
◉ What should you do before discussing a client's previous pregnancy
with a student midwife? Answer: You should have obtained your client's
permission before disclosing details of her previous care.
