Page 1 of 166
NEW YORK MIDWIFE LICENSING ACTUAL
EXAM 2026/2027 COMPLETE ACCURATE
EXAM REAL QUESTIONS WITH WELL
ELABORATED ANSWERS. (100% CORRECT
VERIFIED SOLUTIONS)
1. In New York State, midwifery practice is regulated by which
entity?
a) NYS Department of Health (DOH)
b) NYS Education Department (NYSED), Office of the
Professions
c) American College of Nurse-Midwives (ACNM)
d) NYS Board of Midwifery under DOH
,Page 2 of 166
Answer: b) NYS Education Department, Office of the
Professions
Rationale: The NYS Education Law, Title VIII, Article 140
regulates midwifery. The Office of the Professions licenses and
disciplines midwives.
2. A licensed midwife in NYS must have a written collaborative
practice agreement with a physician unless:
a) Practicing in a hospital setting
b) Practicing in a rural area with no physician
c) The midwife has 5+ years of experience
d) No exception; a written agreement is always required
Answer: d) No exception; a written agreement is always
required
Rationale: NYS Education Law §6955 mandates a written
collaborative practice agreement with a licensed physician in
the same or nearby geographic area for all practicing
midwives.
,Page 3 of 166
3. A midwife in NYS may prescribe controlled substances:
a) Only Schedule II-V with DEA registration and collaborative
agreement specifying prescribing
b) Only non-controlled prescriptions
c) Only under direct physician supervision on-site
d) Never; only physicians prescribe controlled substances in NY
Answer: a) Only Schedule II-V with DEA registration and
collaborative agreement specifying prescribing
Rationale: Midwives in NYS have limited prescriptive authority
for Schedules II-V but must have DEA registration and
collaborative agreement details.
4. The required physician-midwife collaborative agreement
must be reviewed and updated at least every:
a) 6 months
b) 1 year
c) 2 years
d) 3 years
, Page 4 of 166
Answer: c) 2 years
Rationale: NYS Regents Rules §29.7(b) requires review and
updating of the collaborative agreement every 2 years.
5. A midwife suspects domestic violence in a pregnant patient.
Under NYS law, the midwife must:
a) Ask the patient directly and report to police only if patient
consents
b) Report to NYS Office of Children and Family Services if a
child is at risk (including unborn)
c) Maintain confidentiality unless patient gives written
permission
d) Report to the patient’s physician immediately
Answer: b) Report to NYS Office of Children and Family
Services if a child is at risk (including unborn)
Rationale: NYS Social Services Law §413 mandates
mandated reporters (including midwives) report suspected
NEW YORK MIDWIFE LICENSING ACTUAL
EXAM 2026/2027 COMPLETE ACCURATE
EXAM REAL QUESTIONS WITH WELL
ELABORATED ANSWERS. (100% CORRECT
VERIFIED SOLUTIONS)
1. In New York State, midwifery practice is regulated by which
entity?
a) NYS Department of Health (DOH)
b) NYS Education Department (NYSED), Office of the
Professions
c) American College of Nurse-Midwives (ACNM)
d) NYS Board of Midwifery under DOH
,Page 2 of 166
Answer: b) NYS Education Department, Office of the
Professions
Rationale: The NYS Education Law, Title VIII, Article 140
regulates midwifery. The Office of the Professions licenses and
disciplines midwives.
2. A licensed midwife in NYS must have a written collaborative
practice agreement with a physician unless:
a) Practicing in a hospital setting
b) Practicing in a rural area with no physician
c) The midwife has 5+ years of experience
d) No exception; a written agreement is always required
Answer: d) No exception; a written agreement is always
required
Rationale: NYS Education Law §6955 mandates a written
collaborative practice agreement with a licensed physician in
the same or nearby geographic area for all practicing
midwives.
,Page 3 of 166
3. A midwife in NYS may prescribe controlled substances:
a) Only Schedule II-V with DEA registration and collaborative
agreement specifying prescribing
b) Only non-controlled prescriptions
c) Only under direct physician supervision on-site
d) Never; only physicians prescribe controlled substances in NY
Answer: a) Only Schedule II-V with DEA registration and
collaborative agreement specifying prescribing
Rationale: Midwives in NYS have limited prescriptive authority
for Schedules II-V but must have DEA registration and
collaborative agreement details.
4. The required physician-midwife collaborative agreement
must be reviewed and updated at least every:
a) 6 months
b) 1 year
c) 2 years
d) 3 years
, Page 4 of 166
Answer: c) 2 years
Rationale: NYS Regents Rules §29.7(b) requires review and
updating of the collaborative agreement every 2 years.
5. A midwife suspects domestic violence in a pregnant patient.
Under NYS law, the midwife must:
a) Ask the patient directly and report to police only if patient
consents
b) Report to NYS Office of Children and Family Services if a
child is at risk (including unborn)
c) Maintain confidentiality unless patient gives written
permission
d) Report to the patient’s physician immediately
Answer: b) Report to NYS Office of Children and Family
Services if a child is at risk (including unborn)
Rationale: NYS Social Services Law §413 mandates
mandated reporters (including midwives) report suspected
