Certified Midwife Exam Prep Certified Nurse Midwife 2

Question 1

A laboring patient at 39 weeks gestation has a fetal heart rate baseline of 155 bpm with moderate variability and two accelerations in 20 minutes. How should the CNM interpret this tracing?

Accepted Answer

Category I (normal)

Answer

A baseline of 155 bpm with moderate variability and accelerations meets all criteria for a Category I (normal) fetal heart rate tracing.

Question 2

Which medication is the preferred first-line treatment for postpartum hemorrhage caused by uterine atony?

Accepted Answer

Oxytocin (Pitocin)

Answer

Oxytocin is the first-line uterotonic agent for postpartum hemorrhage due to its safety profile, effectiveness, and rapid onset.

Question 3

A newborn at 1 minute of life has a heart rate of 90 bpm, irregular respirations, grimace to stimulation, blue extremities, and flexed muscle tone. What is the Apgar score?

Accepted Answer

6

Answer

Heart rate <100 (1) + irregular respirations (1) + grimace (1) + blue extremities/pink body (1) + flexed tone (1) = Apgar score of 6.

Question 4

A G2P1 patient at 28 weeks presents with painless bright red vaginal bleeding. Which condition should be highest on the differential?

Accepted Answer

Placenta previa

Answer

Painless bright red vaginal bleeding in the second or third trimester is the classic presentation of placenta previa.

Question 5

Under the Midwifery Model of Care, what is the primary role of the CNM when a patient has a normal, low-risk pregnancy?

Accepted Answer

Provide surveillance, support, and minimal intervention while promoting physiologic birth

Answer

The midwifery model emphasizes supporting physiologic processes, minimizing unnecessary interventions, and partnering with families in informed decision-making.

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Practice Test

Certified Midwife Exam Prep Certified Nurse Midwife 2