CPM Study Guide 2026

Everything you need to pass the CPM exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 CPM Exam Format at a Glance

200
Questions
240 min
Time Limit
75%
Passing Score

📚 CPM Topics to Study (21)

✍️ Sample CPM Questions & Answers

1. The ischial spines are used as a landmark for which clinical assessment in labor?
Fetal station

Fetal station is measured in centimeters above or below the ischial spines, with 0 station meaning the presenting part is level with the spines.

2. Which ethical principle is most directly applicable to medical ethics and law?
Beneficence — acting in the patient's best interest

Beneficence, the principle of acting in the patient's best interest, is fundamental to ethical practice in medical ethics and law.

3. A postpartum client presents with a firm, midline uterus but reports saturating a pad in 15 minutes. What is the most likely cause?
Cervical or vaginal laceration

A firm, contracted uterus with excessive bleeding points to a cervical or vaginal laceration rather than uterine atony, which would present with a boggy uterus.

4. Which maneuver is the first-line intervention for shoulder dystocia?
McRoberts maneuver with suprapubic pressure

The McRoberts maneuver (hyperflexion of maternal thighs) combined with suprapubic pressure is the first-line intervention for shoulder dystocia, resolving the majority of cases without further maneuvers.

5. Which fetal structure connects the umbilical vein to the inferior vena cava, bypassing the liver?
Ductus venosus

The ductus venosus is a fetal shunt that carries oxygenated blood from the umbilical vein directly to the inferior vena cava, allowing most placental blood to bypass the hepatic circulation.

6. What role does documentation play in patient safety protocols?
It is a critical legal and clinical requirement

Thorough documentation in patient safety protocols is both a legal requirement and essential for continuity of patient care.

🎯 Free CPM Practice Tests

📖 CPM Guides & Articles

Your CPM Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation