Practice Test Geeks(NARM) North American Registry of Midwives Practice Test

NARM Cheat Sheet 2026

The 30 highest-yield NARM facts, distilled from real exam questions. Print it, save it as a PDF, or study it here โ€” free, no sign-up.

NARM exam key facts

  • The NARM Examination has 300 multiple-choice questions given in two parts. Source
  • The NARM Examination allows three hours for each of its two parts. Source
  • Candidates can take the NARM Examination once every two months, up to six times a year, with no lifetime maximum. Source
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150 questions
180 min time limit
70% to pass
  1. Which medication is commonly used to control nausea and vomiting during pregnancy, especially in cases of hyperemesis gravidarum? โ†’ Ondansetron (Zofran)
  2. A client has a sudden heavy bleed on postpartum day 10 with a uterus larger and softer than expected. What is the most likely cause? โ†’ Subinvolution or retained placental fragments
  3. What is the expected timeframe for a postpartum woman to achieve her first spontaneous void after an uncomplicated vaginal delivery? โ†’ Within 6โ€“8 hours of delivery
  4. Which of the following is the FIRST-LINE treatment for eclamptic seizures in a laboring client? โ†’ Magnesium sulfate 4-6g IV loading dose
  5. What is the normal resting heart rate range for a term newborn? โ†’ 110-160 bpm
  6. Signs of neonatal jaundice? โ†’ Yellow skin and eyes from elevated bilirubin
  7. Two hours after birth, the fundus is boggy, above the umbilicus, and deviated to the right. What should the midwife do first? โ†’ Help the client empty her bladder
  8. On critical congenital heart disease (CCHD) pulse oximetry screening at 24 hours or later, which result is an immediate fail? โ†’ Any reading below 90%
  9. A CPM practicing in a state where CPMs are not licensed receives a complaint from a client. Which entity has jurisdiction to investigate the complaint? โ†’ NARM, through its ethics and discipline process
  10. What is the primary intervention for managing shoulder dystocia during vaginal delivery? โ†’ Using the McRoberts maneuver and applying suprapubic pressure
  11. Which screening tool is most widely validated and recommended for postpartum depression screening in midwifery practice? โ†’ Edinburgh Postnatal Depression Scale (EPDS)
  12. Which of the following is a sign of effective latch and milk transfer? โ†’ Audible swallowing with a wide gape and chin touching the breast
  13. According to NARM standards of practice, when should the first postpartum home visit occur after an uncomplicated home birth? โ†’ Within 24โ€“48 hours of delivery
  14. What newborn screening tests are done? โ†’ Blood spot for metabolic conditions, hearing screen, pulse oximetry
  15. In fetal circulation, which structure shunts blood from the right atrium directly to the left atrium? โ†’ Foramen ovale
  16. What is the primary purpose of conducting a non-stress test (NST) in the third trimester of pregnancy? โ†’ To evaluate fetal heart rate patterns in response to fetal movements
  17. When does ovulation typically occur in a 28-day cycle? โ†’ Day 14
  18. Asymmetric Moro reflex with decreased movement of one arm after a shoulder dystocia most likely indicates what? โ†’ Brachial plexus injury or clavicle fracture
  19. What is neonatal hypoglycemia? โ†’ Low blood sugar causing jitteriness, poor feeding, lethargy, possibly seizures
  20. What is intermittent auscultation? โ†’ Periodic fetal heart rate monitoring during labor using doppler
  21. On day 3 postpartum, a client is tearful and irritable but sleeps when the baby sleeps, bonds well, and functions normally. What is the most likely explanation? โ†’ Postpartum blues
  22. A newborn is born limp and apneic at 1 minute of life. After 30 seconds of positive pressure ventilation, heart rate is 55 bpm. What is the next step? โ†’ Begin chest compressions at a 3:1 ratio with PPV
  23. When should first breastfeeding occur? โ†’ Within first hour during skin-to-skin
  24. Jaundice that appears within the first 24 hours of life should be treated as what? โ†’ Pathologic until proven otherwise
  25. What is Group B Strep screening? โ†’ Test at 35-37 weeks for bacteria that could infect baby during birth
  26. Which newborn scalp swelling crosses suture lines and is present at birth? โ†’ Caput succedaneum
  27. What is informed consent in midwifery? โ†’ Comprehensive information for voluntary, knowledgeable decisions
  28. Persistent, bilious (green) vomiting in a newborn requires urgent evaluation for which condition? โ†’ Intestinal malrotation with volvulus
  29. Which finding on newborn exam needs prompt referral rather than reassurance? โ†’ An absent red reflex in one eye
  30. A midwife administers carboprost (Hemabate) for uterine atony. Which condition is an absolute contraindication for this prostaglandin F2ฮฑ analog? โ†’ Asthma
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How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy

Sources & references

Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy

  1. info.narm.org โ€” Exam information ยท verified Oct 2026
  2. narm.org โ€” Exam format, retake policy, time limit, test delivery, score release, eligibility, exam information ยท verified Oct 2026