NARM Study Guide 2026

Everything you need to pass the NARM 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.

📋 NARM Exam Format at a Glance

150
Questions
180 min
Time Limit
70%
Passing Score

📚 NARM Topics to Study (31)

✍️ Sample NARM Questions & Answers

1. What are the three stages of labor?
Cervical dilation, delivery of baby, delivery of placenta

Labor has three distinct stages from start to completion.

2. What is normal fetal heart rate during labor?
110-160 beats per minute

Normal range is faster than an adult heart rate.

3. Which screening tool is most widely validated and recommended for postpartum depression screening in midwifery practice?
Edinburgh Postnatal Depression Scale (EPDS)

The Edinburgh Postnatal Depression Scale (EPDS) is the most widely used and validated screening tool specifically designed and normed for the postpartum population.

4. 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?
NARM, through its ethics and discipline process

NARM has jurisdiction over CPM credential holders regardless of state licensure status through its own ethics and disciplinary process.

5. Cultural competency in midwifery?
Respect diverse practices and beliefs while maintaining safety

Respecting diversity while maintaining safety is essential.

6. During active labor, late decelerations are observed on the fetal monitor with each contraction. The initial nursing/midwifery intervention is to:
Reposition client to lateral decubitus and administer IV fluid bolus

Late decelerations suggest uteroplacental insufficiency; repositioning improves uterine perfusion and IV fluids increase maternal cardiac output as first-line interventions.

🎯 Free NARM Practice Tests

📖 NARM Guides & Articles

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