NARM Professional Standards — Questions and Answers
Question 1: What is informed consent in midwifery?
- Comprehensive information for voluntary, knowledgeable decisions (Correct answer)
- Getting a signature
- Telling client what to do
- Following protocols without discussion
Correct answer: Comprehensive information for voluntary, knowledgeable decisions
Clients must understand information before deciding.
Question 2: CPM scope of practice limitations?
- Physiologic pregnancies only; must refer complications to physicians (Correct answer)
- Can perform surgery
- No limitations
- Can prescribe all medications
Correct answer: Physiologic pregnancies only; must refer complications to physicians
This credential covers normal pregnancies with clear boundaries.
Question 3: What documentation is required per visit?
- Vitals, fetal heart tones, fundal height, UA results, concerns, plan (Correct answer)
- Only the date
- Just weight
- No documentation
Correct answer: Vitals, fetal heart tones, fundal height, UA results, concerns, plan
Comprehensive records are essential at every visit.
Question 4: What is the NARM certification process?
- Education program, clinical experience, written exam, skills assessment (Correct answer)
- Weekend workshop
- Written test only
- Self-certification
Correct answer: Education program, clinical experience, written exam, skills assessment
Multiple components are required for certification.
Question 5: Client confidentiality obligations?
- All health info confidential, shared only with consent or as legally required (Correct answer)
- Share with anyone
- Optional
- Only medical records
Correct answer: All health info confidential, shared only with consent or as legally required
Health information privacy is fundamental.
Question 6: Obligation when client refuses recommended care?
- Respect autonomy, ensure understanding of risks, document refusal, continue care (Correct answer)
- Refuse to continue care
- Override wishes
- Report to authorities
Correct answer: Respect autonomy, ensure understanding of risks, document refusal, continue care
Client autonomy must be respected.
NARM Professional Standards
What is informed consent in midwifery?