Preparing for the NARM exam? A printable NARM practice test PDF lets you review questions, test your knowledge offline, and build the exam readiness that timed, screen-based testing demands. Whether you are studying at home, commuting, or revisiting weak areas on paper, a printed practice test remains one of the most effective preparation formats available. This page provides a free PDF download and a structured study guide for the NARM examination. Practice with the free North American Registry of Midwives practice test on PracticeTestGeeks (7 questions with answer explanations).
The NARM assessment tests candidates on the core competencies required for certification or qualification in the field. A strong preparation strategy combines repeated practice testing with targeted review of areas where accuracy falls below 70%. Use this PDF alongside the online NARM practice tests on this site for the most complete preparation experience — paper for review and annotation, online for timed simulation with instant scoring.
Candidates are tested across the primary knowledge domains that define competency in the NARM field. Each domain contributes a weighted percentage of the total scored questions. High-weight domains deserve proportionally more preparation time. The exam format is typically multiple-choice, and understanding the question structure — identifying the best answer rather than the first correct-sounding one — is as important as content knowledge.
Common high-priority areas include foundational theory, applied practice, regulations or standards governing the field, and scenario-based reasoning that tests judgment under realistic conditions. Review official exam content outlines from the certifying body to confirm current domain weights before your examination date, as content outlines are updated periodically.
Print the PDF, set a timer proportional to the number of questions, and complete each section without reference materials to simulate real exam conditions. After grading, categorize every incorrect answer by domain to build a targeted error log. Prioritize re-study in your weakest domains, then take an additional timed practice session to confirm improvement. Repeat the cycle until accuracy is consistently above 75% across all domains.
Facts verified Oct 21, 2026 against North American Registry of Midwives. Dates that have passed are removed automatically.
Facts verified Oct 21, 2026 against North American Registry of Midwives. Dates that have passed are removed automatically.
| Item | Detail | Official source |
|---|---|---|
| Number of questions | 300 multiple-choice questions in two parts | North American Registry of Midwives |
| Passing score | Scaled score of 75 (about 79%–81% raw) | North American Registry of Midwives |
| Exam fee | $1,155 exam fee (PEP and state-licensed applicants); included in the $1,365 MEAC graduate application fee | North American Registry of Midwives |
| Retake fee | $210 per retake | North American Registry of Midwives |
| Retake policy | Once every 2 months, max 6 times a year; no lifetime limit | North American Registry of Midwives |
| Renewal | $216 recertification fee; 25 contact hours + mandatory requirements, or retake the exam; $270 if filed within 90 days after expiration | North American Registry of Midwives |
| Delivery | Computer-based at Prometric test centers or by live remote proctor; paper on request for cultural/religious reasons | North American Registry of Midwives |
| Eligibility | Five routes: PEP, MEAC graduate, US state-licensed midwife, AMCB CNM/CM, UK registered midwife | North American Registry of Midwives |
| Score release | Emailed within 3 business days; official NARM letter 2–3 weeks later | North American Registry of Midwives |
| Testing window | Year-round, on demand after approval | North American Registry of Midwives |
Facts verified Oct 21, 2026 against North American Registry of Midwives. Dates that have passed are removed automatically.
Interactive North American Registry of Midwives resources on PracticeTestGeeks, free to start:
Before attempting practice tests, ensure you have reviewed the official study materials for the NARM exam. Most certifying bodies publish a candidate handbook or content outline that lists exactly what knowledge is tested. Read this document first — it tells you not only what to study but also what to ignore. Allocate study time in proportion to domain weights: spend more time on high-weight domains and less on domains you already know well.
Once you have reviewed the content, move to practice testing. Each practice test session should be treated as a diagnostic: the questions you answer incorrectly are more valuable than the ones you answer correctly. Keep an error log organized by domain. After three to four practice tests, patterns in your errors will become clear. These patterns tell you exactly where to concentrate additional study effort.
In the week before the NARM exam, focus on review rather than new learning. Take one full-length timed practice test to confirm readiness, then spend the remaining days reviewing your error log and reinforcing the concepts behind your most common mistakes. Avoid cramming new material in the final 48 hours — consolidation of existing knowledge is more valuable at that stage than attempting to add new content.
After completing this PDF, take full online NARM practice tests at NARM practice test — instant scoring with explanations for every answer. Use both formats together: this PDF for offline review and annotation, the online tests for timed simulation with immediate feedback. Together they give you the most complete NARM exam preparation available on a single platform.
Try these questions from our free North American Registry of Midwives practice tests. The correct answer and an explanation follow each question.
CPM scope of practice limitations?
Answer: A. Physiologic pregnancies only; must refer complications to physicians
This credential covers normal pregnancies with clear boundaries.
When a midwife identifies a situation beyond her scope of practice during labor, the most appropriate action is to:
Answer: B. Initiate emergency transport and consult or transfer care to an appropriate provider
When a situation exceeds the midwife's scope, immediate consultation, collaboration, or transfer to an appropriate provider is the professional and ethical obligation.
The NARM Skills Assessment requires demonstration of competency in which of the following?
Answer: B. Newborn resuscitation, including bag-mask ventilation
Newborn resuscitation, including effective bag-mask ventilation, is a core clinical skill assessed in the NARM Skills Assessment for CPM candidates.
According to NARM standards of practice, when should the first postpartum home visit occur after an uncomplicated home birth?
Answer: A. Within 24–48 hours of delivery
NARM standards require the attending midwife to conduct a home visit within 24–48 hours of delivery to assess maternal and newborn wellbeing and detect early complications.
Take the full North American Registry of Midwives practice test