TheoryCNM Nurse Midwife Exam Prep Study Guide
Study for the CNM Nurse Midwife Exam Prep with exam topics, practice questions, a free PDF, video walkthrough and timed mock exam links.
How to study for CNM Nurse Midwife Exam Prep
- Read the topic list so you know what the exam is likely to cover.
- Answer the free practice questions and read every explanation.
- Download the PDF for offline review.
- Use timed mock exams when your untimed practice feels comfortable.
Topics to review
- Safe and effective care environment
- Health promotion and maintenance
- Psychosocial and physiological integrity
- Pharmacology, infection control and patient safety
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Q1For which patient is misoprostol contraindicated?
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✓ Correct answer: A patient with a history of cesarean section
Answer: A patient with a history of cesarean section Misoprostol is contraindicated in patients with a history of cesarean section or major uterine surgery due to the increased risk of uterine rupture. Misoprostol is commonly used for medical management of various obstetric conditions, such as labor induction and treatment of postpartum hemorrhage.
Q2Which of the following measures has been shown to reduce the duration of the second stage of labor?
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✓ Correct answer: Upright positions during pushing
Answer: Upright positions during pushing. Upright positions during pushing, such as squatting or sitting, utilize gravity to assist in the descent of the baby, often shortening the second stage of labor. Cold compresses are not shown to reduce the duration of labor, although they might provide comfort. Frequent position changes and continuous vocal coaching are beneficial practices but do not specifically decrease the duration of the second stage.
Q3A 40-year-old woman presents to the midwifery clinic with a 3-month history of heavy and irregular menstrual periods. Which of the following is the priority intervention?
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✓ Correct answer: Perform a transvaginal ultrasound
Answer: Perform a transvaginal ultrasound The primary concern with heavy and irregular menstrual periods could be endometrial hyperplasia or carcinoma, so assessing the endometrial lining is critical. While oral contraceptives may help to regulate menstruation, it is essential to first rule out potential serious conditions like endometrial pathology. Endometrial ablation can be considered after other causes have been ruled out. Iron supplementation addresses blood loss but does not address the underlying cause of the irregular bleeding.
Q4A patient presents with cervicitis. What is one of the bacterial pathogens that can cause this condition?
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✓ Correct answer: Chlamydia trachomatis
Answer: Chlamydia trachomatis Chlamydia trachomatis is a common bacterial cause of cervicitis. Human Papillomavirus (HPV) is a viral infection that can cause genital warts and cervical cancer but is not typically a cause of cervicitis. Candida albicans is a fungal pathogen that causes yeast infections, not cervicitis. Herpes Simplex Virus (HSV) causes genital herpes, not cervicitis.
Q5A 30-year-old patient comes in for her annual check-up and mentions she wants to start on oral contraceptive pills. She is concerned about needing a mammogram first because her mother had breast cancer. The midwife proceeds with the consultation. Which statement by the patient indicates that she requires further education?
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✓ Correct answer: "I will need a mammogram before I can get started on oral contraceptive pills."
Answer: "I will need a mammogram before I can get started on oral contraceptive pills." A mammogram is not required before starting oral contraceptive pills. Breast cancer screening typically starts at age 40 or earlier for those with a significant family history, but it is not a prerequisite for contraception initiation. Oral contraceptives do not protect against STIs, need to be taken consistently, and any severe side effects should be reported immediately.
Q6A midwife has identified a patient with endometriosis. What should be the primary focus of the midwife’s education?
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✓ Correct answer: Management of chronic pelvic pain with hormone therapy or surgery
Answer: Management of chronic pelvic pain with hormone therapy or surgery Patients with endometriosis often suffer from chronic pelvic pain. Treatment options include hormone therapy and surgical interventions to remove endometrial tissue. Over-the-counter pain relief can provide temporary comfort but is not a primary strategy. Frequent pelvic exams are important for monitoring but must be coupled with appropriate treatment. Dietary changes alone cannot manage endometriosis symptoms.
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