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AMCB CNM Exam Practice Questions and Answers, Exams of Nursing

A comprehensive set of practice questions and answers tailored for the american midwifery certification board (amcb) certified nurse-midwife (cnm) exam. It covers various aspects of antepartum, intrapartum, postpartum, newborn, and gynecologic care, as well as professional issues relevant to the cnm role. The questions are designed to assess knowledge and understanding of key concepts and clinical practices in midwifery.

Typology: Exams

2023/2024

Available from 11/19/2024

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PRACTICE QUESTIONS AND ANSWERS TAILORED FOR THE
AMERICAN MIDWIFERY CERTIFICATION BOARD (AMCB)
CERTIFIED NURSE-MIDWIFE (CNM) EXAM
Antepartum Care
1. What is the initial test to confirm pregnancy?
Answer: Serum beta-hCG.
2. What is the most appropriate management for a pregnant woman with
a hemoglobin level of 9 g/dL?
Answer: Supplementation with oral iron and dietary counseling.
3. What genetic screening is recommended at 10–12 weeks’ gestation?
Answer: Cell-free fetal DNA or chorionic villus sampling (CVS).
4. What condition is indicated by elevated blood pressure and
proteinuria after 20 weeks' gestation?
Answer: Preeclampsia.
5. What is the recommended dose of Rho(D) immune globulin for Rh-
negative mothers at 28 weeks?
Answer: 300 mcg.
Intrapartum Care
6. What is the normal baseline fetal heart rate?
Answer: 110–160 beats per minute.
7. What is the preferred pain management method for a laboring patient
with a platelet count below 70,000?
Answer: Non-pharmacologic methods or IV opioids (epidural is
contraindicated)
8. What intervention is recommended for cord prolapse during labor?
Answer: Elevate the presenting part, reposition the patient (knee-chest
or Trendelenburg), and prepare for an emergency cesarean delivery.
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PRACTICE QUESTIONS AND ANSWERS TAILORED FOR THE

AMERICAN MIDWIFERY CERTIFICATION BOARD (AMCB)

CERTIFIED NURSE-MIDWIFE (CNM) EXAM

Antepartum Care

  1. What is the initial test to confirm pregnancy? Answer: Serum beta-hCG.
  2. What is the most appropriate management for a pregnant woman with a hemoglobin level of 9 g/dL? Answer: Supplementation with oral iron and dietary counseling.
  3. What genetic screening is recommended at 10–12 weeks’ gestation? Answer: Cell-free fetal DNA or chorionic villus sampling (CVS).
  4. What condition is indicated by elevated blood pressure and proteinuria after 20 weeks' gestation? Answer: Preeclampsia.
  5. What is the recommended dose of Rho(D) immune globulin for Rh- negative mothers at 28 weeks? Answer: 300 mcg. Intrapartum Care
  6. What is the normal baseline fetal heart rate? Answer: 110–160 beats per minute.
  7. What is the preferred pain management method for a laboring patient with a platelet count below 70,000? Answer: Non-pharmacologic methods or IV opioids (epidural is contraindicated)
  8. What intervention is recommended for cord prolapse during labor? Answer: Elevate the presenting part, reposition the patient (knee-chest or Trendelenburg), and prepare for an emergency cesarean delivery.
  1. What does a biophysical profile (BPP) score of 4 indicate? Answer: The fetus is at risk; immediate intervention or delivery may be necessary.
  2. What medication is used to reverse uterine hyperstimulation caused by oxytocin? Answer: Terbutaline. Postpartum Care
  3. How can uterine atony be prevented postpartum? Answer: Administer prophylactic oxytocin immediately after delivery.
  4. What is the best method to assess postpartum depression? Answer: Use of a validated screening tool, such as the Edinburgh Postnatal Depression Scale (EPDS).
  5. What is the most common cause of secondary postpartum hemorrhage? Answer: Retained placental fragments.
  6. What is the normal range for postpartum lochia duration? Answer: 4–6 weeks.
  7. What contraceptive method is contraindicated in breastfeeding women less than 6 weeks postpartum? Answer: Combined oral contraceptives. Newborn Care
  8. What is the normal respiratory rate for a term newborn? Answer: 30–60 breaths per minute.
  9. What is the normal Apgar score range at 1 minute? Answer: 7–10.
  1. What is the first-line treatment for primary dysmenorrhea? Answer: NSAIDs.
  2. What is the most common cause of abnormal uterine bleeding in adolescents? Answer: Anovulation.
  3. What screening test is recommended for sexually active women under age 25? Answer: Annual chlamydia and gonorrhea testing.
  4. What is the gold standard for diagnosing endometriosis? Answer: Laparoscopy.
  5. What is the treatment for uncomplicated urinary tract infections? Answer: Nitrofurantoin or trimethoprim-sulfamethoxazole for 3– days. Professional Issues
  6. What is the principle of autonomy in patient care? Answer: Respecting the patient’s right to make their own healthcare decisions.
  7. What is the role of the midwife in interprofessional collaboration? Answer: To provide holistic care while consulting or referring when necessary.
  8. What is the purpose of continuing education for CNMs? Answer: To maintain certification and ensure evidence-based practice.
  9. What organization develops the scope of practice for CNMs in the U.S.? Answer: The American College of Nurse-Midwives (ACNM).
  1. What ethical principle is involved in maintaining patient confidentiality? Answer: Non-maleficence and respect for privacy.