Certified Professional Midwife Exam Prep
Free practice questions

Free CPM Practice Questions

10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.

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The CPM exam has 300 questions and runs 6 hours.

These 10 free CPM questions are organized by exam domain, so you can see how each part of the Certified Professional Midwife blueprint is tested. Reveal the answer and explanation under each question.

Domain 2: General Healthcare Skills 5% of exam

Question 1

Which laboratory values are most directly used to assess anemia risk in pregnancy?

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Correct answer: A - Hemoglobin and hematocrit

Domain 3: Maternal Health Assessment 10% of exam

Question 2

A client reports intimate partner violence during assessment. Which approach best reflects professional midwifery practice?

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Correct answer: A - Discuss safety privately and provide resources

Domain 4: Prenatal Care 25% of exam

Question 3

A pregnant client at 32 weeks has blood pressure of 148/94 mmHg, new facial swelling, and urine protein on screening. Which finding most strongly supports concern for a hypertensive pregnancy complication?

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Correct answer: C - Elevated blood pressure with proteinuria

Question 4

A client at 28 weeks has a fundal height significantly smaller than expected for gestational age. What is the best next step?

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Correct answer: A - Evaluate fetal growth concerns

Domain 5: Labor, Birth, and Immediate Postpartum 35% of exam

Question 5

A multiparous client in active labor has a sudden prolonged fetal heart rate deceleration after rupture of membranes. Vaginal examination reveals a pulsating cord below the presenting part. What is the priority action?

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Correct answer: B - Elevate the presenting part manually and arrange emergency transfer

Question 6

A newborn is delivered after thick meconium-stained fluid is noted. The newborn is limp with ineffective respirations. Which assessment should guide the immediate response?

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Correct answer: A - Whether the infant requires effective ventilation support

Question 7

During the third stage of labor, heavy bleeding occurs and the uterus feels soft and enlarged. Which intervention addresses the likely cause first?

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Correct answer: B - Assess uterine tone and perform uterine massage

Question 8

A client with a prior cesarean requests an out-of-hospital birth. Which factor is most important in VBAC assessment?

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Correct answer: B - Review of uterine scar history and individualized risk

Domain 6: Postpartum 15% of exam

Question 9

A postpartum client on day 4 has heavy bleeding, a boggy uterus, and dizziness. What is the most appropriate interpretation?

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Correct answer: C - Possible postpartum hemorrhage requiring evaluation

Domain 7: Well-Baby Care 5% of exam

Question 10

A 2-week-old infant has poor feeding, lethargy, and increasing jaundice. Which action is most appropriate?

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Correct answer: B - Evaluate for worsening jaundice or illness

The rest of the CPM blueprint

The CPM exam also covers these domains. Drill them in the full free practice test:

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