Free CNM sample questions
Real questions from the Certified Nurse-Midwife (CNM) National Certification Examination practice bank, with the correct answer and an explanation for each one. No junk, no filler.
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Showing 6 of 12 free sample questions.
True or False: Administration of the live attenuated influenza vaccine (LAIV) via nasal spray is safe and clinically acceptable in pregnant individuals during any trimester.
A primigravida at 28 weeks gestation has blood type A-negative with a negative indirect Coombs antibody screen. The pregnancy has been uncomplicated with no history of bleeding or invasive procedures. What is the standard management plan for this patient?
A 31-year-old G2P1 at 19 weeks gestation presents to the obstetric triage unit following a moderate motor vehicle collision where she was the belted driver. She reports lower abdominal soreness from the lap belt. Physical examination reveals mild localized uterine tenderness without palpable contractions. Speculum examination demonstrates a closed cervix without vaginal bleeding or leaking amniotic fluid. Maternal vital signs are stable, and fetal heart tones are 144 bpm with moderate variability. Her blood type is O-negative, and her initial prenatal antibody screen was negative. Which clinical intervention regarding Rh isoimmunization prevention should the certified nurse-midwife initiate next?
For an unsensitized Rh(D)-negative individual experiencing a spontaneous first-trimester abortion at 7 weeks gestation, the standard recommended minimum dose of Rh(D) immune globulin to prevent maternal alloimmunization is _____.
During the second stage of labor, a term infant's head delivers over the perineum and immediately retracts tightly against the maternal vulva (the "turtle sign"). Gentle downward traction fails to deliver the anterior shoulder. What is the immediate first-line physical maneuver the certified nurse-midwife should perform? flowchart TD A[Delivery of Head / Turtle Sign] --> B[Recognize Shoulder Dystocia & Call for Help] B --> C[Avoid Excessive Traction & Avoid Fundal Pressure] C --> D[First-Line: McRoberts Maneuver + Suprapubic Pressure] D --> E{Shoulder Released?} E -->|No| F[Secondary: Posterior Arm Delivery or Internal Rotation] E -->|Yes| G[Complete Delivery]
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