CNM: Certified Nurse-Midwife Certification Examination Practice Test

Candidates must have successfully completed a graduate-level nurse-midwifery education program accredited by the Accreditation Commission for Midwifery Education (ACME). This program must be recognized by the U.S. Department of Education. Additionally, candidates must hold a current, active RN license. Official verification of graduation from the ACME-accredited program is required by the AMCB before authorization to test is granted.

The CNM exam is a computer-based test consisting of 175 multiple-choice questions. Of these, 150 are scored items, and 25 are pretest questions that are not scored. Candidates are allotted 4 hours to complete the examination. The questions are designed to assess application, analysis, and synthesis of knowledge across the domains outlined in the AMCB test blueprint.

The exam is structured according to the AMCB Test Blueprint, which is derived from the ACNM Core Competencies. The primary content domains include: Antepartum Care (20-26%), Intrapartum Care (20-26%), Postpartum Care (13-19%), Gynecology (13-19%), Primary Care (8-14%), and Professional Issues (5-11%). These percentages reflect the emphasis on comprehensive reproductive and primary healthcare across the lifespan.

CNM certification is valid for five years. Recertification can be achieved through two pathways: 1) Retaking the CNM certification examination, or 2) Earning a minimum of 50 AMCB-approved Certificate Maintenance Points (CMPs). These points are accrued through continuing education, academic activities, professional contributions, and clinical practice hours. The AMCB requires submission of a recertification application and fee prior to the certification expiration date.

CNMs are licensed, independent healthcare providers. Their scope of practice includes providing primary care, gynecological services, family planning, preconception care, prenatal, labor, birth, and postpartum care, as well as care of the newborn for the first 28 days of life. They can prescribe medications, including controlled substances, order and interpret diagnostic tests, and provide health counseling and education. The specific scope is defined by individual state laws and regulations.