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100+ Free CMRE Practice Questions

Pass your Canadian Midwifery Registration Exam exam on the first try — instant access, no signup required.

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May 2024: 96.7%; October 2024: 78.6% Pass Rate
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A client discloses intimate partner violence but says they are not ready to leave. What is the midwife's best immediate response?

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2026 Statistics

Key Facts: CMRE Exam

180

Initial multiple-choice items in 2024 CMRE forms

CMRE Technical Report 2024

4h 45m

Exam time before the 30-minute break is added to seat time

CMRC Registration Exam

$992.50

2026 exam fee

CMRC Registration Exam

May 7 and Oct. 29

2026 exam dates

CMRC Registration Exam

40-60%

Blueprint range for case-based questions

CMRE Technical Report 2024

96.7% / 78.6%

May and October 2024 pass rates

CMRE Technical Report 2024

The CMRE is CMRC's national Canadian midwifery registration exam: a 180-item computer-based MCQ exam with independent and case-based questions, 4 hours 45 minutes of exam time, a 30-minute break, and a 2026 fee of $992.50. The blueprint emphasizes Primary Care Provider competencies while also testing advocacy, communication, collaboration, professionalism, life-long learning, and leadership.

Sample CMRE Practice Questions

Try these sample questions to test your CMRE exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1At an initial prenatal visit at 9 weeks' gestation, which set of tests is most appropriate to offer as part of routine early pregnancy assessment?
A.CBC, blood group and Rh type with antibody screen, rubella immunity, syphilis/HIV/hepatitis B testing, and urine culture
B.Fasting lipid profile, D-dimer, liver ultrasound, and routine serum progesterone
C.Daily urine dipstick testing, fetal fibronectin, and a 50 g glucose challenge test
D.Kleihauer-Betke test, group B streptococcus swab, and fetal echocardiogram
Explanation: Initial prenatal labs assess anemia, blood group/Rh and antibodies, key infectious diseases, immunity, and asymptomatic bacteriuria. Later-pregnancy tests are not routine at 9 weeks.
2A client is pregnant after stopping oral contraceptives and is unsure of the date of the last menstrual period. What is the best approach to establish gestational age?
A.Use the date of the first positive home pregnancy test as the estimated due date
B.Wait until fundal height is measurable and date the pregnancy at that time
C.Offer a first-trimester ultrasound for dating and viability
D.Estimate gestational age from the first fetal movements
Explanation: First-trimester ultrasound is the most accurate clinical method for dating when menstrual dates are uncertain or cycles were irregular.
3A 7-week pregnant client calls with light vaginal bleeding, increasing unilateral pelvic pain, dizziness, and shoulder-tip pain. What is the midwife's most appropriate response?
A.Reassure the client that light bleeding is common and book a routine visit in one week
B.Arrange urgent emergency assessment for possible ectopic pregnancy
C.Advise bed rest at home and repeat a pregnancy test in 48 hours
D.Recommend waiting until the scheduled dating ultrasound
Explanation: Pain with bleeding and symptoms of intraperitoneal irritation or hemodynamic compromise require urgent assessment for ectopic pregnancy.
4A 10-week pregnant client reports vomiting eight times daily, inability to keep fluids down, dizziness on standing, weight loss, and ketonuria. What is the best next step?
A.Arrange urgent clinical assessment for dehydration and consider IV fluids, antiemetic therapy, and consultation as indicated
B.Advise the client that nausea usually resolves by the second trimester and no assessment is needed
C.Recommend stopping all prenatal vitamins permanently
D.Book the next routine prenatal appointment at 16 weeks
Explanation: Severe vomiting with dehydration, ketonuria, and weight loss suggests hyperemesis gravidarum and requires timely assessment and treatment.
5A client planning pregnancy asks about folic acid supplementation. They have no history of neural tube defect, diabetes, antiseizure medication use, or other high-risk factors. What should the midwife recommend?
A.No folic acid is needed if the client eats fortified grain products
B.Start folic acid only after fetal cardiac activity is confirmed
C.Take 5 mg folic acid daily without further assessment
D.Take a daily multivitamin containing 0.4 mg folic acid before conception and during pregnancy
Explanation: For most people who could become pregnant, 0.4 mg folic acid daily reduces neural tube defect risk. Higher doses are reserved for specific risk factors.
6Which statement best reflects informed choice when discussing prenatal genetic screening?
A.Screening should be ordered automatically because it is routine prenatal care
B.The midwife should explain available options, timing, benefits, limits, possible results, and follow-up choices, then support the client's decision
C.Clients younger than 35 years should be told screening is unnecessary
D.Declining screening should be documented as non-compliance
Explanation: Canadian midwifery care emphasizes informed choice. Genetic screening is optional and should be offered with clear discussion of benefits, limits, and follow-up.
7A client has a positive non-invasive prenatal testing result for trisomy 21. What is the most accurate counselling point?
A.The result confirms the fetus has trisomy 21 and no further testing is useful
B.The result rules out other fetal anomalies, so the anatomy scan can be cancelled
C.The result is a high-probability screening result, and diagnostic testing should be offered through appropriate consultation
D.The result is invalid because non-invasive testing cannot screen for aneuploidy
Explanation: NIPT is a screening test, not diagnostic. A positive result warrants timely counselling and offer of diagnostic testing such as CVS or amniocentesis.
8A client chooses first-trimester combined screening. Which timing is generally appropriate for the nuchal translucency ultrasound component?
A.6 to 8 weeks
B.11 to 13 weeks plus 6 days
C.18 to 22 weeks
D.35 to 37 weeks
Explanation: Nuchal translucency measurement is time-sensitive and is performed in the late first trimester, commonly 11 to 13 weeks plus 6 days.
9A client asks about the routine detailed fetal anatomy ultrasound. When is this scan typically offered in prenatal care?
A.8 to 10 weeks
B.12 to 14 weeks
C.18 to 22 weeks
D.30 to 34 weeks
Explanation: The detailed second-trimester anatomy ultrasound is typically offered at 18 to 22 weeks to assess fetal anatomy, placental location, fluid, and growth parameters.
10For an average-risk client with no pre-existing diabetes, when is routine screening for gestational diabetes generally offered?
A.At the first missed period
B.At 11 to 13 weeks
C.At 24 to 28 weeks
D.Only after glucosuria is detected
Explanation: Routine gestational diabetes screening is generally offered at 24 to 28 weeks, with earlier testing considered for clients at higher risk.

About the CMRE Exam

The Canadian Midwifery Registration Exam is CMRC's online entry-to-practice examination for Canadian-educated and internationally educated applicants seeking midwifery registration in Canada. CMRC states that the exam assesses entry-level competency standards from the Canadian Competencies for Midwives and is used by regulators as an important registration tool, while provincial and territorial regulators may require additional registration steps. The current public CMRC page describes case-based and independent multiple-choice questions, bilingual English/French access, online proctoring, a test-centre option by request, and content based on the CMRE Blueprint.

Assessment

Online computer-based, four-option multiple-choice exam with independent questions and case-based questions. The blueprint specifies independent items at 40-60%, case-based items at 40-60%, and cognitive levels of knowledge 10-20%, application 45-65%, and critical thinking 20-30%.

Time Limit

4 hours 45 minutes of exam time, plus one 30-minute break halfway through; total seat time is 5 hours 15 minutes.

Passing Score

Not a fixed public percentage. CMRC states the pass mark is developed through standard setting and may change slightly from one sitting to the next. The 2024 technical report lists pass marks of 131/177 (74.01%) for May 2024 and 121/164 (73.8%) for October 2024.

Exam Fee

$992.50 for 2026; CMRC states the fee will increase by 5% annually in 2027. (Canadian Midwifery Regulators Council)

CMRE Exam Content Outline

Minimum 60%

Primary Care Provider

Assessment, decision-making, care planning, implementation, population health, and reproductive or sexual health across antepartum, intrapartum, postpartum, newborn, and well-person care.

Independent 40-60%; case-based 40-60%

Clinical Judgment and Scenarios

Application and critical-thinking questions in hospital and out-of-hospital contexts, including normal and abnormal midwifery situations.

Advocate 8-12%; Communicator 8-12%

Advocacy and Communication

Informed choice, client autonomy, plain-language teaching, cultural safety, confidentiality, therapeutic communication, and respectful support for diverse families.

Collaborator 4-8%

Collaboration and Consultation

Consultation, referral, transfer of care, emergency escalation, interprofessional communication, documentation, and role clarity.

Professional 2-4%; Life-long Learner 2-4%; Leader 6-10%

Professional Practice

Ethics, accountability, quality improvement, evidence-informed care, practice systems, safety culture, professional development, and leadership in midwifery settings.

How to Pass the CMRE Exam

What You Need to Know

  • Passing score: Not a fixed public percentage. CMRC states the pass mark is developed through standard setting and may change slightly from one sitting to the next. The 2024 technical report lists pass marks of 131/177 (74.01%) for May 2024 and 121/164 (73.8%) for October 2024.
  • Assessment: Online computer-based, four-option multiple-choice exam with independent questions and case-based questions. The blueprint specifies independent items at 40-60%, case-based items at 40-60%, and cognitive levels of knowledge 10-20%, application 45-65%, and critical thinking 20-30%.
  • Time limit: 4 hours 45 minutes of exam time, plus one 30-minute break halfway through; total seat time is 5 hours 15 minutes.
  • Exam fee: $992.50 for 2026; CMRC states the fee will increase by 5% annually in 2027.

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

CMRE Study Tips from Top Performers

1Start with the Canadian Competencies for Midwives and map each weak area to the CMRE Blueprint.
2Practise case-based questions because the blueprint sets case-based items at 40-60% of the exam.
3Prioritize application and critical thinking; the 2024 technical report lists application at 45-65% and critical thinking at 20-30%.
4Review when to continue midwifery-led care, consult, refer, or transfer, especially for abnormal maternal or newborn findings.
5Use practice sets that cover both hospital and out-of-hospital settings and both normal and abnormal scenarios.

Frequently Asked Questions

Who administers the CMRE?

The Canadian Midwifery Regulators Council sets and administers the Canadian Midwifery Registration Exam.

How many questions are on the CMRE?

The CMRE 2024 technical report states that initial forms contain 180 multiple-choice items, although final scored item counts may change after key validation.

How long is the CMRE?

CMRC lists 4 hours 45 minutes of exam time with one 30-minute break, for a total seat time of 5 hours 15 minutes.

How much does the CMRE cost in 2026?

CMRC lists the 2026 exam fee as $992.50 and states the fee will increase by 5% annually in 2027.

Is the CMRE offered online?

Yes. CMRC describes the CMRE as an online exam with live remote proctoring; candidates who prefer a test centre may ask to write there.