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200+ Free CNM Practice Questions

Pass your AMCB CNM Certified Nurse Midwife exam on the first try — instant access, no signup required.

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80% Pass Rate
200+ Questions
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Questions by Category

Cnm-Antepartum-Care42 questions
Cnm-Intrapartum-Care41 questions
Cnm-Gynecology38 questions
Cnm-Postpartum-Care36 questions
Cnm-Primary-Care24 questions
Cnm-Newborn-Care19 questions
2026 Statistics

Key Facts: CNM Exam

80%

First-Time Pass Rate

AMCB 2023

175

Questions

50 pretest

75

Passing Score

Scaled

$120,880

Median CNM Salary

BLS 2024

42%

Antepartum + Intrapartum

Largest domains

4 hours

Exam Duration

Computer-based

The AMCB CNM exam has approximately an 80% pass rate (2023 data). The 175-question exam covers antepartum and intrapartum care (21% each), postpartum (18%), gynecology (19%), primary care (11%), and newborn care (10%). CNMs earn a median salary of $120,880/year (BLS 2024) with strong job growth driven by demand for personalized maternity care.

About the CNM Exam

The AMCB Certified Nurse-Midwife exam certifies nurse-midwives for entry-level practice. The exam covers six content domains: Antepartum (21%), Intrapartum (21%), Postpartum (18%), Newborn (10%), Gynecology (19%), and Primary Care (11%). Passing demonstrates competency in providing comprehensive midwifery care.

Questions

175 scored questions

Time Limit

4 hours

Passing Score

75 (scaled score)

Exam Fee

$500 (AMCB)

CNM Exam Content Outline

21%

Antepartum Care

Prenatal care, pregnancy complications, fetal assessment, and management of normal and high-risk pregnancies

21%

Intrapartum Care

Labor management, delivery techniques, pain management, complications, and operative delivery

18%

Postpartum Care

Postpartum recovery, lactation support, complications, and newborn transition

19%

Gynecology

Well-woman care, contraception, menstrual disorders, menopause, and gynecologic conditions

11%

Primary Care

Common health problems, health promotion, disease prevention, and primary care across the lifespan

10%

Newborn Care

Immediate newborn assessment, resuscitation, normal newborn care, and recognition of complications

How to Pass the CNM Exam

What You Need to Know

  • Passing score: 75 (scaled score)
  • Exam length: 175 questions
  • Time limit: 4 hours
  • Exam fee: $500

Keys to Passing

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

CNM Study Tips from Top Performers

1Focus on antepartum and intrapartum - these two domains make up 42% of the exam combined
2Master common complications: preeclampsia, preterm labor, hemorrhage, and fetal distress management
3Know pharmacology: medications used in pregnancy, labor, and postpartum including dosing and contraindications
4Practice newborn resuscitation protocols (NRP) - know the steps for positive pressure ventilation and chest compressions
5Study gynecologic conditions and contraceptive methods - this is 19% of the exam and includes complex decision-making

Frequently Asked Questions

What is the CNM exam pass rate?

The AMCB CNM exam pass rate is approximately 80% for first-time test-takers (AMCB 2023 data). Graduates of ACME-accredited nurse-midwifery programs generally have higher pass rates. The exam uses a scaled scoring system with 75 as the passing score.

How many questions are on the CNM exam?

The AMCB CNM exam consists of 175 multiple-choice questions. Of these, 50 questions are pretest items that are not scored. Candidates have 4 hours to complete the computer-based examination at PSI testing centers.

How long should I study for the CNM exam?

Most graduates study for 6-10 weeks before the CNM exam, completing 1,500-2,500 practice questions. Focus on all six content domains, with extra attention to antepartum and intrapartum (21% each). Clinical experience during your program provides the foundation - practice questions help apply that knowledge.

What is the CNM exam passing score?

The CNM exam uses a scaled scoring system where 75 is the passing score. Raw scores are converted to scaled scores to account for slight variations in exam difficulty. Results are provided immediately at the testing center.

How much do CNMs earn?

According to BLS 2024 data, nurse midwives earn a median salary of $120,880/year, with top earners exceeding $170,000. CNMs working in hospitals typically earn more than those in birth centers or private practice. Geographic location significantly impacts salary, with higher wages on the coasts.

What are the CNM exam content areas?

The CNM exam covers six domains: Antepartum (21%): prenatal care, complications; Intrapartum (21%): labor management, delivery; Postpartum (18%): recovery, complications, lactation; Gynecology (19%): well-woman care, contraception, menopause; Primary Care (11%): common conditions, health promotion; Newborn (10%): assessment, resuscitation, normal care.