Practise prenatal risk assessment, labor emergencies, newborn transition, and postpartum decisions for the NARM Examination used in California LM licensure. These are independent learning materials, not official exam questions or a pass prediction.

Read the NARM Examination Preparation Guide: California LM Pathway study guide and official exam sources
Exam outline and official sources

North American Registry of Midwives (NARM) · Current NARM online Written Test Specifications, labeled rev 2017; page updated October 5, 2026. Workbook label Licensed Midwife (LM) Exam is mapped to the NARM Examination through documented California LM licensure requirements, not treated as a separate national examination. No separate blueprint effective date is stated.

This original 20-question sample covers selected topics across the outline. It does not reproduce official exam questions or cover every tested topic.

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NARM Examination

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A California client declines a recommended assessment, causing the care plan to deviate from the midwife's plan. Which record and care approach best supports informed refusal?

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