Certified Nurse-Midwife (CNM) National Certification Examination Free Sample Questions

A 29-year-old multigravida at 33 weeks and 2 days gestation presents for a routine prenatal visit in October. She has received an annual influenza vaccination and a Tdap booster earlier in this pregnancy. She asks whether she should receive the maternal respiratory syncytial virus (RSV) bivalent vaccine (Abrysvo) today. Which recommendation by the certified nurse-midwife is most appropriate based on current CDC immunization guidelines?

A 24-year-old primigravida at 28 weeks gestation presents for routine prenatal care in November. Review of her medical chart shows that she has received no vaccines during the current pregnancy. Her prenatal rubella titer is non-immune. Which TWO vaccines should the certified nurse-midwife recommend administering during today's visit? (Select TWO)

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 _____.