NARM NPE Practice Test 2026 — Free NARM NPE Exam Prep Questions
Every applicant for the Certified Professional Midwife (CPM) credential must pass the NARM Examination, and many states also use it for direct-entry midwifery licensure. This practice set follows NARM's seven-domain test specifications, with clinical cases on prenatal care, labor and birth, postpartum, newborn care and professional issues in out-of-hospital midwifery.
A 60-hour-old breastfed baby has yellow skin on the face and chest. The baby feeds 10 times a day, has 5 wet diapers and yellow stools, and is alert and active. Jaundice was not seen on the first day. Which condition is MOST likely?
NARM NPE format, scoring & key facts
Computer-based at approved testing centers or by live remote proctoring, in two parts of 3 hours each. A paper exam can be requested in writing for cultural or religious reasons.
| Questions | 300 multiple-choice questions, 4 options each |
|---|---|
| Time | Two parts of 3 hours each |
| Content outline | NARM Written Test Specifications (revised 2017): 7 domains |
| Largest domains | Labor, Birth and Immediate Postpartum (33–37%) and Prenatal (23–27%) |
| Passing | Pass/fail by modified Angoff; scaled score 75 passes |
| Guessing | No penalty for wrong answers |
| Delivery | Testing centers or live remote proctoring |
| Retakes | After 2 months, within the following 6 months; $210 |
| Credential renewal | Every 3 years |
Facts last verified Oct 17, 2026. Source: info.narm.org/article/85-examination-test-specifications. Always confirm details with NARM before your exam.
When can you take the NARM NPE?
After NARM approves your application, you book a test date with NARM's testing company at a testing center or by live remote proctoring.
Plan backwards from your exam date
What the NARM NPE covers
Every PrepBanq NARM NPE test mirrors the official domain weights.
Domain distribution
% of the exam| Content domain | Weight | ≈ Questions on exam | Our practice questions |
|---|---|---|---|
Professional Issues, Knowledge, and Skills4–6% of items: social determinants, ethics, informed consent, birth-site choice, referral, peer review. | 5% | ~15 | 8 questions → |
General Healthcare Skills4–6%: universal precautions, supplements, medications, equipment, ultrasound and lab tests. | 5% | ~15 | 7 questions → |
Maternal Health Assessment8–12%: health, reproductive and family history and the physical exam. | 10% | ~30 | 15 questions → |
Prenatal23–27%: prenatal care, assessment, education and complications. | 25% | ~75 | 37 questions → |
Labor, Birth and Immediate Postpartum33–37%: labor support and assessment, complications, birth, third stage, hemorrhage and immediate newborn care. | 35% | ~105 | 53 questions → |
Postpartum13–17%: involution, complications, breastfeeding, jaundice and contraception. | 15% | ~45 | 22 questions → |
Well baby care4–6%: newborn care up to six weeks. | 5% | ~15 | 8 questions → |
How to register for the NARM NPE
Retake policy
Wait two months after a failed attempt, then retest within six months; each retest uses a different exam form. There is no maximum number of attempts.
Score release
Preliminary results are emailed by the testing company within a few business days; NARM sends official results within two to three weeks. Failing candidates receive a breakdown by major content area.
Credential renewal
The CPM credential is renewed every 3 years.
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NARM NPE FAQ
How many questions are on the NARM NPE?
The NARM NPE has 300 questions and you have 6 hours to finish. Question types: Multiple choice, one best answer from 4 options. Questions test knowledge, application and analysis, including short clinical scenarios. Selecting more than one answer earns no credit; there is no penalty for wrong answers..
How long is the NARM NPE exam?
Testing time for the NARM NPE is 6 hours.
What is the passing score for the NARM NPE?
NARM NPE passing standard: Pass/fail, with the cut score set by a modified Angoff method; a scaled score of 75 or higher passes. Score range: Pass/fail (scaled score, 75 = pass).
How much does the NARM NPE cost?
The NARM NPE registration fee is Exam fee $1,155 (included in the $1,365 MEAC graduate and $1,260 CNM/CM application fees); retake $210. Fees are paid to NARM by credit card. Check the official site for current fees before you register.
What is on the NARM NPE?
The NARM NPE covers Professional Issues, Knowledge, and Skills (about 5%), General Healthcare Skills (about 5%), Maternal Health Assessment (about 10%), Prenatal (about 25%), Labor, Birth and Immediate Postpartum (about 35%), Postpartum (about 15%), Well baby care (about 5%).
Who administers the NARM NPE?
The NARM Written Examination (Certified Professional Midwife) is administered by NARM. Delivery: Computer-based at approved testing centers or by live remote proctoring, in two parts of 3 hours each. A paper exam can be requested in writing for cultural or religious reasons..
Can you retake the NARM NPE?
Wait two months after a failed attempt, then retest within six months; each retest uses a different exam form. There is no maximum number of attempts.
Is there a free NARM NPE practice test?
Yes. PrepBanq has 15 free NARM NPE practice tests with 150 exam-style questions in the real NARM NPE formats, and every answer is explained. No credit card is needed.
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