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NARM CPM (CPM) Practice Tests & Test Prep by Exam Edge - Free Test


Our free NARM Certified Professional Midwife (CPM) Practice Test was created by experienced educators who designed them to align with the official North American Registry of Midwives content guidelines. They were built to accurately mirror the real exam's structure, coverage of topics, difficulty, and types of questions.

Upon completing your free practice test, it will be instantly reviewed to give you an idea of your score and potential performance on the actual test. Carefully study your feedback to each question to assess whether your responses were correct or incorrect. This is an effective way to highlight your strengths and weaknesses across different content areas, guiding you on where to concentrate your study efforts for improvement on future tests. Our detailed explanations will provide the information you need to enhance your understanding of the exam content and help you build your knowledge base leading you to better test results.

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NARM Certified Professional Midwife - Free Test Sample Questions

One of the prophylactic treatments for newborns within the first 4 hours of life is administration of which of the following vitamins?

Correct Answer:
vitamin k


one of the standard prophylactic treatments for newborns is the administration of vitamin k. this practice is crucial because it serves to prevent a potentially serious condition known as hemorrhagic disease of the newborn, also referred to as vitamin k deficiency bleeding (vkdb). this condition arises due to insufficient levels of vitamin k in newborns, which is essential for proper blood clotting.

vitamin k is not transmitted efficiently from the mother to the fetus during pregnancy, and newborns typically have low stores of this vitamin at birth. furthermore, the levels of vitamin k found in breast milk are relatively low, which does not sufficiently compensate for the initial deficiency. additionally, the neonatal gut, which in adults assists in synthesizing vitamin k through bacterial action, is not fully developed at birth. the gut flora that usually produces vitamin k takes time to establish itself, leaving newborns vulnerable to bleeding issues during the first few days of life.

to mitigate this risk, it is a standard medical practice to administer a dose of vitamin k to all newborns shortly after birth. this is typically given as a single intramuscular injection within the first 4 hours of life. this injection ensures that the newborn has sufficient levels of vitamin k to activate the blood-clotting factors, thereby significantly reducing the risk of severe bleeding and associated complications.

this prophylactic treatment has been demonstrated to be both effective and safe, providing vital protection during a critical period of adaptation from fetal to neonatal life. the practice is widely endorsed and implemented by health organizations worldwide as a fundamental component of newborn care.