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Free Canadian Midwifery Registration Exam Practice Questions

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Sample Practice Questions

Try these 10 sample questions from the Canadian Midwifery Registration Exam practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

  1. 1A 10-week pregnant client is reviewing their previous pregnancy with a midwife. Which history specifically identifies a high risk of gestational diabetes and warrants testing in the first half of this pregnancy?

    1. A.Gestational diabetes in the previous pregnancyCorrect answer: A
    2. B.Genital herpes in the previous pregnancy
    3. C.Iron deficiency in the previous pregnancy
    4. D.Asymptomatic bacteriuria in the previous pregnancy

    Explanation: PHAC states: "If there is a high risk of GDM based on previous GDM, maternal age 35 years or older, and obesity (BMI ≥30), testing should occur in the first half of pregnancy." Previous GDM is the relevant historical risk among these conditions; the other conditions require different assessments.

    Reference: PHAC—Care during pregnancy — 6.2 Gestational Diabetes Screening

  2. 2At 9 weeks, a client has persistent vomiting, a 7% loss of pre-pregnancy weight, dehydration, electrolyte abnormalities, and nutritional deficiencies. Which diagnosis best accounts for this combination?

    1. A.Gastro-oesophageal reflux
    2. B.Hyperemesis gravidarumCorrect answer: B
    3. C.Physiological nausea of pregnancy
    4. D.Intrahepatic cholestasis

    Explanation: PHAC states: "HG is defined as severe and persistent nausea and vomiting, weight loss greater than 5% of pre-pregnancy weight, dehydration, electrolyte abnormalities, and nutritional deficiencies". The findings meet this clinical pattern, beyond ordinary nausea or reflux.

    Reference: PHAC—Care during pregnancy — 5.2 Nausea and Vomiting

  3. 3A client with a low-risk pregnancy plans labour care with a midwife. There are no new intrapartum risk factors. Which fetal surveillance method should be proposed as the preferred starting plan?

    1. A.Continuous internal fetal electrocardiography
    2. B.Continuous external cardiotocography
    3. C.Intermittent fetal heart auscultationCorrect answer: C
    4. D.Serial fetal scalp blood sampling

    Explanation: PHAC states: "For women with low-risk pregnancies, intermittent auscultation is the preferred method of fetal surveillance." The plan should follow the assessed risk rather than default to continuous or invasive testing. It can be revised if risk changes.

    Reference: PHAC—Care during labour and birth — 7.5 Fetal Health Surveillance—Intermittent Auscultation

  4. 4A midwife supports a client to choose among treatment options after understanding their benefits and harms. In CMRC's human-rights framework, which right is most specifically expressed by the client's informed decision-making?

    1. A.AutonomyCorrect answer: A
    2. B.Confidentiality
    3. C.Freedom of association
    4. D.Freedom of expression

    Explanation: CMRC states: "Inclusive care promotes client autonomy by empowering individuals to make informed decisions about their health, birthing experiences, and treatment options." The specific right tested is control of informed health decisions, rather than information privacy, association, or expression.

    Reference: CMRC—Inclusive Midwifery Care and Human Rights — Slide7—How Inclusive Care Enables You to Uphold Human Rights, Autonomy

  5. 5A postpartum client remains amenorrheic and exclusively breastfeeds on demand day and night. For how long after birth can the lactational amenorrhea method be relied on if all its criteria continue to be met?

    1. A.3 months
    2. B.4 months
    3. C.6 monthsCorrect answer: C
    4. D.12 months

    Explanation: PHAC states: "Lactational amenorrhea method (LAM) can be used for the first 6 months if the woman’s periods have not returned". Exclusive day-and-night breastfeeding is also required. Six months is the upper duration here, not a guarantee of protection after a criterion changes.

    Reference: PHAC—Postpartum Care — 6.5 Sexuality and Contraception—LAM

  6. 6A client describes how systemic racism experienced by parents and grandparents continues to affect the family's trust in health care. Which concept should inform the midwife's understanding of this history?

    1. A.Intergenerational traumaCorrect answer: A
    2. B.Postpartum adjustment
    3. C.Situational phobia
    4. D.Bereavement following a recent death

    Explanation: PHAC states: "Over time, experiences of systemic violence can result in historical and intergenerational trauma". The described effects across generations should not be reduced to a recent personal event or an isolated situational fear.

    Reference: PHAC—Trauma and violence-informed approaches to policy and practice — How trauma and violence are connected

  7. 7Before discussing a client's cultural preferences, a midwife reflects on personal assumptions and professional power, approaches the client as a learner, and accepts that this learning is ongoing. Which concept is specifically defined by that self-reflective process?

    1. A.Cultural competence
    2. B.Cultural sensitivity
    3. C.Cultural humilityCorrect answer: C
    4. D.Cultural awareness

    Explanation: FNHA states: "Cultural humility is a process of self-reflection to understand personal and systemic conditioned biases". This ongoing learner stance and attention to power identifies humility. Awareness, sensitivity and competence are related but do not name the specific self-reflective definition asked for.

    Reference: FNHA—Policy Statement on Cultural Safety and Humility — p.11, FNHA's view of cultural humility

  8. 8A midwife is checking the competencies expected in the province where they practise. A national competency statement and a provincial competency document differ. Which document takes precedence for that provincial practice?

    1. A.The provincial competency documentCorrect answer: A
    2. B.The national competency statement
    3. C.The university's entry-level curriculum
    4. D.The professional association's position statement

    Explanation: CMRC states that "provincial/territorial competency documents take precedence over this national document". The applicable provincial document controls the local competency expectation. A national statement, university curriculum or association position cannot displace that authority.

    Reference: CMRC—Midwifery in Canada — Core Competencies for Midwives

  9. 9A midwife seeks an interprofessional obstetric continuing-education course offered by the SOGC and the College of Family Physicians of Canada, using case-based plenaries and hands-on practice. Which program described by PHAC fits?

    1. A.ALARMCorrect answer: A
    2. B.NRP
    3. C.ACLS
    4. D.ALSO

    Explanation: PHAC states: "Advances in Labour and Risk Management (ALARM) is a continuing education program for obstetricians, family physicians, midwives and nurses that is offered by the SOGC and the College of Family Physicians of Canada." It includes case-based and hands-on learning. NRP focuses on newborn resuscitation, ACLS on advanced cardiovascular life support, and ALSO is a different obstetric life-support course.

    Reference: PHAC—Care during labour and birth — Section16.2, Continuous Quality Improvement—ALARM continuing education

  10. 10Before the first clinic session with a newly integrated midwife, the team meets briefly to clarify roles, share the care plan, and anticipate contingencies. Which TeamSTEPPS event is this?

    1. A.Huddle
    2. B.Debrief
    3. C.Handoff
    4. D.BriefCorrect answer: D

    Explanation: The guide describes a "Brief—Short session prior to start to share the plan, discuss team formation, assign roles and responsibilities". This prepares the team before work starts. A huddle reassesses an evolving situation, a debrief reviews performance, and a handoff transfers care responsibility.

    Reference: AHRQ—TeamSTEPPS Pocket Guide — Page13, Effective Team Event Tools

Exam Review

About Canadian Midwifery Registration Exam

Canadian Midwifery Registration Exam · CA

Key exam facts

Provider
The Canadian Midwifery Regulators Council (CMRC) sets and administers the CMRE. Meazure Learning supports examination construction, delivery and scoring; it is not the exam owner.
Format
Computer-based multiple-choice examination with four options and one best answer, using independent and case-based questions. Live remote proctoring is standard; a test centre may be requested. Candidates can access English and French items.
Exam questions
Total questions: 180.
Time limit
4 hours 45 minutes of examination time, plus one 30-minute break halfway through: total seat time 5 hours 15 minutes. Additional bathroom breaks do not add examination time. Approved accommodations may vary.
Passing score
Criterion-referenced pass mark established by expert standard setting using the modified Angoff method, at competent entry-level performance. The specific passing score may vary slightly between sittings; there is no single fixed percentage specified on the current candidate page. Results are reported Pass or Fail.
Exam fee
CMRC's dated 2026 English and French examination schedules list CAD $992.50; re-write fees equal initial fees. The linked undated registration form displays $992.25, so candidates should confirm the payable amount with CMRC. The schedule states a 5% increase in 2027; no rounded 2027 amount is inferred.

Topics covered

The authority publishes percentage ranges for each content area. The practice percentages below use the midpoint of each range, normalized to 100%; they are not exact percentages published by the authority. Practice question counts may differ slightly because of rounding.

  • Assessment — Official range: 10–14% (Practice allocation: 11.48%)

    • Collects the client’s comprehensive contextual health history
    • Assesses for variations of normal and signs and symptoms of abnormal conditions
    • Conducts relevant clinical assessments
    • Orders, performs and interprets screening and diagnostic tests

  • Decision-Making — Official range: 10–14% (Practice allocation: 11.48%)

    • Integrates pertinent observations and findings to formulate diagnoses
    • Takes action based on sound analysis of assessment findings
    • Assumes responsibility for follow-up on test results
    • Coordinates the professional care team, as the most responsible provider, in the provision of client care
    • Determines appropriate emergency measures

  • Care Planning — Official range: 10–14% (Practice allocation: 11.48%)

    • Develops a care plan, in partnership with the client, based on evidence, balancing risks and expected outcomes with client preferences and values
    • Recognizes when discussion, consultation, referral and/or transfer are necessary for safe, effective and comprehensive client care
    • Initiates consultation, referral and transfer of care by specifying relevant information and recommendations
    • Evaluates response to the care plan in collaboration with the client and revises it as necessary

  • Implementation — Official range: 13–18% (Practice allocation: 14.83%)

    • Provides primary care in antepartum, intrapartum, postpartum and neonatal as part of full reproductive health care
    • Performs clinically appropriate procedures
    • Responds to variations of normal and signs and symptoms of abnormal conditions
    • Initiates appropriate emergency measures
    • Provides responsive counselling and education, and recommends appropriate resources
    • Provides information and support about common discomforts
    • Prescribes, orders and administers medications and therapeutic agents
    • Provides a safe birthing environment within all applicable settings
    • Applies relevant infection prevention and control practices and standards
    • Initiates consultation, referral, and transfer of care by specifying relevant information and recommendations

  • Population Health — Official range: 5–8% (Practice allocation: 6.22%)

    • Recognizes the human rights of clients seeking care
    • Supports clients to address determinants of health that affect them and their access to health services and resources
    • Uses evidence and collaborates with community partners and other health care providers to optimize the health of clients

  • Reproductive and Sexual Health — Official range: 5–8% (Practice allocation: 6.22%)

    • Delivers contraceptive counselling, with provision based on jurisdiction
    • Offers abortion counselling, with provision based on jurisdiction
    • Recognizes abuse and intimate partner violence and applies an individualized trauma-informed care approach
    • Screens and tests for reproductive cancers
    • Provides sexual health education
    • Provides sexually transmitted infections counselling, diagnosis, and treatment, as appropriate

  • Advocate — Official range: 8–12% (Practice allocation: 9.57%)

    • Recognizes and responds to the impact of the client’s life experiences, including historical, social and cultural influences on childbearing and early parenting
    • Fosters an environment of respect and autonomy as determined by the client
    • Encourages and facilitates the client’s own research and knowledge gathering, honouring other ways of knowing and doing
    • Respects, promotes and supports the client’s rights, interests, preferences, beliefs and culture
    • Demonstrates cultural safety and humility by respecting diversity and individual differences and attending to power differentials inherent in health care delivery
    • Creates a safe environment, respecting the client’s preferences and privacy needs
    • Recognizes and takes action in situations where client safety is actually or potentially compromised
    • Navigates the health care system to help ensure the client receives quality care and gains access to necessary resources
    • Advocates for health equity, particularly for vulnerable and/or diverse clients and populations
    • Advocates for the use of Indigenous health knowledge and healing practices for Indigenous clients consistent with the Calls to Action of the Truth and Reconciliation Commission of Canada
    • Advocates for the midwifery profession as a primary health care provider for pregnancy, labour, birth, postpartum and newborn care

  • Communicator — Official range: 8–12% (Practice allocation: 9.57%)

    • Demonstrates cultural humility to establish a safe and respectful relationship with others.
    • Applies a person-centered approach characterized by empathy, respect and compassion in order to foster trust and autonomy
    • Effectively communicates the midwife’s scope of practice and philosophy of care to the client
    • Provides the client and family members with accurate and complete information to assist them in making informed decisions about their health care, treatment choices and symptom management
    • Utilizes effective communication skills (e.g. attentive and respectful listening, feedback, open-mindedness, non-verbal cues and behaviours) with the client and their family to clarify perceptions and understanding, negotiate a care plan and resolve conflicts
    • Documents all client interactions in a clear, concise, accurate, objective, contemporaneous and legible manner to facilitate a continuum of care and decision- making, and to optimize safety

  • Collaborator — Official range: 4–8% (Practice allocation: 5.74%)

    • Engages with other health care providers and community-based services to plan and deliver care that meets the client’s needs
    • Shares information in a collegial manner with colleagues and other health care professionals as needed to improve client safety and optimize health outcomes
    • Recognizes inter-professional and intra- professional conflict, striving for consensus among those with differing views
    • Negotiates overlapping and shared responsibilities by respecting one’s role, responsibilities and scope of practice and those of other health care professionals (e.g. when identifying the most responsible provider)

  • Professional — Official range: 2–4% (Practice allocation: 2.87%)

    • Practices in accordance with laws, professional and ethical codes, standards and policies governing midwifery
    • Demonstrates an understanding of the mandate and responsibilities of provincial/ territorial midwifery regulators
    • Demonstrates an understanding of the role of professional midwifery associations
    • Identifies ethical issues when providing care and responds using ethical principles
    • Identifies existing policies or procedures that may be unsafe or are inconsistent with evidence-informed practices and takes action to address these
    • Recognizes and responds to unprofessional conduct and competence among midwives and other health care professionals
    • Recognizes and observes personal and professional boundaries and limitations in order to provide safe, respectful and ethical client care, and seeks support when needed
    • Maintains the confidentiality and security of written and verbal information acquired in a professional capacity in accordance with all applicable privacy laws
    • Demonstrates judicious use of information technology, e.g. virtual care and social media, to protect confidentiality, prevent privacy breaches and maintain public trust in the profession
    • Identifies and mitigates safety risks to the client, family and health care providers
    • Engages in quality improvement activities and health system performance at local, provincial, national and global levels
    • Ensures client safety is maintained when students are involved in providing care
    • Advances the profession’s body of knowledge through participation in relevant research
    • Promotes and adheres to anti-racism policies that guide recognizing, reporting, documenting and responding to racism in the health care system, including anti- Indigenous racism

  • Life-long Learner — Official range: 2–4% (Practice allocation: 2.87%)

    • Keeps up to date with continuing education and quality assurance programs and requirements to maintain currency and competency
    • Critically reviews, appraises and applies new information and research findings relevant to midwifery practice
    • Identifies opportunities for learning and improvement by regularly reflecting on and self-assessing performance
    • Learns from others’ practice and experience to improve one’s own practice
    • Is aware of one’s own personal biases, values, beliefs and positional power and acts to reduce bias and dismantle racist beliefs and systems

  • Leader — Official range: 6–10% (Practice allocation: 7.66%)

    • Implements strategies to integrate and optimize the midwifery role within health care teams and health care systems to improve client care
    • Uses and allocates resources judiciously to optimize client care and health system sustainability
    • Promotes a culture of safety by participating in and facilitating activities that emphasize client and midwife safety
    • Applies the principles and methods of quality improvement to improve midwifery care outcomes
    • Recognizes the value of and engages in mentorship for peers and students (e.g., support, guide, educate and role model)
    • Provides constructive and respectful feedback to promote learning and professional growth among students and peers
    • Recognizes, supports and responds effectively to colleagues in need
    • Recognizes and responds to racism, including anti-Indigenous racism, with accurate information, respectful corrections and a constructive and collaborative approach to systemic change

How to prepare

Work through the topics, read the explanation after each answer, and revisit the areas where you miss questions. Use the official outline and reference materials below to guide your study.

These independent practice questions are not actual exam items and do not guarantee a passing result.

Frequently asked questions

What is the exam format?

Computer-based multiple-choice examination with four options and one best answer, using independent and case-based questions. Live remote proctoring is standard; a test centre may be requested. Candidates can access English and French items.

How many questions are on the exam?

Total questions: 180.

How long is the exam?

4 hours 45 minutes of examination time, plus one 30-minute break halfway through: total seat time 5 hours 15 minutes. Additional bathroom breaks do not add examination time. Approved accommodations may vary.

What is the passing score?

Criterion-referenced pass mark established by expert standard setting using the modified Angoff method, at competent entry-level performance. The specific passing score may vary slightly between sittings; there is no single fixed percentage specified on the current candidate page. Results are reported Pass or Fail.

How much does the exam cost?

CMRC's dated 2026 English and French examination schedules list CAD $992.50; re-write fees equal initial fees. The linked undated registration form displays $992.25, so candidates should confirm the payable amount with CMRC. The schedule states a 5% increase in 2027; no rounded 2027 amount is inferred.

Official sources and references

Confirm current exam arrangements with the exam provider.