Nursing
AMCB CNMCertified Nurse-Midwife
The AMCB CNM (Certified Nurse-Midwife) exam is the licensure-equivalent national certification for nurse-midwifery in the US, issued by the American Midwifery Certification Board. Passing it is required to practice as a CNM in every state, the District of Columbia, and US territories. The exam tests the cognitive knowledge of a beginning midwifery practitioner across antepartum, intrapartum, postpartum, newborn, and primary/gynecologic care.
Or try 10 questions free — no sign-up →
✓ 30 free questions ✓ No credit card ✓ Cancel anytime
Exam facts
Everything you need to know about the AMCB CNM exam.
- Passing score
- Scaled passing score set by AMCB (criterion-referenced)
- Format & length
- 175 questions · 4 hours
- Voucher cost
- $500 examination fee
- Prerequisites
- Active, unrestricted US RN license + completion of an ACME-accredited graduate-level nurse-midwifery program (4 attempts allowed within 24 months of program completion)
- Validity
- 5 years (renew via the AMCB Certificate Maintenance Program: continuing-competency modules + CE contact hours)
Exam facts sourced from the official AMCB (American Midwifery Certification Board) certification page. Last reviewed June 2026.
What’s tested
Key topics on the AMCB CNM exam.
The Cert Climb question bank is mapped to every domain on the official AMCB CNM exam blueprint, so what you study is what the test asks.
- Antepartum Care
- Intrapartum Care
- Postpartum Care
- Newborn Care
- Primary Care & Well-Woman Care
- Gynecologic Care
Who it’s for
Built for the people taking this exam.
Graduates of ACME-accredited nurse-midwifery programs pursuing CNM licensure. The only certification accepted for nurse-midwifery practice in all 50 states.
Why it matters in 2026
The career signal.
Demand for nurse-midwives is climbing as health systems respond to OB workforce shortages and the rural maternity-care access crisis. CNMs hold full prescriptive and admitting privileges in most states and routinely earn $115k-$140k. First-attempt pass rates run ~80%, and the credential is the only nationally recognized pathway into hospital-based midwifery practice.
Sample question
What a AMCB CNM question looks like.
A 22-year-old patient with a regular 30-day menstrual cycle comes to the clinic reporting no menstrual period for 7 weeks. How is amenorrhea classified as a sign of pregnancy?
See the answer & explanation
Correct: C. It is a presumptive sign of pregnancy.
Why: Amenorrhea is classified as a presumptive sign of pregnancy. Positive signs include fetal heart tones, ultrasound confirmation of pregnancy, or palpation of fetal movement by the provider. Probable signs include uterine enlargement, Hegar's sign, Goodell's sign, Piskacek's sign, ballottement, Braxton Hicks contractions, and a positive pregnancy test.
What you get
Everything you need to actually pass.
Full question bank
798 questions covering every objective on the official AMCB CNM exam blueprint, with detailed explanations on every option — right and wrong.
Quiz modes
Timed exam simulation, missed-only review, topic drills, and a daily question of the day. Practice the way you study best.
Flashcards
Spaced-repetition flashcards generated from each topic. Pull them up on a phone in the gap between meetings.
Progress tracking
See per-topic accuracy and answered counts. Find weak areas before they cost you on test day.
Per-category premium
Unlocking AMCB CNM unlocks every other Nursing exam in the Cert Climb catalog — pay once, stack credentials.
No-fluff explanations
Every wrong answer comes with a 2-3 sentence explanation of why it’s wrong, not just “the correct answer is X.” Pattern recognition is the whole game.
FAQ
Frequently asked questions about AMCB CNM
What is the AMCB CNM exam?
The AMCB CNM (Certified Nurse-Midwife) exam is the licensure-equivalent national certification for nurse-midwifery in the US, issued by the American Midwifery Certification Board. Passing it is required to practice as a CNM in every state, the District of Columbia, and US territories.
How many questions are on the AMCB CNM exam, and how long is it?
175 questions · 4 hours
What is the passing score for the AMCB CNM exam?
Scaled passing score set by AMCB (criterion-referenced)
How much does the AMCB CNM exam cost?
$500 examination fee
Are there prerequisites for the AMCB CNM exam?
Active, unrestricted US RN license + completion of an ACME-accredited graduate-level nurse-midwifery program (4 attempts allowed within 24 months of program completion)
How long is the AMCB CNM certification valid?
5 years (renew via the AMCB Certificate Maintenance Program: continuing-competency modules + CE contact hours)
How many questions does the AMCB CNM bank have?
798 questions, organized into 6 subject areas mapped to the official exam objectives.
Is the free trial really free?
Yes. 30 questions, no credit card, no email-trap, no “activate by Friday or pay” spam. You either upgrade because the bank’s good, or you don’t.
What does premium cost?
Premium is sold per category and unlocks every Nursing exam in the Cert Climb catalog. Plans are 1-month, 3-month, or 12-month — see the upgrade modal for current pricing.
How current is the AMCB CNM content?
We track exam version updates and refresh the bank within weeks of new objectives. Where the version of an exam matters (e.g. CompTIA SY0-701 vs. SY0-601), question explanations call it out.
Can I cancel my subscription anytime?
Yes. Cancellation is one click from your profile. Your access continues through the end of the period you’ve already paid for.
Stop researching. Start drilling.
30 free questions on AMCB CNM — no card, no commitment.
Start free trial