The Certified Nurse-Midwife Examination is administered by the American Midwifery Certification Board (AMCB). This certification evaluates clinical proficiency across six primary domains: Antepartum, Intrapartum, Postpartum, Newborn, Gynecology, and Primary Care. It assesses the knowledge required for safe and effective midwifery practice, ensuring that candidates can manage various clinical scenarios, including obstetric emergencies and routine care, in accordance with established professional standards for nurse-midwives seeking to demonstrate their competency in the field.
This examination is intended for individuals who have successfully completed an accredited nurse-midwifery education program and are seeking professional certification. Candidates should possess the clinical knowledge and skills necessary to provide care for patients across the entire reproductive lifespan and newborn health.
Review the six domains, which carry weights ranging from 10.0% to 21.0%. Focus on the clinical management of obstetric complications, such as shoulder dystocia, and understand the anatomy and physiology of the pelvic girdle. Utilize official resources from the American Midwifery Certification Board (AMCB) to align your study with the exam's structure. Practice identifying risk factors and applying appropriate maneuvers for delivery complications to ensure you are prepared for the assessment.
This domain focuses on the antepartum period, accounting for 21.0% of the exam. It covers the identification of risk factors, maternal health assessment, and the management of pregnancy-related conditions to ensure outcomes for the patient and fetus.
Covering 21.0% of the exam, this domain addresses intrapartum care. It includes the management of labor, delivery maneuvers, and the identification of obstetric emergencies like shoulder dystocia to prevent neonatal and maternal morbidity during the birth process.
This domain represents 18.0% of the exam and centers on postpartum care. It involves the assessment of maternal recovery, identification of complications, and the provision of support following the delivery process to ensure health and safety.
Accounting for 10.0% of the exam, this domain covers newborn care. It focuses on the immediate evaluation of the infant, transition to extrauterine life, and identification of potential health issues following birth to support neonatal well-being.
This domain makes up 19.0% of the exam and addresses gynecology. It involves the provision of gynecological health services, including routine screenings, diagnosis, and management of common reproductive health conditions within the scope of midwifery practice.
Representing 11.0% of the exam, this domain covers primary care. It focuses on the broader health needs of patients, including health promotion, disease prevention, and the management of general health concerns within the scope of midwifery practice.
Arrive prepared to demonstrate your clinical knowledge across the six domains. Manage your time effectively to address the various weighted sections. Ensure you are familiar with the clinical protocols for obstetric emergencies, as these are central to the exam's focus on patient safety and professional standards.
The Certified Nurse-Midwife Examination is certified by the American Midwifery Certification Board (AMCB). This organization maintains the standards and requirements for the certification process, ensuring that all candidates meet the professional criteria to practice safely and effectively in the field of midwifery.
There are 6 domains covered in the exam. These include Antepartum, Intrapartum, Postpartum, Newborn, Gynecology, and Primary Care, each with specific weight percentages assigned to them to reflect their importance in the overall assessment of a candidate's clinical knowledge and professional midwifery practice.
The Antepartum domain accounts for 21.0% of the total exam weight. This is one of the two largest domains, tied with the Intrapartum domain in terms of its percentage contribution, highlighting its role in the evaluation of a candidate's midwifery skills and knowledge.
For information regarding the current certification path, check with the American Midwifery Certification Board (AMCB). They provide the official guidance and requirements for maintaining and obtaining certification, ensuring that all practitioners are aligned with the latest standards and protocols required for professional nurse-midwifery practice today.
Verified 2026-09-13
This page was built by synthesizing the official American Midwifery Certification Board (AMCB) exam guide and verified domain weightings to provide a structured, accurate, and detailed overview of the certification requirements for nurse-midwives.