WPU NUR 3300 Exam 3 Nursing Practice II –
(2026/2027) Actual Questions, Verified Answers
with Rationales | Guarantee Pass
Section 1: Labor & Delivery Assessment
Q1. The nurse is teaching a prenatal class on the difference between true and
false labor contractions. Which factor indicates true labor contraction?
A) Contractions lessen with rest
B) Contractions stop after a warm bath
C) Contractions increase even if relaxing and taking a shower
D) Pain is only in the upper abdomen
Answer: C
Rationale: True labor contractions become stronger, longer, and closer together
regardless of rest or comfort measures. Braxton Hicks (false labor) contractions
often diminish with rest or hydration. True labor contractions are not relieved by
position changes, walking, or showers .
Q2. A client at 39 weeks calls the labor and delivery unit stating she thinks she is
in labor. Which response indicates true labor?
A) "My contractions are irregular and stop when I lie down."
B) "I only feel tightening once in a while."
C) "My contractions are coming every 5 minutes and getting stronger."
D) "The pain goes away when I take a warm bath."
Answer: C
Rationale: Regular, progressively stronger contractions that occur at consistent
intervals are characteristic of true labor. Contraction frequency is timed from the
start of one contraction to the start of the next. A regular pattern of contractions
suggests true labor .
,Q3. Which assessment finding suggests false labor?
A) Contractions every 3-4 minutes lasting 60 seconds
B) Progressive cervical dilation from 2 cm to 4 cm over 2 hours
C) Contractions that decrease in intensity after the client walks
D) Bloody show and rupture of membranes
Answer: C
Rationale: False labor contractions (Braxton Hicks) often decrease or stop with
activity such as walking, changing position, or rest. True labor contractions persist
or intensify despite these measures. Cervical change and rupture of membranes
indicate true labor .
Q4. A primigravida client at 38 weeks reports irregular contractions for the past
2 hours felt primarily in the lower abdomen. They go away when she sits down.
The nurse should:
A) Admit the client for induction of labor
B) Instruct the client to come to the hospital immediately
C) Reassure the client these are likely Braxton Hicks contractions and review signs
of true labor
D) Administer tocolytic medication to stop the contractions
Answer: C
Rationale: Irregular contractions that resolve with position change are consistent
with Braxton Hicks contractions (false labor). The nurse should provide
reassurance and educate the client about true labor signs, including regular,
intensifying contractions and bloody show .
Q5. What is a characteristic of Braxton Hicks contractions?
A) They cause cervical effacement and dilation
B) They become more intense with walking
,C) They are irregular and often relieved by rest or hydration
D) They occur in a regular pattern every 2-3 minutes
Answer: C
Rationale: Braxton Hicks contractions are irregular, unpredictable, and often
described as a "tightening" sensation. They typically decrease or resolve with rest,
hydration, or position change and do not produce cervical change .
Q6. A client at 36 weeks' gestation should seek medical attention for possible
labor when:
A) Contractions are 10 minutes apart and irregular
B) She feels any tightening at all
C) Contractions are regular, every 5 minutes for 1 hour, lasting 45-60 seconds
D) She should wait until her water breaks
Answer: C
Rationale: Standard teaching advises clients to seek medical attention when
contractions are regular (every 5 minutes), lasting 45-60 seconds, for at least 1
hour (for nulliparous clients) or when contractions are every 5-7 minutes for
parous clients. Other signs include rupture of membranes, vaginal bleeding, or
decreased fetal movement .
Q7. A client is admitted with possible preterm labor at 32 weeks. Which
assessment finding is most concerning?
A) Cervical dilation of 3 cm
B) Intermittent Braxton Hicks contractions
C) Fetal heart rate of 140 bpm with moderate variability
D) Contractions every 10 minutes
Answer: A
Rationale: Cervical dilation of 3 cm at 32 weeks indicates progressive cervical
change, which is the hallmark of true preterm labor. This finding requires
immediate intervention to prevent preterm delivery .
, Q8. The nurse is assessing a client in active labor. Which finding would the nurse
expect?
A) Cervical dilation of 1-2 cm
B) Contractions every 2-3 minutes
C) Contractions every 10-15 minutes
D) Cervical dilation of 8-10 cm
Answer: B
Rationale: Active labor is characterized by cervical dilation of 4-7 cm with regular,
strong contractions occurring every 2-3 minutes. Transition phase (8-10 cm)
involves even stronger contractions every 1.5-2 minutes .
Q9. Contraction frequency is measured from:
A) The end of one contraction to the beginning of the next
B) The beginning of one contraction to the beginning of the next
C) The peak of one contraction to the peak of the next
D) The beginning of one contraction to the end of the same contraction
Answer: B
Rationale: Contraction frequency is measured from the beginning of one
contraction to the beginning of the next contraction. This is the standard clinical
definition used in obstetric assessment .
Q10. A client in labor at 7 cm dilation asks how much longer delivery will take.
The best response is:
A) "You should have the baby within the next hour."
B) "You are in transition; it could be anytime now but we can't predict exactly."
C) "It will definitely be at least 4 more hours."
D) "I can't tell you because every labor is different."
Answer: B
(2026/2027) Actual Questions, Verified Answers
with Rationales | Guarantee Pass
Section 1: Labor & Delivery Assessment
Q1. The nurse is teaching a prenatal class on the difference between true and
false labor contractions. Which factor indicates true labor contraction?
A) Contractions lessen with rest
B) Contractions stop after a warm bath
C) Contractions increase even if relaxing and taking a shower
D) Pain is only in the upper abdomen
Answer: C
Rationale: True labor contractions become stronger, longer, and closer together
regardless of rest or comfort measures. Braxton Hicks (false labor) contractions
often diminish with rest or hydration. True labor contractions are not relieved by
position changes, walking, or showers .
Q2. A client at 39 weeks calls the labor and delivery unit stating she thinks she is
in labor. Which response indicates true labor?
A) "My contractions are irregular and stop when I lie down."
B) "I only feel tightening once in a while."
C) "My contractions are coming every 5 minutes and getting stronger."
D) "The pain goes away when I take a warm bath."
Answer: C
Rationale: Regular, progressively stronger contractions that occur at consistent
intervals are characteristic of true labor. Contraction frequency is timed from the
start of one contraction to the start of the next. A regular pattern of contractions
suggests true labor .
,Q3. Which assessment finding suggests false labor?
A) Contractions every 3-4 minutes lasting 60 seconds
B) Progressive cervical dilation from 2 cm to 4 cm over 2 hours
C) Contractions that decrease in intensity after the client walks
D) Bloody show and rupture of membranes
Answer: C
Rationale: False labor contractions (Braxton Hicks) often decrease or stop with
activity such as walking, changing position, or rest. True labor contractions persist
or intensify despite these measures. Cervical change and rupture of membranes
indicate true labor .
Q4. A primigravida client at 38 weeks reports irregular contractions for the past
2 hours felt primarily in the lower abdomen. They go away when she sits down.
The nurse should:
A) Admit the client for induction of labor
B) Instruct the client to come to the hospital immediately
C) Reassure the client these are likely Braxton Hicks contractions and review signs
of true labor
D) Administer tocolytic medication to stop the contractions
Answer: C
Rationale: Irregular contractions that resolve with position change are consistent
with Braxton Hicks contractions (false labor). The nurse should provide
reassurance and educate the client about true labor signs, including regular,
intensifying contractions and bloody show .
Q5. What is a characteristic of Braxton Hicks contractions?
A) They cause cervical effacement and dilation
B) They become more intense with walking
,C) They are irregular and often relieved by rest or hydration
D) They occur in a regular pattern every 2-3 minutes
Answer: C
Rationale: Braxton Hicks contractions are irregular, unpredictable, and often
described as a "tightening" sensation. They typically decrease or resolve with rest,
hydration, or position change and do not produce cervical change .
Q6. A client at 36 weeks' gestation should seek medical attention for possible
labor when:
A) Contractions are 10 minutes apart and irregular
B) She feels any tightening at all
C) Contractions are regular, every 5 minutes for 1 hour, lasting 45-60 seconds
D) She should wait until her water breaks
Answer: C
Rationale: Standard teaching advises clients to seek medical attention when
contractions are regular (every 5 minutes), lasting 45-60 seconds, for at least 1
hour (for nulliparous clients) or when contractions are every 5-7 minutes for
parous clients. Other signs include rupture of membranes, vaginal bleeding, or
decreased fetal movement .
Q7. A client is admitted with possible preterm labor at 32 weeks. Which
assessment finding is most concerning?
A) Cervical dilation of 3 cm
B) Intermittent Braxton Hicks contractions
C) Fetal heart rate of 140 bpm with moderate variability
D) Contractions every 10 minutes
Answer: A
Rationale: Cervical dilation of 3 cm at 32 weeks indicates progressive cervical
change, which is the hallmark of true preterm labor. This finding requires
immediate intervention to prevent preterm delivery .
, Q8. The nurse is assessing a client in active labor. Which finding would the nurse
expect?
A) Cervical dilation of 1-2 cm
B) Contractions every 2-3 minutes
C) Contractions every 10-15 minutes
D) Cervical dilation of 8-10 cm
Answer: B
Rationale: Active labor is characterized by cervical dilation of 4-7 cm with regular,
strong contractions occurring every 2-3 minutes. Transition phase (8-10 cm)
involves even stronger contractions every 1.5-2 minutes .
Q9. Contraction frequency is measured from:
A) The end of one contraction to the beginning of the next
B) The beginning of one contraction to the beginning of the next
C) The peak of one contraction to the peak of the next
D) The beginning of one contraction to the end of the same contraction
Answer: B
Rationale: Contraction frequency is measured from the beginning of one
contraction to the beginning of the next contraction. This is the standard clinical
definition used in obstetric assessment .
Q10. A client in labor at 7 cm dilation asks how much longer delivery will take.
The best response is:
A) "You should have the baby within the next hour."
B) "You are in transition; it could be anytime now but we can't predict exactly."
C) "It will definitely be at least 4 more hours."
D) "I can't tell you because every labor is different."
Answer: B
