Herzing University
Q1. Which finding best distinguishes true labor from false labor?
A) Contractions decrease with activity
B) Contractions remain irregular
C) Progressive cervical dilation and effacement occur
D) Discomfort remains localized to the abdomen
Correct Answer: C) Progressive cervical dilation and effacement occur
Rationale: True labor produces progressive cervical change in addition to
increasingly regular and effective uterine contractions.
Q2. Which characteristic is associated with true labor contractions?
A) They become progressively stronger, longer, and closer together
B) They disappear with walking
C) They remain irregular throughout labor
D) They become less painful over time
Correct Answer: A) They become progressively stronger, longer, and closer
together
Rationale: True labor contractions increase in frequency, duration, and
intensity and produce progressive cervical change.
Q3. Which finding is more consistent with false labor?
A) Progressive cervical dilation
B) Increasing contraction intensity
C) Contractions that decrease with walking or position changes
D) Increasing fetal descent
Correct Answer: C) Contractions that decrease with walking or position
changes
Rationale: False labor contractions often remain irregular and may diminish
with activity, hydration, rest, or position changes.
Q4. Which is one of the five factors that influences labor?
A) Passenger
B) Placenta only
C) Pulse
D) Personality
Correct Answer: A) Passenger
Rationale: The five major factors affecting labor are passenger,
passageway, powers, position, and psychological response.
, Q5. In the five Ps of labor, what does "passenger" refer to?
A) The fetus and placenta
B) The mother's emotional response
C) The maternal pelvis
D) Uterine contractions only
Correct Answer: A) The fetus and placenta
Rationale: The passenger refers primarily to the fetus, including factors
such as size, presentation, position, and attitude, along with the placenta.
Q6. In the five Ps of labor, what does "passageway" refer to?
A) The maternal pelvis and soft tissues through which the fetus passes
B) Uterine contractions
C) Fetal position
D) Maternal coping ability
Correct Answer: A) The maternal pelvis and soft tissues through which the
fetus passes
Rationale: The passageway includes the bony pelvis and soft tissues that
form the birth canal.
Q7. Which factor represents the "powers" of labor?
A) Uterine contractions and maternal pushing efforts
B) Fetal size and position
C) Maternal emotional response
D) Pelvic dimensions only
Correct Answer: A) Uterine contractions and maternal pushing efforts
Rationale: The powers include involuntary uterine contractions and, during
the second stage, voluntary maternal pushing.
Q8. Which fetal presentation is most favorable for vaginal birth?
A) Cephalic vertex
B) Breech
C) Shoulder
D) Transverse lie
Correct Answer: A) Cephalic vertex
Rationale: Vertex presentation with the fetal head flexed is generally the
most favorable presentation for vaginal birth.
Q9. Which fetal position refers to the relationship of the fetal
landmark to the maternal pelvis?
A) Fetal position
B) Fetal presentation
C) Fetal attitude