NUR 3300 Exam 3 – Nursing Practice II – (2026) Actual Questions & Answers
(WPU).
NUR 3300 Exam 3 – Nursing Practice II (2026) – William Paterson University
Section 1: Labor and Delivery – True vs. False Labor (Questions 1-20)
Question 1
A 24-year-old primigravida client at 39 weeks' gestation presents to the OB unit
concerned she is in labor. Which assessment findings will lead the nurse to
determine the client is in true labor?
A) Irregular contractions that stop with rest and hydration
B) Contractions only in the abdomen without cervical change
C) Regular contractions that increase in intensity and cause cervical dilation
D) Contractions that are relieved by walking
Answer: C
Rationale: True labor is characterized by regular contractions that become
stronger, longer, and closer together over time, resulting in progressive cervical
dilation and effacement. False labor (Braxton Hicks) contractions are irregular,
often stop with rest or hydration, and do not cause cervical change.
Question 2
,The nurse is teaching a prenatal class on the difference between true and false
labor contractions. The nurse determines the session is successful when the class
correctly chooses which factor as an indication of true labor contraction?
A) Contractions lessen with rest
B) Contractions stop after a warm bath
C) 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, while Braxton Hicks often diminish with
rest or hydration. This is a key distinguishing feature nurses must teach clients.
Question 3
A client at 39 weeks calls the labor and delivery unit stating she thinks she is in
labor. The nurse predicts she is in true labor based on which answer to her
assessment questions?
A) "My contractions are irregular and stop when I lie down."
B) "I only feel tightening once in a while."
,C) "Contractions are regular and lasting longer and stronger."
D) "The pain goes away when I drink water."
Answer: C
Rationale: The client's description of regular, intensifying contractions that do not
resolve with rest is characteristic of true labor. This pattern is typically associated
with progressive cervical change.
Question 4
A pregnant client arrives to the clinic for a prenatal visit appearing uncomfortable.
During assessment, the nurse determines the client is experiencing fairly strong
contractions at 12:05 p.m., 12:10 p.m., 12:15 p.m., and 12:20 p.m. What can the
nurse conclude from these findings?
A) The contractions are every 10 minutes
B) The contractions are every 2½ minutes
C) The frequency of the contractions is every 5 minutes
D) The contractions are irregular and insignificant
Answer: C
, Rationale: Contraction frequency is timed from the start of one contraction to the
start of the next. Here, each begins 5 minutes apart (12:05 to 12:10, 12:10 to
12:15, 12:15 to 12:20), suggesting a regular pattern of true labor.
Question 5
The nurse is assessing a client in the triage unit. Which 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.
Question 6
(WPU).
NUR 3300 Exam 3 – Nursing Practice II (2026) – William Paterson University
Section 1: Labor and Delivery – True vs. False Labor (Questions 1-20)
Question 1
A 24-year-old primigravida client at 39 weeks' gestation presents to the OB unit
concerned she is in labor. Which assessment findings will lead the nurse to
determine the client is in true labor?
A) Irregular contractions that stop with rest and hydration
B) Contractions only in the abdomen without cervical change
C) Regular contractions that increase in intensity and cause cervical dilation
D) Contractions that are relieved by walking
Answer: C
Rationale: True labor is characterized by regular contractions that become
stronger, longer, and closer together over time, resulting in progressive cervical
dilation and effacement. False labor (Braxton Hicks) contractions are irregular,
often stop with rest or hydration, and do not cause cervical change.
Question 2
,The nurse is teaching a prenatal class on the difference between true and false
labor contractions. The nurse determines the session is successful when the class
correctly chooses which factor as an indication of true labor contraction?
A) Contractions lessen with rest
B) Contractions stop after a warm bath
C) 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, while Braxton Hicks often diminish with
rest or hydration. This is a key distinguishing feature nurses must teach clients.
Question 3
A client at 39 weeks calls the labor and delivery unit stating she thinks she is in
labor. The nurse predicts she is in true labor based on which answer to her
assessment questions?
A) "My contractions are irregular and stop when I lie down."
B) "I only feel tightening once in a while."
,C) "Contractions are regular and lasting longer and stronger."
D) "The pain goes away when I drink water."
Answer: C
Rationale: The client's description of regular, intensifying contractions that do not
resolve with rest is characteristic of true labor. This pattern is typically associated
with progressive cervical change.
Question 4
A pregnant client arrives to the clinic for a prenatal visit appearing uncomfortable.
During assessment, the nurse determines the client is experiencing fairly strong
contractions at 12:05 p.m., 12:10 p.m., 12:15 p.m., and 12:20 p.m. What can the
nurse conclude from these findings?
A) The contractions are every 10 minutes
B) The contractions are every 2½ minutes
C) The frequency of the contractions is every 5 minutes
D) The contractions are irregular and insignificant
Answer: C
, Rationale: Contraction frequency is timed from the start of one contraction to the
start of the next. Here, each begins 5 minutes apart (12:05 to 12:10, 12:10 to
12:15, 12:15 to 12:20), suggesting a regular pattern of true labor.
Question 5
The nurse is assessing a client in the triage unit. Which 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.
Question 6
