North American Registry of Midwives (NARM) Practice Exam

What are the three characteristics of true labor contractions?

1. They are irregular, decrease in intensity, and can be relieved by movement

2. They are regular, decrease in frequency, and radiate from back to front

3. They are regular, increase in frequency, duration, and intensity

4. They are sporadic, consistent in duration, and localized

The correct answer is: They are regular, increase in frequency, duration, and intensity

True labor contractions are characterized by their regularity and an increase in frequency, duration, and intensity as labor progresses. This pattern of contractions is essential for effective cervical dilation and the progression of labor. Regular contractions indicate that the body is entering the labor phase, and they become increasingly frequent, which helps to push the baby down the birth canal. As labor advances, the contractions not only occur more often but also last longer and become increasingly intense, which is crucial for facilitating the birth process. This consistent escalation allows health care providers to assess the progression of labor effectively. Other options describe features more consistent with false labor or Braxton Hicks contractions, which do not follow the same pattern of increasing regularity and intensity. Understanding these characteristics helps midwives differentiate between true and false labor, ensuring appropriate care and support for the laboring individual.