This question seems to be incomplete. However, there is enough information to find the right answer.
Answer: B. She simulated labor pains though she is not in labor
Step-by-step explanation:
In The Handmaid's Tale (1985), by Margaret Atwood, the birth of the babies has a ritualistic custom that goes with the theme of the book, about women giving birth to children that could be taken from them. That´s why the woman who will be taking the baby has her own mimics the birth as if she was the one doing it, despite them not being able to give birth.
So, when Janine, now known as Ofwarren, is about to have her baby, Commander Warren's Wife lies next to her as if she was the one giving birth, while Janine lies in the master bedroom, and the Handmaids gather around the bed to watch.