The nurse is caring for a primigravida client with the following clinical data. The nurse should take which of the following actions based on the result? See the image below.
The nurse is caring for a primigravida client with the following clinical data. The nurse should take which of the following actions based on the result? See the image below.
A. Inform the client of the normal finding
[77%]
B. Prepare the client for a contraction stress test
[15%]
C. Arrange for a repeat test
[4%]
D. Inquire if the client ate prior to the test
[3%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Antepartum
Client Need
Test Plan
Health Promotion and Maintenance
Related Topic
Ante/Intra/Postpartum and Newborn Care
Item Type
Item Type
Analysis
Explanation
Choice A is correct. A reactive nonstress test (NST) is an expected finding and indicates fetal well-being. A reactive finding indicates fetal well-being; specifically, the fetal heart rate increased by 15 beats per minute, lasting for 15 seconds.
Choice B is incorrect. A reactive NST is a normal finding, and the client will not need a contraction stress test (CST).
Choice C is incorrect. A CST is only utilized if the NST is abnormal. A normal finding will not require repeat testing.
Choice D is incorrect. A client may or may not eat before the test. Dietary restrictions are not necessary before an NST.
Related Videos
3 Key Topics
Nonstress Test
29.3 Fetal Assessment Tests
Additional Info
✓ A nonstress test is performed in the third trimester if the client has indications such as a high-risk pregnancy that may result in a stillbirth or complications such as fetal hypoxia.
✓ A reactive finding indicates fetal well-being; specifically, the fetal heart rate increased by 15 beats per minute, lasting for 15 seconds.
✓ A nonreactive NST is non-reassuring and indicates decreased variability with an absence in a fetal heart rate acceleration.
