A female client at 37 weeks' gestation has just undergone a nonstress test. The results were two fetal movements with a corresponding increase in fetal heart rate (FHR) of 15 bpm lasting 15 seconds…

The correct answer is B. Reactive; no contraction stress test required. (A) A contraction stress test is unnecessary following a reactive (normal) nonstress test. (B) The results are considered reactive, indicating that the fetus is not showing distress. Therefore, a contraction stress test, which is a more in-depth test for fetal distress, is (C)…

Physiological Integrity: Reduction of Risk Potential

Question

A female client at 37 weeks' gestation has just undergone a nonstress test. The results were two fetal movements with a corresponding increase in fetal heart rate (FHR) of 15 bpm lasting 15 seconds within a 20-minute period. Her results would be classified as:

Options

AReactive; needs follow-up contraction stress test
BReactive; no contraction stress test required
CNon-reactive; needs follow-up contraction stress test
DNon-reactive; no contraction stress test required

How the community answered

(27 responses)

B
93% (25)
C
4% (1)
D
4% (1)

Explanation

(A) A contraction stress test is unnecessary following a reactive (normal) nonstress test. (B) The results are considered reactive, indicating that the fetus is not showing distress. Therefore, a contraction stress test, which is a more in-depth test for fetal distress, is (C) A nonreactive test would show fewer than two fetal movements or a failure of the FHR to increase at least 15 bpm with the movements in a 20-minute period. (D) A contraction stress test should follow a nonreactive nonstress test to validate fetal distress.

Topics

#nonstress test#reactive NST criteria#fetal heart rate acceleration#antepartum fetal surveillance

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