A nurse is comparing nonstress test (NST) and contraction stress test (CST) for assessing fetal well-being.
What is an advantage of NST over CST?
NST provides more information about fetal status than CST
NST is less time-consuming and more comfortable than CST
NST has fewer contraindications and complications than CST
NST has higher sensitivity and specificity than CST
The Correct Answer is B
NST is less time-consuming and more comfortable than CST. This is because NST does not require any external stimulation of the uterus, while CST involves giving oxytocin to induce contractions. NST also does not pose any risk of preterm labor or fetal distress, which are possible complications of CST.
Choice A is wrong because NST does not provide more information about fetal status than CST. In fact, CST can detect fetal hypoxia more accurately than NST.
Choice C is wrong because NST does not have fewer contraindications than CST. Both tests have similar contraindications, such as placenta previa, multiple gestation, and previous cesarean section.
Choice D is wrong because NST does not have higher sensitivity and specificity than CST.
Sensitivity refers to the ability of a test to correctly identify positive cases, while specificity refers to the ability of a test to correctly identify negative cases.
NST has a high sensitivity but a low specificity, meaning it can detect most fetuses with hypoxia but also has many false positives. CST has a low sensitivity but a high specificity, meaning it can miss some fetuses with hypoxia but also has few false negatives.
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Related Questions
Correct Answer is B
Explanation
Negative CST.A negative CST means that the fetal heart rate does not slow down (decelerate) after a contraction, which indicates that the baby can tolerate the stress of labor.
This is a normal and reassuring result.
Choice A is wrong because a positive CST means that the fetal heart rate slows down and stays slow after more than half of the contractions, which indicates that the baby may be at risk for problems during labor.
This is an abnormal and concerning result.
Choice C is wrong because an unsatisfactory CST means that there are not enough contractions to produce a reliable result.
This may happen if the medication or nipple stimulation does not induce enough contractions, or if there are other factors that interfere with the test, such as maternal movement or fetal sleep.
Choice D is wrong because a suspicious CST means that the results are unclear or inconsistent.This may happen if the fetal heart rate slows down after some but not all of the contractions, or if there are other types of decelerations that are not clearly related to the contractions.
A suspicious CST may need to be repeated in a couple of days.
Correct Answer is D
Explanation
Notify the provider and prepare for delivery.Oligohydramnios is a condition where the amniotic fluid volume is less than expected for gestational age and it is associated with maternal and fetal complications.
The nonstress test (NST) is a method of fetal surveillance that measures the fetal heart rate response to fetal movement.A reactive NST is defined as at least two accelerations of 15 beats per minute or more above the baseline, lasting 15 seconds or more, within a 20-minute period.
A nonreactive NST indicates fetal hypoxia or acidosis and requires further evaluation.An acoustic stimulator can be used to elicit fetal movement and accelerations, but it should not be repeated more than once in a 10-minute period.
Therefore, choice A is wrong because repeating the acoustic stimulation after 1 minute is too soon and may cause fetal distress.
Choice B is wrong because documenting the finding as a nonreactive NST is not enough to address the situation.Choice C is wrong because performing a contraction stress test (CST) is contraindicated in oligohydramnios because it may cause umbilical cord compression and fetal compromise.
The CST involves inducing uterine contractions with oxytocin or nipple stimulation and monitoring the fetal heart rate for signs of intolerance.
A negative CST means that there
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