A nurse is reviewing the results of a nonstress test (NST) for a client who is at 32 weeks of gestation and has diabetes mellitus.

The nurse notes that the fetal heart rate (FHR) accelerates at least 10 beats/min for at least 10 seconds two or more times in a 30-minute period.

How should the nurse interpret this result?

Reactive

Nonreactive

Unsatisfactory

Equivocal

Answer and Explanation

The Correct Answer is A

Reactive. This means that the fetal heart rate (FHR) accelerates at least 10 beats/min for at least 10 seconds two or more times in a 30-minute period. This result shows that the baby is getting enough oxygen and is doing well.

Nonreactive.

This means that the FHR does not accelerate as expected during the test. This result does not necessarily mean that there is a problem, but it may indicate that the baby is not getting enough oxygen or is asleep.

If this happens, more tests may be needed.

Unsatisfactory. This means that the test results are unclear or incomplete due to technical problems or poor quality of the recording.

If this happens, the test may need to be repeated.

Equivocal. This means that the test results are uncertain or inconclusive due to factors such as preterm gestation, fetal sleep, maternal medications, or fetal anomalies.

If this happens, more tests may be needed.

Normal ranges for FHR are between 110 and 160 beats/min at rest and between 120 and 180 beats/min during movement.

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Correct Answer is A

Explanation

Reactive.This means that the fetal heart rate (FHR) accelerates at least 10 beats/min for at least 10 seconds two or more times in a 30-minute period.This result shows that the baby is getting enough oxygen and is doing well.

Nonreactive.

This means that the FHR does not accelerate as expected during the test.This result does not necessarily mean that there is a problem, but it may indicate that the baby is not getting enough oxygen or is asleep.

If this happens, more tests may be needed.

Unsatisfactory.This means that the test results are unclear or incomplete due to technical problems or poor quality of the recording.

If this happens, the test may need to be repeated.

Equivocal.This means that the test results are uncertain or inconclusive due to factors such as preterm gestation, fetal sleep, maternal medications, or fetal anomalies.

If this happens, more tests may be needed.

Normal ranges for FHR are between 110 and 160 beats/min at rest and between 120 and 180 beats/min during movement.

A. Biophysical profile (BPP) B. Contraction stress test (CST) C. Umbilical artery Doppler velocimetry D. Amniocentesis E. Fetal kick count

Correct Answer is ["A","C"]

Explanation

Abiophysical profile (BPP)is a test that combines a nonstress test with an ultrasound to assess fetal well-being.Aumbilical artery Doppler velocimetryis a test that measures the blood flow in the umbilical cord to detect fetal growth restriction.Both of these tests are indicated for a client who has a nonreactive nonstress test (NST), which means that the fetal heart rate does not accelerate with fetal movement after 20 minutes of monitoring.

Choice B is wrong because acontraction stress test (CST)is a test that stimulates uterine contractions to evaluate how the fetal heart rate responds to stress.It is not recommended for clients who have intrauterine growth restriction (IUGR) because it can compromise fetal oxygenation.

Choice D is wrong because anamniocentesisis a test that obtains amniotic fluid for genetic testing, fetal lung maturity, or infection.It is not used to assess fetal well-being or growth.

Choice E is wrong because afetal kick countis a method of monitoring fetal movement at home by counting how many times the fetus kicks in a certain period of time.It is not a test that can be ordered by a health care provider.

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Correct Answer is ["A","C"]

Explanation

A nurse is conducting a nipple-stimulated contraction stress test (CST) for a client who had a nonreactive nonstress test (NST). Which of the following instructions should the nurse give to the client for this test?

A nurse is preparing to perform a nonstress test (NST) for a client who is at 36 weeks of gestation and reports decreased fetal movement. Which of the following actions should the nurse take first?

A nurse is caring for a client who is at 34 weeks of gestation and has systemic lupus erythematosus (SLE). The provider orders a nonstress test (NST) twice a week for this client. Which of the following statements by the nurse is appropriate when educating the client about this test?