A woman is undergoing a nipple-stimulated contraction stress test (CST). She is having contractions that occur every 3 minutes (3/10). The fetal heart rate (FHR) has a baseline of approximately 130 beats/min with the decelerations happening after the mother's contractions, Nadirs happening at the end of the uterine contractions. The interpretation of this test is said to be
Select one:
Positive
Negative
Satisfactory
Reactive
Reactive
The Correct Answer is C
a. A positive CST indicates late decelerations that persist in more than 50% of the contractions, which is not the case in this scenario.
b. A negative CST indicates the absence of late decelerations, which is not the case in this scenario.
c. A satisfactory CST indicates that there are no late decelerations, and the test is considered normal.
d. Reactive is not a term used to interpret a CST.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a. This is not the correct diagnosis for this situation.
b. This is not the correct diagnosis for this situation.
c. This is not the correct diagnosis for this situation.
d. The sudden onset of increased contraction frequency, dark red vaginal bleeding, and severe abdominal pain are characteristic of placental abruption.
Correct Answer is C
Explanation
a. This may be done if the fetal heart rate (FHR) tracing is not clear, but it is not the first priority in this situation.
b. Early decelerations can indicate fetal head compression and is a normal finding hence there is no need of notifying the healthcare provider.
c. One of the FHR patterns that may be observed is early decelerations, which are symmetrical decreases in FHR that coincide with uterine contractions. Early decelerations are usually benign and reflect fetal head compression during contractions. The nurse's first priority in this case is to document as a normal finding and continue to monitor the FHR and uterine activity.
d. This may help relieve pressure on the fetal head and improve FHR, but it is not the first priority in this situation.
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