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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. A woman at 37 weeks' gestation who experienced spontaneous rupture of membranes 30 minutes ago with normal fetal movements is not a priority assessment as long as there are no signs of fetal distress.
b. A woman who is 9 cm dilated and fully effaced and is requesting to go to the bathroom to have a bowel movement is in the second stage of labor, which means that the cervix is fully dilated and the fetus is descending in the birth canal. The urge to have a bowel movement is a sign that the fetal head is pressing on the rectum and that delivery is imminent. This patient needs immediate attention and preparation for delivery.
c. A woman at 27 weeks' gestation who noted scant vaginal bleeding today after having sexual intercourse in the morning may be experiencing placenta previa or placental abruption but this is not a priority compared to the woman in option b who is yet to deliver.
d. A woman who is 2 cm dilated and 80% effaced and is crying and shows mild anxiety is not a priority assessment as long as there are no signs of fetal distress.
Correct Answer is A
Explanation
a. Anasarca, which refers to generalized edema or swelling, can be a sign of a serious medical condition such as preeclampsia or heart failure and should prompt immediate medical evaluation.
b. Morning vomiting is a common discomfort in the first trimester of pregnancy and typically does not require immediate medical attention unless it is severe or persistent.
c. Braxton Hicks contractions, which are mild and irregular contractions that can occur throughout pregnancy, are typically not a cause for concern.
d. Frequent urination is a common discomfort in the first trimester of pregnancy and typically does not require immediate medical attention unless it is accompanied by other symptoms.
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