The nurse is caring for a client at 39 weeks gestation that arrived to OB triage with complaints of decreased fetal movement. The client was placed on external fetal monitors for an ordered non-stress test. The client was encouraged to drink some cold water and juice, as she reported she had not had anything to eat or drink yet for the day. The nurse observes the following tracing. How should the nurse document the non-stress test?
Choices:

Choice A rationale

Cord compression typically causes variable decelerations on the monitor, which are abrupt decreases in fetal heart rate, often with a U, V, or W shape.

Choice B rationale

Head compression leads to early decelerations, which are gradual decreases in fetal heart rate occurring with contractions. This pattern indicates head compression during labor.

Choice C rationale

Placental insufficiency results in late decelerations, where the fetal heart rate decreases after the peak of a contraction. This pattern suggests compromised placental blood flow.

Choice D rationale

Reactive NST (Non-Stress Test) indicates fetal well-being and is characterized by fetal heart rate accelerations, not decelerations.

Choice A rationale

Administering oxytocin during a contraction stress test is to assess uteroplacental insufficiency, not to identify pain tolerance. The test evaluates fetal response to contractions.

Choice B rationale

Positive contraction stress tests are associated with poor fetal outcomes, indicating fetal distress during contractions due to inadequate placental perfusion.

Choice C rationale

A negative result in a contraction stress test indicates adequate placental function and fetal well-being, suggesting the fetus can tolerate labor without distress.

Choice D rationale

A positive test result suggests potential fetal compromise, including increased risk of fetal death, growth restriction, low Apgar scores, and need for C-section or resuscitation.