The nurse reviews a client’s antepartum nonstress test results as reactive. The nurse interprets this finding as:

Choice A rationale

Dysuria, while concerning, is typically less urgent compared to the complete absence of fetal movement, which can indicate fetal distress or demise.

Choice B rationale

Nausea is a common symptom during pregnancy and generally less urgent compared to the absence of fetal movement, which may indicate a serious issue.

Choice C rationale

No fetal movement is a critical concern as it may indicate fetal demise or severe distress requiring immediate assessment and intervention to ensure fetal well-being.

Choice D rationale

A cough in pregnancy can be bothersome but is generally not as urgent compared to the absence of fetal movement, which can indicate potential fetal demise.

Choice A rationale

Evaluating the fetal heart rate does not address maternal symptoms of supine hypotensive syndrome. Moving the client first corrects the underlying issue. Fetal evaluation can follow once maternal circulation improves, ensuring both are assessed.

Choice B rationale

Checking recent food and fluid intake does not immediately address the likely cause of supine hypotensive syndrome. Correcting maternal positioning is urgent to improve venous return and prevent adverse effects, then other assessments can follow.

Choice C rationale

Measuring blood pressure and pulse can confirm hypotension but does not address its cause. Immediate repositioning to lateral position alleviates the compression on the inferior vena cava, improving blood flow before measuring vitals.

Choice D rationale

Turning to a lateral position relieves the vena cava from compression by the gravid uterus, reducing symptoms of supine hypotensive syndrome. This action improves venous return, stabilizing maternal hemodynamics and alleviating dizziness and pallor.