A nurse is educating a patient on the interpretation of a positive contraction stress test. Which of the following explanations is correct?
A positive contraction stress test shows that the baby has a strong heartbeat and will likely have a smooth delivery.
A positive contraction stress test is a normal finding and requires no further monitoring or intervention.
A positive contraction stress test indicates that the baby is healthy and there are no concerns with uterine contractions.
A positive contraction stress test means that the baby’s heart rate decelerates in response to uterine contractions, which may indicate uteroplacental insufficiency.
The Correct Answer is D
Choice A rationale
A positive contraction stress test shows that fetal heart rate decelerations occur with contractions, indicating potential issues with uteroplacental blood flow and not a smooth delivery.
Choice B rationale
A positive result is concerning and necessitates further monitoring and possible interventions to ensure fetal health, rather than being a normal finding.
Choice C rationale
A positive contraction stress test raises concerns about fetal well-being due to heart rate decelerations with contractions, which could indicate uteroplacental insufficiency.
Choice D rationale
Positive contraction stress test means the fetus experiences heart rate decelerations with contractions, suggesting uteroplacental insufficiency and potential risk for fetal compromise during labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Decreased fetal movement can be a sign of fetal distress or hypoxia, necessitating further assessment. Normal fetal movements range from 10 movements in 2 hours.
Choice B rationale
Eating and resting can stimulate fetal activity, providing a clearer assessment of fetal well-being. Normal fetal movements range from 10 movements in 2 hours.
Choice C rationale
Lying prone is incorrect as it can decrease blood flow to the fetus; the recommended position is the left lateral position.
Choice D rationale
Compromised fetuses may reduce activity in response to decreased oxygenation, which can be an early indicator of fetal hypoxia.
Correct Answer is B
Explanation
Choice A rationale
A biophysical profile (BPP) score of 2/10 is not normal. It indicates fetal distress, requiring immediate intervention to prevent complications from hypoxia or other issues.
Choice B rationale
A score of 2/10 on a BPP is abnormal, suspecting chronic fetal asphyxia. Immediate evaluation and potential intervention are necessary due to high risk of fetal compromise.
Choice C rationale
An equivocal BPP score ranges from 6/10. A score of 2/10 is clearly abnormal, necessitating further immediate assessment and management.
Choice D rationale
A BPP score of 2/10 indicates strong suspicion of chronic fetal asphyxia. It necessitates prompt medical intervention to ensure fetal well-being and prevent complications.
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