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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Related Questions
Correct Answer is A
Explanation
a. This would help determine the location of the placenta and whether placenta previa is present, which can cause painless vaginal bleeding.
b. This is not typically done for diagnosis of painless vaginal bleeding.
c. While an abdominal ultrasound can also determine the location of the placenta, a vaginal ultrasound is more accurate for this purpose.
d. This is not typically done for diagnosis of painless vaginal bleeding.
Correct Answer is C
Explanation
a. This is not where fetal heart tones are typically auscultated.
b. This is not where fetal heart tones are typically auscultated.
c. The round, firm, moveable part in the fundus of the uterus is most likely the fetal head, and the long, smooth surface on the right side is most likely the fetal back. The fetal heart tones are best heard over the fetal back, which is closest to the maternal abdomen. Therefore, the nurse should expect to auscultate fetal heart tones in the right upper quadrant.
d. This is not where fetal heart tones are typically auscultated.
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