Which of the following are indications for performing a contraction stress test in pregnancy?

Choice A rationale

Polyhydramnios is characterized by excessive amniotic fluid, exceeding 24 cm in amniotic fluid index. This can cause uterine distension and complicate labor and delivery.

Choice B rationale

Fetal congenital anomalies, growth restriction, or distress are possible complications of polyhydramnios, but they are not definitive diagnoses for the condition itself.

Choice C rationale

Carrying more than one fetus is associated with increased amniotic fluid levels, but polyhydramnios specifically refers to the excess fluid, not the number of fetuses.

Choice D rationale

Elevated alpha-fetoprotein (AFP) levels can indicate neural tube defects or other fetal anomalies, but it is not a direct cause or indicator of polyhydramnios.

Choice A rationale

Fetal movement below normal may indicate compromised oxygenation or fetal distress. Reporting such observations is crucial for further assessment and timely intervention.

Choice B rationale

Consuming food and resting can increase glucose levels, potentially enhancing fetal movement. Monitoring for 1 hour helps to evaluate if decreased movement persists, indicating the need for further assessment.

Choice C rationale

Pregnant women should not lay prone for kick counts. This position can compress major blood vessels, reducing blood flow and oxygenation to the fetus. The left lateral position is preferred.

Choice D rationale

Reduced fetal movement can indicate decreased oxygenation in compromised fetuses. Monitoring fetal activity helps assess fetal well-being and identify potential hypoxia or distress.