Which of the following is a primary indication for performing a nonstress test during pregnancy?
To determine the exact gestational age of the fetus
To measure the amniotic fluid volume
To confirm the presence of labor contractions
To assess fetal well-being in cases of suspected fetal growth restriction
The Correct Answer is D
A. To determine the exact gestational age of the fetus. Gestational age is estimated via ultrasound and fundal height, not an NST.
B. To measure the amniotic fluid volume. Amniotic fluid volume is assessed with an ultrasound and amniotic fluid index (AFI), not an NST.
C. To confirm the presence of labor contractions. An NST does not confirm labor contractions; it evaluates fetal heart rate in response to fetal movement.
D. To assess fetal well-being in cases of suspected fetal growth restriction. An NST evaluates fetal oxygenation and well-being, making it useful in cases of intrauterine growth restriction (IUGR) or other concerns about fetal health.
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Related Questions
Correct Answer is A
Explanation
A. Excessive carbohydrate intake: Many vegetarian protein sources (e.g., legumes, whole grains, fruits) are also high in carbohydrates, making blood sugar control more challenging for clients with gestational diabetes.
B. Difficulty managing blood sugar levels: While managing blood sugar can be a challenge, the root cause is often excessive carbohydrate intake rather than inherent difficulty in regulation.
C. Limited protein sources: While vegetarian diets limit animal protein, many plant-based protein sources (e.g., tofu, lentils, nuts) are available, making this less of a concern.
D. Lack of essential vitamins and minerals: A well-balanced vegetarian diet can provide all essential nutrients with proper planning. However, vegetarians should monitor vitamin B12, iron, and omega-3 intake, but this is not the biggest challenge specific to gestational diabetes.
Correct Answer is C
Explanation
A. Late decelerations: Late decelerations are associated with uteroplacental insufficiency, not umbilical cord issues. They indicate decreased oxygenation to the fetus.
B. Accelerations: Accelerations are reassuring signs of fetal well-being and do not indicate any umbilical cord problems.
C. Variable decelerations: Variable decelerations are caused by umbilical cord compression, leading to abrupt drops in fetal heart rate. They can be mild or severe, requiring interventions such as maternal position changes or oxygen administration.
D. Early decelerations: Early decelerations are benign and occur due to fetal head compression during contractions. They are not associated with umbilical cord issues.
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