Introduction

Introduction ( 5 Questions)

Question 1 :

A nurse is caring for a client who is undergoing a fetal non-stress test (NST).

The nurse observes that the fetal heart rate (FHR) accelerates at least 10 bpm for at least 10 seconds with each fetal movement.

The client is 30 weeks pregnant.

How should the nurse interpret this finding?



Correct Answer: A

The NST is reactive and normal for gestational age. This means that the fetal heart rate (FHR) accelerates at least 10 bpm for at least 10 seconds with each fetal movement, indicating that the fetus is healthy and getting enough oxygen. A reactive NST is expected for fetuses at 26 to 30 weeks of gestation.

Choice B is wrong because a nonreactive NST means that the FHR does not accelerate with fetal movement, which could indicate fetal distress or hypoxia. A nonreactive NST is abnormal for any gestational age and requires further evaluation.

Choice C is wrong because a reactive NST is not abnormal for gestational age. It is a normal finding that shows the fetus is well-oxygenated and responsive.

Choice D is wrong because a nonreactive NST is not normal for gestational age. It is an abnormal finding that suggests the fetus may be compromised or in need of intervention.


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