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More questions ( 14 Questions)
A nurse is interpreting the results of a contraction stress test (CST) for a client who is at 38 weeks of gestation.
The nurse notes that there are no late or significant variable decelerations of the fetal heart rate (FHR).
How should the nurse document this finding?
A positive CST means that the fetal heart rate slows down and stays slow after more than half of the contractions, which indicates that the baby may be at risk for problems during labor.
This is an abnormal and concerning result.
A negative CST means that the fetal heart rate does not slow down (decelerate) after a contraction, which indicates that the baby can tolerate the stress of labor.
An unsatisfactory CST means that there are not enough contractions to produce a reliable result.
This may happen if the medication or nipple stimulation does not induce enough contractions, or if there are other factors that interfere with the test, such as maternal movement or fetal sleep.
A suspicious CST means that the results are unclear or inconsistent. This may happen if the fetal heart rate slows down after some but not all of the contractions, or if there are other types of decelerations that are not clearly related to the contractions.
A suspicious CST may need to be repeated in a couple of days.
Negative CST. A negative CST means that the fetal heart rate does not slow down (decelerate) after a contraction, which indicates that the baby can tolerate the stress of labor.
This is a normal and reassuring result.
Choice A is wrong because a positive CST means that the fetal heart rate slows down and stays slow after more than half of the contractions, which indicates that the baby may be at risk for problems during labor.
This is an abnormal and concerning result.
Choice C is wrong because an unsatisfactory CST means that there are not enough contractions to produce a reliable result.
This may happen if the medication or nipple stimulation does not induce enough contractions, or if there are other factors that interfere with the test, such as maternal movement or fetal sleep.
Choice D is wrong because a suspicious CST means that the results are unclear or inconsistent. This may happen if the fetal heart rate slows down after some but not all of the contractions, or if there are other types of decelerations that are not clearly related to the contractions.
A suspicious CST may need to be repeated in a couple of days.
