Nursing interventions and follow-up
Nursing interventions and follow-up ( 5 Questions)
A nurse is performing a nonstress test (NST) for a client who is at 28 weeks of gestation and has intrauterine growth restriction (IUGR).
The nurse observes that the fetal heart rate (FHR) does not accelerate with fetal movement after 20 minutes of monitoring.
Which of the following tests should the nurse anticipate to be ordered next for this client? (Select all that apply.)
A test that combines a nonstress test with an ultrasound to assess fetal well-being. It is indicated for a client who has a nonreactive nonstress test (NST), which means that the fetal heart rate does not accelerate with fetal movement after 20 minutes of monitoring.
A contraction stress test (CST) is a test that stimulates uterine contractions to evaluate how the fetal heart rate responds to stress. It is not recommended for clients who have intrauterine growth restriction (IUGR) because it can compromise fetal oxygenation.
A test that measures the blood flow in the umbilical cord to detect fetal growth restriction. It is indicated for a client who has a nonreactive nonstress test (NST), which means that the fetal heart rate does not accelerate with fetal movement after 20 minutes of monitoring.
An amniocentesis is a test that obtains amniotic fluid for genetic testing, fetal lung maturity, or infection. It is not used to assess fetal well-being or growth.
A fetal kick count is a method of monitoring fetal movement at home by counting how many times the fetus kicks in a certain period of time. It is not a test that can be ordered by a health care provider.
A biophysical profile (BPP) is a test that combines a nonstress test with an ultrasound to assess fetal well-being. A umbilical artery Doppler velocimetry is a test that measures the blood flow in the umbilical cord to detect fetal growth restriction. Both of these tests are indicated for a client who has a nonreactive nonstress test (NST), which means that the fetal heart rate does not accelerate with fetal movement after 20 minutes of monitoring.
Choice B is wrong because a contraction stress test (CST) is a test that stimulates uterine contractions to evaluate how the fetal heart rate responds to stress. It is not recommended for clients who have intrauterine growth restriction (IUGR) because it can compromise fetal oxygenation.
Choice D is wrong because an amniocentesis is a test that obtains amniotic fluid for genetic testing, fetal lung maturity, or infection. It is not used to assess fetal well-being or growth.
Choice E is wrong because a fetal kick count is a method of monitoring fetal movement at home by counting how many times the fetus kicks in a certain period of time. It is not a test that can be ordered by a health care provider.