Procedure and equipment
Procedure and equipment ( 5 Questions)
A nurse is performing a nonstress test (NST) for a pregnant client at 36 weeks of gestation who reports decreased fetal movement.
The nurse observes that the fetal heart rate (FHR) baseline is 120 bpm with minimal variability and no accelerations in a 20-minute period.
What should the nurse do next?
A nonstress test (NST) is a pregnancy screening that measures fetal heart rate and reaction to movement. It is performed to make sure the fetus is healthy and getting enough oxygen. A reactive NST means that the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice in a 20-minute period. A nonreactive NST means that this criteria is not met.
Applying an acoustic stimulator to elicit fetal movement is not recommended as a routine practice and may cause fetal distress.
Stopping the test and notifying the provider immediately is not necessary unless there are signs of fetal compromise, such as severe variable or late decelerations, or a nonreassuring fetal heart rate pattern.
Extending the test for another 20 minutes may not change the result and may prolong the discomfort of the client. A nonreactive NST does not mean there is a problem, but it may require further testing, such as a biophysical profile or a contraction stress te
Offer the client a snack or juice to stimulate fetal activity.
A nonstress test (NST) is a pregnancy screening that measures fetal heart rate and reaction to movement. It is performed to make sure the fetus is healthy and getting enough oxygen. A reactive NST means that the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice in a 20-minute period. A nonreactive NST means that this criteria is not met.
Choice B is wrong because applying an acoustic stimulator to elicit fetal movement is not recommended as a routine practice and may cause fetal distress.
Choice C is wrong because stopping the test and notifying the provider immediately is not necessary unless there are signs of fetal compromise, such as severe variable or late decelerations, or a nonreassuring fetal heart rate pattern.
Choice D is wrong because extending the test for another 20 minutes may not change the result and may prolong the discomfort of the client. A nonreactive NST does not mean there is a problem, but it may require further testing, such as a biophysical profile or a contraction stress test.