Procedure and equipment
Procedure and equipment ( 5 Questions)
A nurse is evaluating the results of a nonstress test (NST) for a pregnant client at 34 weeks of gestation who has gestational diabetes mellitus.
The nurse notes that the fetal heart rate (FHR) baseline is 150 bpm with moderate variability and three accelerations of 20 bpm lasting 20 seconds each in a 10-minute period.
How should the nurse document these findings?
This means that the fetal heart rate increased by at least 15 beats per minute (bpm) for at least 15 seconds twice or more in a 20-minute period. This indicates that the baby is getting enough oxygen and is doing well.
Nonreactive NST is wrong because it means that the fetal heart rate did not meet the criteria for a reactive NST. This could mean that the baby is not getting enough oxygen, is asleep, or has a problem with the nervous system.
Positive NST is wrong because it is not a term used to describe the results of a nonstress test. It is a term used to describe the results of a contraction stress test (CST), which is a different test that measures how the fetal heart rate responds to uterine contractions.
Negative NST is wrong because it is also not a term used to describe the results of a nonstress test. It is another term used to describe the results of a contraction stress test (CST), which means that the fetal heart rate did not show any signs of distress during contractions.
Reactive NST. This means that the fetal heart rate increased by at least 15 beats per minute (bpm) for at least 15 seconds twice or more in a 20-minute period. This indicates that the baby is getting enough oxygen and is doing well.
Nonreactive NST is wrong because it means that the fetal heart rate did not meet the criteria for a reactive NST. This could mean that the baby is not getting enough oxygen, is asleep, or has a problem with the nervous system.
Positive NST is wrong because it is not a term used to describe the results of a nonstress test. It is a term used to describe the results of a contraction stress test (CST), which is a different test that measures how the fetal heart rate responds to uterine contractions.
Negative NST is wrong because it is also not a term used to describe the results of a nonstress test. It is another term used to describe the results of a contraction stress test (CST), which means that the fetal heart rate did not show any signs of distress during contractions.
The normal range for fetal heart rate is 110 to 160 bpm, with moderate variability.
Variability refers to how much the heart rate changes from beat to beat. Moderate variability means that the heart rate changes by 6 to 25 bpm. Accelerations are brief increases in the heart rate that are usually caused by fetal movement.