Practice Question
A nurse is assessing the results of a no stress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Answer Choices:
Correct Answer:
An increase in fetal heart rate to 150/min above the baseline of 140/min lasting IO seconds in response to fetal movement within a 40-min testing period
Rationale:
🩺 A reactive nonstress test (NST) requires two or more accelerations (15 bpm above baseline lasting at least 15 seconds) within a 20-minute window.
🩺 In this case, a 10-second acceleration is insufficient, indicating a non-reactive NST, which requires further evaluation.
🩺 Irregular contractions and client-perceived movement are not criteria for reactivity.
🩺 Absence of late decelerations is reassuring, but does not confirm NST reactivity.
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This question is from RN ATI Maternal&Newborn Care~2023 which contains 46 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4