A client has preeclampsia. She is 36 weeks' pregnant, and comes to the high-risk screening center for a contraction stress test. The nurse should explain to the client that the contraction stress test is being done to determine:
1. What affect her hypertension has had on the fetus.
2. If the fetus will be able to tolerate labor.
3. If fetal movement increases with contractions.
4. What effect contractions will have on her blood pressure.
2. If the fetus will be able to tolerate labor.
Rationale:
Contraction stress tests are performed to assess the ability of the fetus to tolerate labor. The fetal heart rate response to movement is assessed in a nonstress test. With contractions, the nurse is assessing for a heart rate response, not movement. The effect of contractions on blood pressure would be noted, but this is not the purpose. A contraction stress test is not done to assess the affect of the mother's blood pressure on the developing fetus.
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