To prepare a woman for a contraction stress test using nipple stimulation, an appropriate instruction would be to:
a. Massage both breasts simultaneously.
b. Roll the nipple between the thumb and fingers.
c. Continually stimulate the breasts throughout the test.
d. Brush your palm across the nipple of one breast for 2 to 3 minutes.
ANS: D
The palm of the hand should be used to brush across the nipple. This stimulates the release of oxytocin from the pituitary, which, in turn, causes uterine contractions. Bilateral stimulation may cause excessively long or frequent uterine contractions. The woman should rest for 5 minutes between contractions.
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