A pregnant client has a nonstress test (NST) that is "nonreactive." The nurse should recognize that this means:
a. the fetus has adequate oxygenation and an intact central nervous system
b. the fetus is asleep or is having problems
c. there is inadequate fetal activity
d. there were decelerations of the fetal heart rate (FHR)
B
A nonstress test is a noninvasive procedure used to assess fetal well-being. A fetal monitor records fetal movement and fetal heart rate accelerations. Two accelerations of 15 bpm, lasting 15 seconds in a 20-minute period, indicate a normal test. The lack of fetal reaction my be caused by the fetus either being asleep or experiencing problems. Decelerations require notification of the health care provider.
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