The prenatal clinic nurse is responding to a client who has had an assessment for fetal well-being. Which statement indicates that the client understands the test result?

Question

1. "The normal Doppler velocimetry wave result indicates my placenta is getting enough blood to the baby."
2. "The reactive non-stress test means that my baby is not growing because of a lack of oxygen."
3. "Because my contraction stress test was positive, we know that my baby will tolerate labor well."
4. "My biophysical profile score of 6 points to everything being normal and healthy for my baby."

Answer 1

1
Rationale:
1. The Doppler velocimetry test looks at blood flow through the umbilical artery. A normal result indicates there is no vasospasm decreasing blood flow to the placenta; therefore the baby is getting an adequate blood supply.
2. The non-stress test utilizes external fetal monitoring to assess the fetal heart rate in relationship to fetal movement. When accelerations in the fetal heart rate are associated with fetal movement (a reactive result), the fetus is well oxygenated, and the placenta is functioning well.
3. A contraction stress test creates mild contractions. The presence of decelerations is termed a positive result, and indicates a lack of adequate placental functioning.
4. The biophysical profile score should be 8 (with adequate amniotic fluid) or 10. A score of 6 is abnormal, and indicates that further assessment is needed.