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Exam NCLEX-RN topic 5 question 9 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 9
Topic #: 5
[All NCLEX-RN Questions]

A female client at 37 weeks gestation has just undergone a nonstress test. The results were two fetal movements with a corresponding increase in fetal heart rate
(FHR) of 15 bpm lasting 15 seconds within a 20-minute period. Her results would be classified as:

  • A. Reactive; needs follow-up contraction stress test
  • B. Reactive; no contraction stress test required
  • C. Non-reactive; needs follow-up contraction stress test
  • D. Non-reactive; no contraction stress test required
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Suggested Answer: B 🗳️
(A) A contraction stress test is unnecessary following a reactive (normal) nonstress test. (B) The results are considered reactive, indicating that the fetus is not showing distress. Therefore, a contraction stress test, which is a more in-depth test for fetal distress, is unnecessary. (C) A nonreactive test would show fewer than two fetal movements or a failure of the FHR to increase at least 15 bpm with the movements in a 20-minute period. (D) A contraction stress test should follow a nonreactive nonstress test to validate fetal distress.

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