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Exam NCLEX-RN topic 7 question 128 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 128
Topic #: 7
[All NCLEX-RN Questions]

A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat rises 20 bpm, lasting 20 seconds, every time the fetus moves. The nurse explains that:

  • A. The test is inconclusive and should be repeated
  • B. Further testing is needed
  • C. The test is normal and the fetus is reacting appropriately
  • D. The fetus is distressed
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Suggested Answer: C 🗳️
(A) The test results were normal, so there would be no need to repeat to determine results. (B) There are no data to indicate further tests are needed, because the result of the NST was normal. (C) An NST is reported as reactive if there are two to three increases in the fetal heart rate of 15 bpm, lasting at least 15 seconds during a 15-minute period. (D) The NST results were normal, so there was no fetal distress.
by [deleted] at March 10, 2025, 7:23 a.m.

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