The results of a contraction stress test (CST) are positive. ...

[ss2343]

The results of a contraction stress test (CST) are positive. Which intervention is necessary based on this test result?
 
  a. Repeat the test in 1 week so that results can be trended based on this baseline result.
  b. Contact the health care provider to discuss birth options for the client.
  c. Send the client out for a meal and repeat the test to confirm that the results are valid.
  d. Ask the client to perform a fetal kick count assessment for the next 30 minutes and then reassess the client.

Question 2

A pregnant woman is scheduled to undergo chorionic villus sampling (CVS) based on genetic family history. Which medication does the nurse anticipate will be administered?
 
  a. Magnesium sulfate
  b. Prostaglandin suppository
  c. RhoGAM if the client is Rh-negative
  d. Betamethasone

[mohan]

Answer to Question 1

ANS: B
A positive CST test is an abnormal finding, and the physician should be notified so that birth options can be initiated. A positive CST indicates possible fetal compromise. Intervention should not be delayed by 1 week and results do not have to be trended. Because this is an abnormal result, there is no need to repeat the test. Sending the client out for a meal will delay treatment options and may interfere with possible birth interventions if anesthesia is needed. Fetal kick count assessment is not needed at this time and will further delay treatment interventions for this abnormal result, which indicates fetal compromise.

Answer to Question 2

ANS: C
CVS can increase the likelihood of Rh sensitization if a woman in Rh-negative. There is no indication for magnesium sulfate because it is used to stop preterm labor. There is no indication for administration of a prostaglandin suppository. Betamethasone is given to pregnant women in preterm labor to improve fetal lung maturity.

[ss2343]

TYSM

[pratush dev]

Excellent