A nurse is educating a 38-week pregnant client about the ordered contraction stress test. Which of the following is correct regarding the contraction stress test?
Explanation & Rationale
Choice A rationaleAdministering oxytocin during a contraction stress test is to assess uteroplacental insufficiency, not to identify pain tolerance. The test evaluates fetal response to contractions.Choice B rationalePositive contraction stress tests are associated with poor fetal outcomes, indicating fetal distress during contractions due to inadequate placental perfusion.Choice C rationaleA negative result in a contraction stress test indicates adequate placental function and fetal well-being, suggesting the fetus can tolerate labor without distress.Choice D rationaleA positive test result suggests potential fetal compromise, including increased risk of fetal death, growth restriction, low Apgar scores, and need for C-section or resuscitation.