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    ATI NURS 306 Maternal Newborn Proctored Exam

    The nurse is caring for a client at 39 weeks gestation that arrived to OB triage with complaints of decreased fetal movement. The client was placed on external fetal monitors for an ordered non-stress test. The client was encouraged to drink some cold water and juice, as she reported she had not had anything to eat or drink yet for the day. The nurse observes the following tracing. How should the nurse document the non-stress test?

    Explanation & Rationale

    Choice A rationaleA reactive non-stress test shows at least two accelerations of the fetal heart rate, 15 beats per minute above baseline, lasting 15 seconds or more within 20 minutes, indicating fetal well-being.Choice B rationaleA non-reactive non-stress test lacks sufficient accelerations in the fetal heart rate. This may require further assessment, such as a biophysical profile, to ensure fetal well-being.

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