A client at 30 weeks' gestation is ordered a contraction stress test after a non-stress test gave a non-reactive result. The nurse midwife reviews the result of the contraction stress. Which of the following findings indicates a positive result? What is the meaning of a positive result?

Question

Quizplus · Accepted Answer

If the fetal heart rate significantly decreases toward the end of each contraction and continuously after, and if this observation occurs in about 50% or more of the contractions, a positive contraction stress test is indicated. Option A describes the procedure, rather than the results, of a contraction stress test. Option B describes acceleration, which is observed during the non-stress test. Absence of fetal heart decelerations with fetal contractions (option D) is a normal finding. A positive result indicates a need for further evaluation, whereas a negative result indicates fetal well-being.

A Client at 30 Weeks' Gestation Is Ordered a Contraction