Question

Which findings from a client who is pregnant should indicate to a nurse that the client should undergo a contraction stress test (CST)?

a) Fetal hiccups
b) Irregular fetal movements
c) Decreased fetal movement
d) Uterine contractions with walking

Answer 1

The correct indication for a contraction stress test (CST) in a pregnant client is answer c) 'Decreased fetal movement', as this could signify possible fetal distress and necessitate further investigation.

Step-by-step explanation:

A contraction stress test (CST) is performed during pregnancy to assess fetal well-being and uteroplacental function by monitoring the fetal heart rate in response to uterine contractions. It is typically indicated in scenarios where there is a concern for fetal distress, such as when a pregnant client reports decreased fetal movement, which could suggest potential compromise of the fetus.

In this case, answer choice c) 'Decreased fetal movement' would be an indication for a CST, as regular and noticeable movements are expected, and a decrease may indicate the fetus is not getting enough oxygen or has other health issues.

While options a) Fetal hiccups, b) Irregular fetal movements, and d) Uterine contractions with walking are observations that may occur during pregnancy, they do not specifically indicate a need for a CST. Fetal hiccups and irregular movements can be normal occurrences, and uterine contractions with walking may simply indicate Braxton Hicks contractions, which are typically not a concern unless they become regular and painful.

Hence, the answer is option c.