A client at 30 weeks’ gestation comes to the facility due to decreased fetal movements. After taking the client’s history, the client is instructed to focus on fetal activity for an hour. After an hour, the client reports fewer than three fetal movements. Which of the following is the next action of the midwife?
  1. Reinforce fetal movement counting.
  2. Perform a non - stress test.
  3. Instruct the client to count fetal movements for another hour.
  4. Refer the client to a physician immediately for further evaluation.
Explanation
Answer: B - The next action of the midwifeis to perform a non - stress test. If the NST is non - reactive, the client should be referred to a physician for further evaluation. Reinforcing fetal movement counting is indicated if the client fails to count three or more fetal movements in an hour.
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