A client at 30 weeks’ gestation is ordered a contraction stress test after a non - stress test gave a non - reactive result. The 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?
Explanation
Answer: C - 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.
