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NCLEX-RN Exam - Topic 1 Question 18 Discussion

A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat rises 20 bpm, lasting 20 seconds, every time the fetus moves. The nurse explains that:
C) The test is normal and the fetus is reacting appropriately
A) The test is inconclusive and should be repeated
B) Further testing is needed
D) The fetus is distressed

NCLEX-RN Exam - Topic 1 Question 18 Discussion

Actual exam question for NCLEX's NCLEX-RN exam
Question #: 18
Topic #: 1
[All NCLEX-RN Questions]

A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat rises 20 bpm, lasting 20 seconds, every time the fetus moves. The nurse explains that:

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Suggested Answer: C

(A) The test results were normal, so there would be no need to repeat to determine results. (B) There are no data to indicate further tests are needed, because the result of the NST was normal. (C) An NST is reported as reactive if there are two to three increases in the fetal heart rate of 15 bpm, lasting at least 15 seconds during a 15-minute period. (D) The NST results were normal, so there was no fetal distress.


by Tresa at May 03, 2026, 01:46 AM

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Stephaine
2 hours ago
Wait, is it really normal for the heart rate to rise like that?
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Tori
5 days ago
I agree, that's a good sign for fetal health.
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Nan
10 days ago
Sounds like a normal response to me!
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Fanny
16 days ago
I keep second-guessing myself, but I thought if the NST was inconclusive, we would have to go with A or B.
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Svetlana
2 months ago
I practiced a similar question, and I believe that a normal NST shows a heart rate increase, so C could be correct.
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Howard
2 months ago
I'm not entirely sure, but I feel like if the heart rate increases with movement, it usually means the fetus is not in distress.
upvoted 0 times
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Lawrence
2 months ago
I think the answer might be C because I remember that a reactive NST indicates the fetus is responding well to movement.
upvoted 0 times
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