NCLEX-RN Exam - Topic 1 Question 18 Discussion

Actual exam question for NCLEX's NCLEX-RN exam

Question #: 18
Topic #: 1

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:

AThe test is inconclusive and should be repeated

BFurther testing is needed

CThe test is normal and the fetus is reacting appropriately

DThe fetus is distressed

Show Suggested Answer

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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