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NCLEX-RN Exam - Topic 1 Question 18 Discussion

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

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:

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.


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24 comments · newest first
WE
Wendell 2 days ago
I think the answer is C. Sounds normal to me.
CO
Cordelia 7 days ago
I feel confident about C too. No distress indicated.
DE
Derick 12 days ago
C is reassuring. It shows the fetus is responding well.
AV
Avery 17 days ago
I was torn between C and D, but C feels right.
EA
Earleen 23 days ago
Definitely C. The heart rate increase is a positive sign.
AD
Adolph 28 days ago
Agreed, C makes sense. Fetal movement is good!
MA
Matt 1 month ago
I think the answer is C. Sounds normal to me.
BR
Brianne 1 month ago
Right? C is reassuring. We want to see those heart rate increases!
YU
Yuette 1 month ago
D seems too extreme. I doubt the fetus is distressed.
OR
Oren 2 months ago
C makes sense. A healthy reaction to movement is good news!
EL
Eladia 2 months ago
I’m leaning towards A. Just to be safe, maybe repeat it?
RO
Rose 2 months ago
I feel confident about C. It shows good fetal movement.
LA
Lavonna 2 months ago
But what if it’s not enough? Shouldn’t we consider B?
CE
Cecilia 2 months ago
Agreed! The fetus is responding well.
BR
Brianne 2 months ago
I think the answer is C. Sounds normal to me.
GA
Gary 3 months ago
20 bpm increase for 20 seconds is typical during movement!
OR
Oretha 3 months ago
I thought any heart rate change could mean distress?
ST
Stephaine 3 months ago
Wait, is it really normal for the heart rate to rise like that?
TO
Tori 3 months ago
I agree, that's a good sign for fetal health.
NA
Nan 3 months ago
Sounds like a normal response to me!
FA
Fanny 4 months ago
I keep second-guessing myself, but I thought if the NST was inconclusive, we would have to go with A or B.
SV
Svetlana 5 months ago
I practiced a similar question, and I believe that a normal NST shows a heart rate increase, so C could be correct.
HO
Howard 5 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.
LA
Lawrence 5 months ago
I think the answer might be C because I remember that a reactive NST indicates the fetus is responding well to movement.
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