Question

The client is scheduled for a nonstress test to determine the status of fetal development. A positive nonstress test is considered: A. Normal and there is no need for further evaluation B. Abnormal, but there is no need for further evaluation C. Abnormal with need for further evaluation D. Normal with need for a repeat test in one week

Short answer

Short Answer: A positive nonstress test is considered abnormal and requires further evaluation to ensure the health and wellbeing of the fetus. This result indicates that there may be insufficient fetal movement or inadequate increase in fetal heart rate, which could suggest issues with the fetus receiving enough oxygen or other problems related to its overall wellbeing.

Step-by-step solution

Analyze the question

Understand the context and the goal of the exercise. In this case, we are required to determine which of the options best describes the meaning and implications of a positive nonstress test with regards to fetal development.

Review options A and B

First, let us examine both options A and B. Option A states that a positive nonstress test is normal and there is no need for further evaluation. Option B states that the test result is abnormal, but there is no need for further evaluation. At this point, we have not yet determined whether a positive nonstress test indicates a normal or abnormal result, nor can we determine the necessity for further evaluation.

Review options C and D

Continuing to evaluate the remaining options, C suggests that a positive nonstress test indicates an abnormal result and requires further evaluation, while option D claims that the result is normal but needs a repeat test in one week.

Identify and explain the correct answer

The correct answer is C - "Abnormal with need for further evaluation." A positive nonstress test reflects that there was not enough fetal movement and/or an inadequate increase in fetal heart rate over a 20-30 minute period. These findings may indicate that the fetus is not receiving enough oxygen or has some other issues with its wellbeing, which necessitates further testing and evaluation to ensure the health of the fetus.

Recap and summarize the solution

To recap, we have analyzed the question and reviewed the four options provided. The correct answer is C - "Abnormal with need for further evaluation" as a positive nonstress test indicates a potential issue with the fetus, which warrants further testing and evaluation to ensure a healthy pregnancy and baby.