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    Government College of Nursing Jodhpur (Raj.)

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    priyanka
    The document provides information about the non-stress test (NST), which monitors fetal heart rate in response to fetal movement to assess well-being. An NST involves continuous electronic monitoring of the fetal heart rate along with recording fetal movements. A reactive test with fetal heart rate accelerations in response to movements indicates fetal well-being, while a non-reactive test without accelerations may indicate distress and requires further assessment. The nurse's roles include preparing the mother, counseling parents, interpreting the test if trained, communicating findings, and providing support.

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    Government College of Nursing Jodhpur (Raj.)

    Uploaded by

    priyanka
    616 views5 pages
    The document provides information about the non-stress test (NST), which monitors fetal heart rate in response to fetal movement to assess well-being. An NST involves continuous electronic monitoring of the fetal heart rate along with recording fetal movements. A reactive test with fetal heart rate accelerations in response to movements indicates fetal well-being, while a non-reactive test without accelerations may indicate distress and requires further assessment. The nurse's roles include preparing the mother, counseling parents, interpreting the test if trained, communicating findings, and providing support.

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    P4 - NST

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    The document provides information about the non-stress test (NST), which monitors fetal heart rate in response to fetal movement to assess well-being. An NST involves continuous electronic monitoring of the fetal heart rate along with recording fetal movements. A reactive test with fetal heart rate accelerations in response to movements indicates fetal well-being, while a non-reactive test without accelerations may indicate distress and requires further assessment. The nurse's roles include preparing the mother, counseling parents, interpreting the test if trained, communicating findings, and providing support.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    616 views5 pages

    Government College of Nursing Jodhpur (Raj.)

    Uploaded by

    priyanka
    The document provides information about the non-stress test (NST), which monitors fetal heart rate in response to fetal movement to assess well-being. An NST involves continuous electronic monitoring of the fetal heart rate along with recording fetal movements. A reactive test with fetal heart rate accelerations in response to movements indicates fetal well-being, while a non-reactive test without accelerations may indicate distress and requires further assessment. The nurse's roles include preparing the mother, counseling parents, interpreting the test if trained, communicating findings, and providing support.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 5

    GOVERNMENT COLLEGE OF

    NURSING
    JODHPUR(RAJ.)

    Procedure
    On-
    NON-STRESS TEST (NST)
    Subject-Obstetrics & Gynecology Specialty-I

    SUBMITTED TO - SUBMITTED BY-


    Mrs. ANNAMA SUMON NAJISH ANSARI
    NURSING LECTURER M.sc (N) Pre. year
    GCON, Jodhpur GCON, Jodhpur
    NON-STRESS
    TEST(NST)
    DEFINITION: -
    The Non-stress test monitors the fetal heart rate in response to fetal movement in order to assess fetal
    wellbeing.

    There is an observed association of FHR acceleration with fetal movements, which when present, indicates a
    healthy fetus. In NST, a continues electronic monitoring of the FHR along with recording of fetal movement
    is undertaken.

    ADVANTAGES: -
    1. It is used as a screening test.
    2. It doesn’t involve external stimulation (e.g.Oxytocin stimulation)
    3. It can be used in those women, who are contraindicated for CST
    4. It is simple method
    5. Absence of risk factors
    6. May be done in outpatient setting

    INDICATION: -
    1. Previous cesarean section
    2. Placenta previa
    3. Threatened premature labor
    4. Women who are contraindicated for CST
    5. It includes all the indications of CST

    PREPARATION AND POSITIONING: -


     Women’s bladder should be empty to avoid disruption and promote comfort.
     She should be in either a semi fowler’s or left lateral position (to avoid supine hypotension
    syndrome)
     Blood pressure should be checked to obtain a baseline recording.
     Mother should be explained the procedure properly.
     Its advantages, risk involved and consequence should be explained to the mother.

    PROCEDURE: -
     FHR is monitored for approximately 20-30 minutes
     It is important that the fetus not be in a fetal sleep state for the entirely of the test as sleep may cause
    decreased FHR variability.
     If necessary, an abdominal palpation can be used to rouse the fetus.
     During the test the women presses a button whenever she feels fetal movements which produces
    mark on the monitor strip so that fetal movements and fetal heart can be correlated.

    INTERPRETATION OF NST: -
    Based on patterns of FHR reactivity to fetal movement.
    1. Normally the FHR decreases (with in the normal range of 120-160BPM) and variability increases
    with gestational age, probability in relation to the development of the CNS.
    2. Fetus normally has a transient accelerated heart rate with average baseline variability when moving
    or to external stimuli such as abdominal palpation.
    3. An abnormal fetal heart rate reactivity response to fetal movement is evidenced by a persistent
    reduction in baseline variability with an absence of FHR acceleration.
    4. This pattern may indicate a distressed fetus and occurs when the fetal CNS is depressed by narcotic
    drugs, hypoxia or acidosis.
    5. Thus, the accelerations of the FHR associated with fetal movement are presumably reflex medical
    and takes accounts the overall utero-placental functions on the CNS of the fetus.

    INFERENCES:
    1. Reactive test: - Test is one in which a normal fetal reactivity pattern is demonstrated. This is
    evidenced by FHR acceleration of 15 BPM above the baseline lasting for the 15-30 seconds in
    association with fetal movements.

     Two or more occurrence of this acceleration pattern within a 10 minutes periods or five or
    more acceleration within a 20 minutes period are considered normal.
     A normal fetus near term will also evidence a baseline fetal FHR between 10 and 25 BPM
    and no deceleration of any type.

    2. Non-reactivetest: - is one in which absence of the two accelerations in the two observation periods,
    or a persistent decreased variability with an absence of acceleration in FHR in response to fetal
    movement.

     This is evidenced by FHR acceleration of less than 15 BPM above the baseline or lasting less
    than 15 seconds in association with fetal movement.

    3. Suspicious (Equivocal)- in which there are definite FHR acceleration associated with fetal
    movement but the number of accelerations, the increase in beats/minutes above the baseline, or the
    length of their duration does not meet the criteria for being either reactive or non-reactive.

    COMMON INFERENCES: -
    1. If the test is reactive it indicates fetal well –being and predicts a good outcome, if birth were to occur
    within one week.
    2. If non- reactive, further assessment of fetal status should be initiated to aid in determining fetal
    wellbeing.
    3. If the test is suspicious, it should be reported in 24-48 hours.
    4. The NST can be repeated or continued at any desired frequency without concern for adverse for
    adverse effects to the fetus.

    ROLE OF NURSE: -
    1. Nurse helps in the preparation of the mother and in counseling the parents, when finding are
    revealed.
    2. Nurse involved from giving a simple explanation of measurements and gestational age to offering
    support and advice when an abnormality is formed.
    3. Nurse is involved in the preparation and positioning of the women before the test is stated.
    4. Mother should be given a little information at time and should be told the results of the test later by
    her general practitioners or nurses.
    5. Nurse should apply their obstetric knowledge in interpreting the test, if they are trained.
    6. Nurse should give findings to the mother immediately which eliminates the anxiety caused by delay.
    7. As an operator she has a great responsibility for promoting good relationship between the fetus and
    the family to make it pleasant experience.
    8. Nurse must laid down definite guideline in advance of any such events in order to avoid difficulty.
    9. Many questions may be asked by the parents to nurse after detection of abnormality, the nurse should
    deal them patience fully.
    10. Nurse in this way are always in a position to give empathy and support.
    11. The nurse must keep themselves up to date on the latest prenatal diagnosis, the treatment available
    and the possible outcomes of such pregnancies.

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