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Nonstress Test (NST) : It Is A Test That Assess The Fetal Heart Rate in Correspondence To Fetal Movements at To Assess

The nonstress test (NST) assesses the fetal heart rate in response to fetal movements to evaluate the fetal central nervous and cardiovascular systems. It is used to check the fetus's ability to tolerate stress in high-risk pregnancies. The test involves monitoring the fetal heart rate and uterine contractions for 20 minutes using ultrasound and tocodynamometry. A reactive or negative test shows accelerations in the fetal heart rate in response to movements. A nonreactive or positive test lacks accelerations. The results are interpreted to guide management of at-risk pregnancies.

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Anuradha Maurya
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5K views4 pages

Nonstress Test (NST) : It Is A Test That Assess The Fetal Heart Rate in Correspondence To Fetal Movements at To Assess

The nonstress test (NST) assesses the fetal heart rate in response to fetal movements to evaluate the fetal central nervous and cardiovascular systems. It is used to check the fetus's ability to tolerate stress in high-risk pregnancies. The test involves monitoring the fetal heart rate and uterine contractions for 20 minutes using ultrasound and tocodynamometry. A reactive or negative test shows accelerations in the fetal heart rate in response to movements. A nonreactive or positive test lacks accelerations. The results are interpreted to guide management of at-risk pregnancies.

Uploaded by

Anuradha Maurya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
  • Definition and Purpose: Provides an overview of the NST, detailing what the test measures and its intended uses, including assessing the fetal heart rate and risks associated in pregnancy.
  • Articles and Procedure: Describes the equipment and instruments necessary for performing an NST, including a step-by-step procedure of the test performed on expectant mothers.
  • Interpretation of the Tracing: Explains how to interpret the results obtained from the NST, detailing positive and negative outcomes, and unsatisfactory results.

NONSTRESS TEST (NST)

DEFINITION

It is a test that assess the fetal heart rate in correspondence to fetal movements at to assess
the integrity of fetal central nervous system and cardiovascular systems.

PURPOSE

1. To assess the fetal ability to cope up in high-risk pregnancy situation.


2. To determine fetus ability to withstand the stress of labor.
3. To assess the fetal status in women for whom contraction stress test is contraindicated
such as previous cesarean section, placenta previa or pre term labor.

INDICATIONS

Maternal

 Rh sensitization
 Maternal age above 35 years
 Post-term pregnancy
 Hypertension
 Diabetes
 Collagen disease
 Sickle cell diseases
 History of still birth
 Trauma
 Premature rupture of membranes
 Vaginal bleeding in 2nd trimester
 Chronic renal disease

Fetal

 Intrauterine growth retardation


 Fetal evaluation after amniocentesis
 Decreased fetal movements
 Oligohydramnios/polyhydramnios

ARTICLES

S. No. Articles purpose


1. Electronic fetal heart monitor To monitor fetal heart rate
2. Ultrasound transducer To visualize baby
intraabdominally
3. Tocotransducer To monitor uterine tonicity
4. Monitor strip To record the findings
5. Ultrasound gel To get effective and clear
readings
6. Belts To secure the transducers in
place.

PROCEDURE

S. No. PROCEDURE RATIONALE


1. Explain the procedure to the mother and its Helps in reducing anxiety
purpose and how her cooperation is needed. and full cooperation is
gained.
2. Make sure that she has eaten something before Provides comfort during
the procedure and advise her to empty her procedure.
bladder.
3. Switch on the monitor and press the TEST button Setting the paper speed at 3
to see if the machine is in working condition and cm per minute increases the
adjust speed of the paper. accuracy of interpretation.
4. Perform an abdominal palpation. Locates the fetal position
and awakens the fetus.
5. Confirm the presence of fetal heart tone with Ensure that the source of
fetoscope or stethoscope and note the area of pulse detected by the
maximum intensity. electronic monitor is the
fetal heart tone.
6. Position the women in semi fowler’s or lateral tilt As supine position
position and place the belt under her back. compresses maternal blood
vessels and causes supine
hypotension.
7. Connect the ultrasound transducer and the Ultrasound gels improves
tocotransducer to the fetal monitor. Apply sound circulation
ultrasound gel to the ultrasound transducer.
8. Place the ultrasound transducer on the fetal back. To monitor fetal heart
Move the transducer until clear, audible fetal sound.
heart tones are heard and the signal light is
flashing steadily. Secure the device in place with
belt.
9. Keep the tocotransducer on the fundus of the Securing transducer avoids
uterus and secure it with belt. interruptions in findings.
10. Start the monitor and evaluate the quality of the To get the reading for
tracing to determine if it adequate for interpretation accurately.
interpretation.
And if it is not then repositioning the transducer
until interpretable data is obtained.
11. Give the hand button to the woman and ask her to To monitor fetal heart rate in
press the button when she feels fetal movements. correspondence to fetal
movement.
12. Run the monitor and obtain a trace it for at least Observe fetal heart rate and
20 minutes. uterine activity.

AFTER CARE OF THE PATIENT

 On completion, put off the monitor and take out the strip of paper.
 Remove the abdominal straps and wipe off the gel from the abdomen and transducer.
 Make the woman comfortable and give relevant instruction according to interpretation
of NST.

INTERPRETATION OF THE TRACING

1. Reactive or negative test


 Fetal heart rate between 110 to 160
 Variability present between 5 to 25 beats per minutes.
 Two or more acceleration present with an amplitude of at least 15 beats per
minutes and duration of at least 15 seconds during a 20 minutes period.
 No deceleration present.

2. Nonreactive test
 Fetal heart rate less than 110 or more than 160.
 Deceleration present
 No acceleration presents
 Decreased or increased variability.

3. Unsatisfactory or unequivocal test


A tracing that cannot be interpreted because of poor quality of fetal heart rate tracing.
a. Baseline FHR- 110 to 160 bpm.
b. Baseline bradycardia- less than 120 bpm as in hypoxia due to cord compression.
c. Baseline tachycardia- more than 160 bpm.
d. Mild tachycardia- < 180bpm
e. Severe tachycardia- > 180 bpm as in case of hypoxia and maternal or fetal fever.

NONSTRESS TEST (NST) DEFINITION It is a test that assess the fetal heart rate in correspondence to fetal movements at to ass
 Fetal evaluation after amniocentesis  Decreased fetal movements  Oligohydramnios/polyhydramnios ARTICLES S. No. Articles
vessels and causes supine hypotension. 7. Connect the ultrasound transducer and the tocotransducer to the fetal monitor. Ap
 Two or more acceleration present with an amplitude of at least 15 beats per minutes and duration of at least 15 seconds du

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