53. A 22-year-old client with a history of perinatal substance abuse is scheduled for biweekly nonstress tests. The client asks why she has to come twice a week for nonstress tests. A nurse knows that teaching has been successful when the client states:
. "The test is to tell if my baby's lungs are mature."
. "The test is to measure the well-being of the baby."
. "The test measures the number of baby's kicks."
. "The test shows the effect of contractions on the baby's heart rate."
Test-Taking Tip
Eliminate Answer 4 because it does not meet the definition of nonstress; contractions are not a part of an NST. Select the option that is a general measure ("well-being"), not lungs or number of kicks.
Content Area: Maternity, Intrapartum; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Diagnostic Tests
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Answer 1 is incorrect because a nonstress test does not measure lung maturity; a nonstress test (NST) measures the fetal heart rate in response to the fetus' movements. Answer 2 is correct because the purpose of a nonstress test is to measure the well-being of the fetus. Answer 3 is incorrect because a nonstress test (NST) measures the fetal heart rate in response to the fetus' movements. It is not a measure of the number of fetal kicks. Answer 4 is incorrect because a nonstress test does not show the effect of contractions or stress on the fetus.