When is a Non Stress Test Recommended?
NSTs are typically recommended in situations where there are concerns about fetal health. These may include
high-risk pregnancies, post-term pregnancies, maternal conditions such as diabetes or hypertension, or instances where there is decreased fetal movement.
How is a Non Stress Test Performed?
During an NST, the expectant mother will be asked to lie down or sit in a comfortable position. Two belts with sensors are placed on her abdomen. One sensor measures the fetal heart rate, while the other measures uterine contractions. The test usually lasts about 20-30 minutes, during which time the mother may be asked to press a button whenever she feels the baby move.
What Do the Results Indicate?
The results of an NST are categorized as either reactive or non-reactive. A
reactive NST means that the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds, occurring at least twice within a 20-minute period. This is generally considered a sign of good fetal health. A
non-reactive NST indicates that the fetal heart rate did not show the expected increases, and further testing may be necessary.
What are the Nursing Responsibilities During an NST?
Nurses play a crucial role in administering NSTs. They are responsible for preparing the patient, explaining the procedure, positioning the patient comfortably, and attaching the monitoring equipment. Nurses also monitor the test, record the results, and communicate findings to the healthcare provider. Additionally, nurses provide emotional support and education to the expectant mother throughout the process.
How Do Nurses Address Patient Concerns?
It is common for expectant mothers to feel anxious about NSTs. Nurses can help alleviate concerns by providing clear and concise information about the test, its purpose, and what to expect. Answering questions and addressing any discomfort promptly can make the experience more positive for the patient.
Conclusion
Non Stress Tests are a vital tool in prenatal care, helping to ensure the health and well-being of the fetus. Nurses play an essential role in administering these tests, supporting the mother, and interpreting the results. Understanding the procedure, its indications, and the nursing responsibilities involved is crucial for providing high-quality care.
