After a client undergoes a contraction stress test that is negative, which of the following should the nurse assess next?

After a client undergoes a contraction stress test that is negative, which of the following should the nurse assess next?

1. Evidence of ruptured membranes.

2. Viability status of the fetus.

3. Indications that contractions have ceased.

4. Fetal heart rate variability.

Answer: 3. Indications that contractions have ceased.

In a contraction stress test, contractions are induced through nipple stimulation or intravenous oxytocin to see how the fetus responds to this type of strain. Since induction of contractions was done for the purpose of testing, it is necessary that a nurse determines whether or not contraction has stopped after completing the procedure.

If contractions persisted after a negative test, it would signify the beginning of preterm labor. If the uterus does not relax between contractions, persistent contractions can also result in fetal distress. Thus, the priority evaluation is to confirm that uterus has resumed normal resting position after completion of test. This will prevent other complications such as the premature delivery or fetal distress after contraction stress test.

To ensure that maternal and fetal wellbeing is established, the nurse should evaluate cessation of contractions to make sure there are no residual effects from the test. This makes it possible for the nurse to adequately watch over both patient and baby after an ultimate negative contraction stress test. The next assessment that the nurse should perform is indications of stopped contractions.