Perform a nonstress test
to assess fetal well-being
AFTER A FAILED NONSTRESS TEST
, a mother was admitted to triage for blood pressure monitoring.
Investigators used the average of nonstress test
results for each patient to categorize results as reactive or nonreactive.
Fetal surveillance in high-risk patients should include an initial nonstress test
, a biophysical profile, and weekly fetal surveillance after 26 weeks' gestation.
Unexpected fetal demise despite the reactive nonstress test
during the conservative management of acute pancreatitis in pregnancy Int J Surg Case Rep 2014; 5 (12): 1047-1049.
There is no uniform agreement on the tests to be used and the frequency of testing during expectant management of women with gestational hypertension-preeclampsia, but most experts in the United States recommend daily fetal movement counts in combination with either a nonstress test
(NST) or a biophysical profile at the time of diagnosis and then once or twice a week until delivery.
Women in the amniocentesis group also had the antepartum testing, consisting of a nonstress test
and amniotic fluid index determination.
One of these modalities, the nonstress test
(NST), is particularly well suited to application by family physicians.
She is sent to the obstetric triage area for BP monitoring, blood testing for preeclampsia and nonstress test
For the fetus, assessments include daily fetal kick counts, at least daily nonstress testing with uterine activity monitoring (and biophysical profiling if the nonstress test
is nonreactive), and twice-weekly amniotic fluid assessment.
(5) Informed consent, including risks, benefits, options, and expectations, should be adequately discussed (similar to the informed consent for colposcopy in the setting of an abnormal Pap smear or a nonstress test
in the presence of decreased fetal movement).
Her ObGyn sent her to the emergency department for a nonstress test
and fetal ultrasonography.