USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

(Kiana) #1
Table I-12-1. Nonstress Test    (NST)

Reactive NST Criteria: ≥2 accelerations in 20 min:
↑ FHR ≥15 beats/min and lasting ≥15 seconds
Assessment: reassuring of fetal well-being
Follow-up: repeat weekly/biweekly


Nonreactive NST Criteria: no fetal heart rate accelerations or did not meet criteria


Assessment: sleeping,   immature,   or  sedated fetus;  acidotic,   compromised fetus?
Follow-up: vibroacoustic stimulation
If still NR: do contraction stress test or biophysical profile
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