What is the nurse's priority when the fetal NST is non-reactive?

What is the nurse's priority when the fetal NST is non-reactive?

• A. Continue monitoring and prepare for biophysical profile (BPP)
• B. Initiate immediate cesarean delivery
• C. Administer oxytocin to stimulate contractions
• D. Stop monitoring and discharge the patient

Answer: (A)

A non-reactive NST means there aren’t adequate fetal heart rate accelerations with movement during the observation period, so the next priority is to gather more information about fetal well-being rather than assuming everything is fine or unsafe. Continue monitoring and move forward with a biophysical profile to assess fetal oxygenation and status. The BPP combines ultrasound assessment of fetal tone, movement, breathing, and amniotic fluid with the NST to give a more complete picture of fetal well-being; a reassuring BPP suggests the fetus is doing well, while an abnormal score would lead to further management decisions, possibly including delivery based on gestational age and overall condition. Immediate cesarean delivery isn’t automatic for a non-reactive NST, and initiating contractions or stopping monitoring and discharging the patient would not appropriately address the concern.