Inpatient Obstetric Nurse (NCC) Practice Exam

In assessing variable decelerations observed during a non-stress test (NST), it is important to evaluate the amniotic fluid. Variable decelerations are often associated with cord compression, which can occur when there is insufficient amniotic fluid surrounding the fetus. This condition, known as oligohydramnios, can contribute to fetal distress by resulting in intermittent compression of the umbilical cord during contractions or fetal movements. Therefore, assessing the amniotic fluid helps determine whether the fetus is experiencing compromised conditions that could affect its well-being.

In this context, understanding the amount of amniotic fluid available can be pivotal for planning further management or interventions to ensure fetal safety. This assessment leads to a clearer understanding of the potential causes of the fetal heart rate changes observed and can guide the clinical team in making informed decisions regarding maternal and fetal care.