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STRESS TEST or OCT

  • Determines fetal well being and fetal ability to withstand stress of labor; done for abnormal NST or at risk fetus, assesses placental function.
  • Monitoring requires indirect fetal external monitor, and positioning is fowler's position; same as NST but with the use of Oxytocin.
  • Baseline and frequent maternal BP readings are taken; test takes 1-3 hours with close monitoring until there's contractions.
  • Results:
  1. Negative (normal) - absence of late decelerations of FHR with each of 3 contractions, negative window.
  2. Positive (abnormal) - presence of late decelerations of FHR with 3 contractions during 10 minute period; positive window.
  3. Equivocal or suspiscious - absence of positive or negative window.
  4. Unsatisfactory - inadequate contractions of tracing.
  5. High risk pregnancies continue with weekly negative tests.