A positive contraction stress test indicates what kind of fetal condition?

Study for the ABOG Oral Boards Obstetrics Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

A positive contraction stress test indicates that there are signs of fetal distress or an increased likelihood of fetal compromise, signaling a nonreassuring fetal condition. Specifically, a positive test reveals that during uterine contractions, there is a decline in the fetal heart rate, suggesting that the fetus may be experiencing inadequate oxygenation, particularly during the stress of contractions. This can be indicative of placental insufficiency or other complications that may threaten the well-being of the fetus.

In contrast, a negative contraction stress test generally demonstrates that the fetus is able to maintain a stable heart rate in the presence of contractions, suggesting a reassuring fetal condition. An equivocal test may show some concerning signs but is not definitive in indicating fetal distress, while an unsatisfactory test results in insufficient data to make an assessment regarding fetal well-being. Therefore, the presence of abnormal fetal heart rate patterns in a positive contraction stress test clearly aligns with a nonreassuring assessment of fetal status.

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