What result in a prenatal record at 34 weeks gestation indicates a desirable outcome?

A reactive nonstress test at 34 weeks gestation indicates a desirable outcome because it demonstrates that the fetus is healthy and responding well to stimuli. In a nonstress test, the nurse monitors the fetal heart rate in relation to fetal movements. A reactive result is characterized by the presence of at least two accelerations of the fetal heart rate, each lasting for at least 15 seconds, within a 20-minute period. This suggests that the fetus is receiving sufficient oxygen and is not in distress, which is a reassuring sign of fetal well-being.

In contrast, a non-reactive nonstress test does not show these accelerations, indicating the need for further evaluation and monitoring as it might suggest potential fetal distress. The presence of fetal heart anomalies is a concerning finding that often requires additional intervention and does not represent a desirable outcome. Similarly, high alpha-fetoprotein levels can be associated with various complications, including neural tube defects or other fetal abnormalities, and thus, are not indicative of a healthy fetal status.