In case of normal NST without risk factors, what should the next step be?

A normal non-stress test (NST) result indicates that the fetal heart rate is reactive and shows appropriate accelerations in response to fetal movement, suggesting that the fetus is well oxygenated and not in distress at that moment. In the absence of risk factors, the best management strategy following a normal NST is to continue monitoring the fetal well-being through daily fetal movement counts.

Daily fetal movement counts empower the mother to be an active participant in monitoring her baby's health. It allows her to notice any changes in fetal activity, which could indicate potential issues. If there are concerns about decreased fetal movement, this would prompt further evaluation and potential intervention. Therefore, encouraging the mother to monitor and report any changes serves to ensure ongoing fetal assessment and enhances maternal awareness of fetal health.

Other options such as scheduling delivery, performing a contraction stress test, or immediately conducting an ultrasound may be excessive follow-ups in the absence of risk factors and abnormal findings. These interventions would typically be more appropriate in the context of concerning results or risk factors indicating possible fetal distress or complications.