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After analyzing an internal fetal monitor tracing, the nurse concludes that there is moderate short-term variability. Which of the following interpretations should the nurse make in relation to this finding?

1) The fetus is becoming hypoxic.
2) The fetus is becoming alkalotic.
3) The fetus is in the middle of a sleep cycle.
4) The fetus has a healthy nervous system.

User Irini
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Final answer:

Moderate short-term variability in an internal fetal monitor tracing generally indicates that the fetus has a healthy nervous system, reflecting the responsiveness and regulation capabilities of its autonomic nervous system related to heart rate control.

Step-by-step explanation:

When a nurse observes moderate short-term variability on an internal fetal monitor tracing, the appropriate interpretation would be that the fetus likely has a healthy nervous system. Fetal heart rate variability refers to fluctuations in the speed of the fetal heartbeat. Moderate short-term variability suggests that the fetus's autonomic nervous system is responsive and capable of regulating the heart beat with a healthy range of variation. This is important as the heart and circulation are some of the earliest functioning systems in fetal development. Moreover, moderate variability can be an indicator of a fetus's ability to withstand the stresses of labor and delivery.

During gestation, the fetus undergoes changes in organ development, such as the kidneys beginning to function and the fetus circulating amniotic fluid. The development of the nervous system allows for movements, reflexes, and brain activity, which contribute to short-term variability. After birth, the Apgar score assesses the newborn's wellbeing, considering heart rate as one of the important criteria. As such, a moderate short-term variability before birth correlates with positive outcomes post-delivery.

User Reub
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