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When conducting a focused assessment upon admission to the birthing unit, which fetal heart rate finding is considered normal in category I?

A) Fetal heart rate baseline of 120 bpm.

B) Absence of accelerations in the fetal heart rate.

C) Fetal heart rate variability of 6 bpm.

D) Presence of late decelerations during contractions.

1 Answer

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Final answer:

A fetal heart rate baseline of 120 bpm is considered normal in category I during a focused assessment upon admission to the birthing unit. Late decelerations are not a feature of a normal fetal heart rate and indicate a need for further monitoring or intervention.

Step-by-step explanation:

When conducting a focused assessment upon admission to the birthing unit, a fetal heart rate baseline of 120 bpm is considered normal in category I. This is within the standard range for fetal heart rate, which is typically between 110 and 160 beats per minute. Accelerations in the fetal heart rate are a sign of fetal wellbeing, but their absence doesn't necessarily indicate abnormality if all other parameters are normal. A fetal heart rate variability of 6 bpm can be normal as it demonstrates adequate central nervous system and autonomic nervous system functioning of the fetus. Variability in the heart rate is a good sign, indicating a responsive and healthy fetal condition. The presence of late decelerations during contractions is concerning and is not a feature of normal category I fetal heart rate, but rather belongs to category II or III, which requires more intensive observation or intervention.

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