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Which fetal heart rate response is generally reassuring during labour?

Correct answer: A. Brief accelerations associated with fetal movement

  • A. Brief accelerations associated with fetal movement
  • B. Persistent late decelerations after contractions
  • C. A prolonged fall in rate lasting several minutes
  • D. Repeated variable decelerations with slow recovery

Explanation

Brief accelerations usually indicate an adequately oxygenated and responsive fetus. Persistent late, prolonged or recurrent variable decelerations require assessment because they may indicate impaired fetal oxygenation or cord compression.

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Normal labour covers the onset and stages of labour, cervical effacement and dilatation, fetal lie and presentation, the cardinal movements, and maternal and fetal monitoring. It includes partograph use, pain relief, normal vaginal birth, active management of the third stage, placental assessment and immediate care after delivery.

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