Nurse is assigned to attend a client in early labor. When collecting data from patients, the caregiver should first check the baseline fetal heart rate.
Baseline fetal heart rate is the mean fetal heart rate (FHR) rounded to the nearest 5 beats per minute during a 10-minute segment, excluding periods of transient variation, periods of significant variation, or baseline segments that vary by more than 25 beats per interval.
A baseline fetal heart rate of 110-160 bpm is considered normal. However, in normal fetuses, the mean baseline heart rate has been shown to decline gradually, and the 90th percentile fetal heart rate at 40 weeks of gestation has been found to remain constant at approximately 150 bpm.
The more common causes of baseline (non-hypoxic) fetal bradycardia include a mature parasympathetic nervous system, maternal medications (high-dose beta-blockers), and abnormal fetal cardiac conduction (heart block) or possibly, what found to be incidental maternal heart rate monitoring.
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