Which fetal heart monitor finding indicates fetal distress?

The indication of fetal distress is typically associated with a decrease in the fetal heart rate following a contraction, as described in the correct answer. This finding suggests that the fetus may be experiencing compromised oxygenation or other forms of stress. When the heart rate decreases after the onset of a contraction, it shows a concerning pattern that could be a sign of umbilical cord compression or uteroplacental insufficiency. The important aspect is the timing of the return to baseline; if it takes longer than anticipated (such as more than 60 seconds), this increases the likelihood of fetal distress.

In the other scenarios presented, an increase in fetal heart rate during contractions may actually indicate a normal response to uterine activity, reflecting better oxygenation or reactive responses. A steady heart rate suggests that there is no distress occurring, as does a pattern of return to baseline within an appropriate period following a contraction without prolonged deceleration. Fluctuations may indicate variability, which can sometimes be normal as well, but excessive wide variations without specific patterns may also lead to concern depending on the context. Overall, fetal heart rate decelerations that do not quickly recover are critical indicators of potential distress.