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In maternal and child health care, confirmation of pregnancy is based on a combination of clinical findings, laboratory tests, and ultrasound examination. Positive signs are those findings that provide definite evidence of the presence of a fetus. They are different from presumptive signs, which are subjective symptoms experienced by the woman, and probable signs, which are objective findings suggestive of pregnancy but may occur in other conditions. One of the most important positive signs is the identification of fetal heart activity. The fetal heart rate can usually be detected _________ ____ __________ _______ ________ ________ ________ _________ _______ ____ ________.
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