During labour, a woman develops sudden abdominal pain, maternal tachycardia, cessation of contractions, and a sudden fetal bradycardia. Which condition should the nurse suspect?
Correct answer: B. Uterine rupture
- A. Placenta previa
- B. Uterine rupture
- C. Uncomplicated false labour
- D. Mild pregnancy-induced hypertension
Explanation
Sudden pain, loss of effective contractions, fetal bradycardia, and maternal compromise are warning signs of uterine rupture. This is an obstetric emergency requiring immediate senior review and preparation for emergency operative management.
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About Obstetric Emergencies
Acute threats to the mother or fetus include postpartum haemorrhage, eclampsia, shock, cord prolapse, shoulder dystocia, uterine rupture, amniotic fluid embolism and fetal distress. The subject covers rapid assessment, airway and circulation support, emergency medicines, positioning, preparation for assisted or operative birth, and coordinated referral.
Practise Obstetric Emergencies
50 free Obstetric Emergencies MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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