Labor: uterine rupture: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Labor: uterine rupture

Sample item

A patient attempting vaginal birth after a previous cesarean develops sudden abdominal pain, fetal bradycardia, loss of presenting-part station, and maternal shock. What is the most likely complication?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Uterine rupture

Uterine rupture is a rare but catastrophic intrapartum event, with prior uterine scar as an important risk factor. Fetal bradycardia is a common early sign and urgent laparotomy is required.

Option by option

  • A. Round-ligament pain

    Round-ligament pain does not cause fetal bradycardia or shock.

  • B. Normal labor progress

    Normal labor should not cause shock and loss of station.

  • C. Uterine rupture (correct)

    Correct. The acute maternal and fetal collapse pattern is typical.

  • D. Postpartum endometritis

    Endometritis occurs postpartum with fever and uterine tenderness.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is C, Uterine rupture. Uterine rupture is a rare but catastrophic intrapartum event, with prior uterine scar as an important risk factor.

Why is "Round-ligament pain" not the answer?

Round-ligament pain does not cause fetal bradycardia or shock.

Why is "Normal labor progress" not the answer?

Normal labor should not cause shock and loss of station.

Why is "Postpartum endometritis" not the answer?

Endometritis occurs postpartum with fever and uterine tenderness.

What concept does this question test?

It tests Labor: uterine rupture in OBG. Fetal bradycardia is a common early sign and urgent laparotomy is required.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Labor: uterine rupture?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.