Question:medium
Which of the following is NOT a clinical sign of scar rupture?
Which of the following is NOT a clinical sign of scar rupture?
Show Hint
Scar rupture causes maternal tachycardia from blood loss, not bradycardia; fetal bradycardia, hematuria, and vaginal bleeding are the real warning signs.
Updated On: Jul 8, 2026
- Maternal bradycardia
- Fetal bradycardia
- Hematuria
- Bleeding per vaginum
Show Solution
The Correct Option is A
Solution and Explanation
Step 1: Picture what happens in scar rupture.
The old cesarean scar in the uterine wall gives way during labor. Blood can escape into the abdomen and vagina, and the baby can lose its oxygen supply.
Step 2: Go through the fetal and local signs.
Fetal bradycardia shows up because the placenta separates or blood flow to the baby drops, and it is often the very first clue. Blood tracking down the genital tract gives bleeding per vaginum. If the tear reaches the bladder, which lies close to the lower segment, blood appears in the urine as hematuria. All three of these are accepted signs of scar rupture.
Step 3: Think about the maternal heart rate.
The mother is the one losing blood here. Blood loss lowers blood pressure, and the body's compensation for that is a faster heart rate, so we expect tachycardia, not a slow pulse. A slow maternal pulse simply does not fit a state of ongoing hemorrhage.
Step 4: Conclude.
Among the four choices, maternal bradycardia is the one that does not belong, because hemorrhage speeds the maternal heart up rather than slowing it down.
\[ \boxed{\text{Maternal bradycardia}} \]
The old cesarean scar in the uterine wall gives way during labor. Blood can escape into the abdomen and vagina, and the baby can lose its oxygen supply.
Step 2: Go through the fetal and local signs.
Fetal bradycardia shows up because the placenta separates or blood flow to the baby drops, and it is often the very first clue. Blood tracking down the genital tract gives bleeding per vaginum. If the tear reaches the bladder, which lies close to the lower segment, blood appears in the urine as hematuria. All three of these are accepted signs of scar rupture.
Step 3: Think about the maternal heart rate.
The mother is the one losing blood here. Blood loss lowers blood pressure, and the body's compensation for that is a faster heart rate, so we expect tachycardia, not a slow pulse. A slow maternal pulse simply does not fit a state of ongoing hemorrhage.
Step 4: Conclude.
Among the four choices, maternal bradycardia is the one that does not belong, because hemorrhage speeds the maternal heart up rather than slowing it down.
\[ \boxed{\text{Maternal bradycardia}} \]
Was this answer helpful?
0
