NREMT Paramedic Practice

What is a primary symptom of uterine rupture?

1. Painless vaginal bleeding

2. Sudden abdominal pain

3. Frequent urination

4. Prolonged labor contractions

The correct answer is: Sudden abdominal pain

Sudden abdominal pain is indeed a primary symptom of uterine rupture. This condition often presents dramatically, with the sudden onset of severe, sharp pain that may also radiate to the shoulders or lower back. This pain is typically associated with a tearing sensation, as the uterine wall separates. In a case of uterine rupture, the pain results from the sudden release of blood and uterine contents into the abdominal cavity, which can also lead to peritoneal irritation. The sudden nature of the pain distinguishes it from other abdominal issues. Additionally, following the rupture, there may be changes in fetal heart tones or signs of fetal distress, which can accompany the onset of the pain. Understanding these symptoms is crucial for prompt diagnosis and treatment, as uterine rupture is a life-threatening emergency for both the mother and the fetus.