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Exam questionKROK 2Medicine ยท 2019

A woman is 40 weeks pregnant. The fetus is in the longitudinal lie and cephalic presentation. Pelvic size: 26-29-31-20. Expected weight of the fetus is 4800 gram. The labor contractions have been lasting for 12 hours, within the last 2 hours they were extremely painful. The parturient woman is anxious. The waters broke 4 hours ago. On external examination the contraction ring is located 2 finger widths above the navel, Henkel-Vasten sign is positive. Fetal heart rate is 160/min., muffled. On internal examination the uterine cervix is fully open, the head is engaged and pressed to the entrance into the lesser pelvis. What is the most likely diagnosis?

Answer options

  1. Complete uterine rupture
  2. Threatened uterine rupture
  3. Anatomically contracted pelvis
  4. Abruption of the normally positioned
  5. Hyperactive uterine contractions
Correct answer

Threatened uterine rupture

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