CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A 30 year - old pregnant female is suffering from disruption in the continuity of the uterine wall at a time beyond her 28th week of pregnancy. Which of the following has probably occurred?

Pelvic hematoma
Ruptured uterus
Perineal tear
Cervical tear

Explanation

Answer: B - Ruptured uterus
A rupture of the uterus is the term applied to disruption in the continuity of the uterine wall at any time beyond the 28th week of pregnancy. Collection of blood in the area between the pelvic peritoneum and perineal skin is called a pelvic hematoma.

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