Which of the following is NOT a sign of uterine rupture?

• A. Weakness, dizziness, and thirst
• B. Initial strong contractions that have lessened
• C. Signs of shock
• D. Severe itching of the skin

Answer: (D)

Uterine rupture is an acute emergency that causes maternal and fetal distress from blood loss. The signs you’d expect are related to hemorrhage and fetal concerns: dizziness or weakness from shock, thirst due to dehydration, a sudden change or cessation of contractions as the uterus can no longer sustain labor, and clear signs of maternal shock. Severe itching of the skin, on the other hand, is not part of the rupture picture and points to other conditions unrelated to an rupture event. So the symptom that does not fit with a rupture scenario is the itching of the skin.