This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Abnormal labor, Subject name: Gynaecology & Obstetrics
[{'content': 'Indicators of impending uterine rupture during labour include all of the following except. \nSelect and explain. \nA. Fetal distress, B. Hematuria, C. Fresh bleeding per vaginum, D. Passage of meconium', 'role': 'user'}, {'content': 'Answer: D \nExplanation: The earliest sign of rupture of uterus is fetal hea decelerations which is a screening for detecting fetal hypoxia or fetal distress. On vaginal examination there is bleeding through is. In cases where bladder is involved ,hematuria may be present. But passage of meconium is not an indicator of impending rupture of uterus. (TB of OBG Sheila 2nd edition pg 411)', 'role': 'assistant'}]