What is a common clinical presentation indicating possible uterine rupture?

Cessation of contractions with abdominal pain is a significant clinical presentation that may indicate uterine rupture. In cases of uterine rupture, the integrity of the uterine wall is compromised, which can lead to a halt in contractions as the uterus can no longer sustain effective labor. This cessation is often accompanied by acute abdominal pain, which may be sharp or severe in nature. Additionally, other signs may include abnormal fetal heart rate patterns, typically decelerations, rather than accelerations, reflecting fetal distress.

The other options do not align with the typical presentations of uterine rupture. Persistent fetal heart rate acceleration is generally a reassuring sign and does not indicate a complication such as rupture. An unchanging uterine shape suggests that there is no active pathological process altering the structure of the uterus at that moment, making it less likely to indicate a rupture. Frequent maternal fatigue can occur due to various factors during labor but is not a specific indicator of uterine rupture. Thus, the correct answer effectively highlights a key sign that should raise concern for this serious obstetric emergency.