A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The physician has documented the presence of Goodell's sign. The nurse determines this sign indicates:
A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus
Softening of the lower segment of the uterus
Bluish discoloration of the cervix
Softening of the vaginal segment of the cervix
The Correct Answer is D
A. Soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus: This describes uterine souffle, not Goodell's sign.
B. Softening of the lower segment of the uterus: This is Hegar’s sign.
C. Bluish discoloration of the cervix: This is Chadwick’s sign.
D. Softening of the vaginal segment of the cervix: Goodell’s sign is softening of the cervix due to increased vascularity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. “I never liked milk, but I have started adding more cheese and other dairy products to my diet.”: Indicates an appropriate dietary substitution for calcium-no teaching needed.
B. “I have been walking 2 miles every day for the last 3 years, and I plan to maintain my walking during pregnancy.”: Continuing moderate exercise is safe and encouraged in pregnancy.
C. “My husband and I used to have wine every night for dinner, now we have wine once a week.”: Any alcohol during pregnancy is contraindicated due to risk of fetal alcohol spectrum disorders.
D. “I used to douche once a week prior to pregnancy, but now I have stopped.”: Discontinuing douching is appropriate; it can disturb normal vaginal flora and lead to infection.
Correct Answer is B
Explanation
A. Hypoglycemia: Would not necessarily be position-related.
B. Vena cava syndrome: Compression of the inferior vena cava by the uterus reduces venous return, causing hypotension and dizziness.
C. A rise in BP due to position: BP actually drops in this position, not rises.
D. A cardiac arrhythmia: Could cause dizziness, but not typically position-dependent in pregnancy.
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