During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is present. What is the interpretation of Chadwick's sign?
Select one:
Darkening of the areola and breast tenderness
Softening of the lower segment of the uterus.
Violet or purplish discoloration of the vulva, vagina, and cervix
Presence of early fetal movements
Presence of early fetal movements
The Correct Answer is C
a. Darkening of the areola and breast tenderness are common symptoms of early pregnancy but are not associated with Chadwick's sign.
b. Softening of the lower segment of the uterus is associated with Hegar's sign, not Chadwick's sign.
c. Chadwick's sign is the violet or purplish discoloration of the vulva, vagina, and cervix due to increased blood flow during pregnancy.
d. Presence of early fetal movements is not associated with Chadwick's sign.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Variable decelerations occur due to umbilical cord compression, typically when the cord is compressed during contractions or when the cord is wrapped around the fetal neck or body.
b. Early decelerations are typically related to fetal head compression and are not associated with variable decelerations.
c. Late decelerations are caused by uteroplacental insufficiency and are not associated with variable decelerations.
d. IV narcotic analgesics can cause late decelerations, not variable decelerations.
Correct Answer is B
Explanation
a. A woman at 37 weeks' gestation who experienced spontaneous rupture of membranes 30 minutes ago with normal fetal movements is not a priority assessment as long as there are no signs of fetal distress.
b. A woman who is 9 cm dilated and fully effaced and is requesting to go to the bathroom to have a bowel movement is in the second stage of labor, which means that the cervix is fully dilated and the fetus is descending in the birth canal. The urge to have a bowel movement is a sign that the fetal head is pressing on the rectum and that delivery is imminent. This patient needs immediate attention and preparation for delivery.
c. A woman at 27 weeks' gestation who noted scant vaginal bleeding today after having sexual intercourse in the morning may be experiencing placenta previa or placental abruption but this is not a priority compared to the woman in option b who is yet to deliver.
d. A woman who is 2 cm dilated and 80% effaced and is crying and shows mild anxiety is not a priority assessment as long as there are no signs of fetal distress.
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