The nurse is assisting the healthcare provider during a vaginal examination. The healthcare provider notes the cervix has a bluish-purple change in coloration. Based on this data, which will the nurse document in the medical record?
1. Goodell sign.
2. Leukorrhea.
3. Chadwick sign.
4. Mucous plug.
Correct Answer: 3
Hormonal changes in pregnancy cause a series of changes to the female genitalia. Chadwick sign appears during pregnancy and is the appearance of a bluish-purple coloration of the cervix due to vascular congestion. This vascularity of the cervix also contributes to the softening of the cervix, and is called Goodell sign. Leukorrhea is a profuse, non-odorous, non-painful, vaginal discharge. The endocervical canal is closed by a plug of mucus. This mucus remains in place until the final days of the pregnancy. At that time it is expelled, producing a discharge referred to as bloody show.
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