To reassure and educate the patients concerning changes in the cervix, vagina, and position of the fetus, nurses should be aware that:
1. because of a number of changes in the cervix, evaluation of abnormal Pap tests is much easier to assess.
2. "quickening" is a technique of palpating the fetus to engage it in passive move-ment.
3. the deepening color of the vaginal mucosa and cervix (Chadwick's sign) usually appears in the second trimester or later as the vagina prepares to stretch during labor.
4. increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.
4
1. Incorrect. These cervical changes make assessing abnormal Pap tests more difficult.
2. Incorrect. Quickening is the first recognition of fetal movements by the mother. Bal-lottement is a technique used to palpate the fetus.
3. Incorrect. The Chadwick sign appears from the sixth to eighth weeks.
4. Correct. Increased sensitivity and interest sometimes go together. The second trimester is often the time.
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