To reassure and educate pregnant clients about changes in the cervix, vagina, and position of the fetus, nurses should be aware that:
a. Because of a number of changes in the cervix, abnormal Papanicolaou (Pap) tests are much easier to evaluate.
b. Quickening is a technique of palpating the fetus to engage it in passive movement.
c. 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.
d. Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.
ANS: D
Increased sensitivity and an increased interest in sex sometimes go together. This frequently occurs during the second trimester. Cervical changes make evaluation of abnormal Pap tests more difficult. Quickening is the first recognition of fetal movements by the mother. Ballottement is a technique used to palpate the fetus. Chadwick's sign appears from the sixth to eighth weeks.
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