The nurse is assisting the healthcare provider during a vaginal examination. The healthcare provider notes the cervix has a bluish-purple change in coloration. The nurse would recognize this condition is known as:

1. Goodell's sign
2. Leukorrhea
3. Chadwick's sign
4. Mucous plug


3
Rationale 1: Hormonal changes in pregnancy cause a series of changes to the female genitalia. The vascularity of the cervix increases contributing to the softening of the cervix, and is called Goodell's sign.
Rationale 2: Hormonal changes in pregnancy cause a series of changes to the female genitalia. Leukorrhea is a profuse, nonodorous, nonpainful, vaginal discharge, which is a normal finding.
Rationale 3: Hormonal changes in pregnancy cause a series of changes to the female genitalia. Chadwick's sign appears during pregnancy and is the appearance of a bluish-purple coloration of the cervix due to vascular congestion.
Rationale 4: 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.

Nursing

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