The nurse is reviewing the record of a client who has just been told that her pregnancy test is positive. The physician has documented the presence of Goodell's sign. The nurse determines that this sign is indicative of:
1. A softening of the cervix
2. The presence of fetal movement
3. The presence of human chorionic gonadotropin (hCG) in the urine
4. A soft blowing sound that corresponds to the maternal pulse while auscultating the uterus
1
Rationale: In the early weeks of pregnancy, the cervix becomes softer as a result of pelvic vaso-constriction, causing Goodell's sign. Cervical softening is noted by the examiner during pelvic examination. A soft blowing sound that corresponds to the maternal pulse may be auscultated over the uterus and is caused by blood circulation through the placenta. The presence of hCG is noted in the maternal urine in a urine pregnancy test. Goodell's sign does not indicate the pres-ence of fetal movement.
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