2024 PN NCLEX Questions Nursing Practice Question
When a nurse-midwife, performing a vaginal examination of a client who suspects that she is pregnant, documents the presence of the Chadwick sign, what does this indicate?
Correct Answer: A
Rationale: The presence of the Chadwick sign indicates that the cervix appears violet or bluish due to increased blood flow, which is a physiological change during early pregnancy.
Option B refers to cervical softening, known as Goodell's sign, which is a different indicator of pregnancy.
Option C, while the Chadwick sign is associated with pregnancy, it is not a definitive positive sign on its own; other confirmations are needed.
Option D describes effacement or thinning of the cervix, which occurs later in pregnancy and is not related to the Chadwick sign.