Question:
While assessing a multigravid client at 10 weeks’ gestation, the nurse notes a purplish color to the vagina and cervix. The nurse documents this finding as which of the following?
1. Goodell’s sign.
2. Chadwick’s sign.
3. Hegar’s sign.
4. Melasma.
A purplish blue discoloration of the vagina and cervix is termed Chadwick’s sign; it is caused by increased vascularity of the vagina during pregnancy and is considered a probable sign of pregnancy. Goodell’s sign, also considered a probable sign of pregnancy, refers to a softening of the cervix during pregnancy. Hegar’s sign, also a probable sign of pregnancy, refers to a softening of the lower uterine segment. Melasma,refers to the pigmentation of the skin on the face during pregnancy. Melasma is considered a presumptive sign of pregnancy.
CN: Health promotion and maintenance; CL: Apply
Answer:2
翻译
问题:
在评估一个怀孕10周的多胎病人时,护士注意到阴道和宫颈呈紫色。护士将这一发现记录为以下哪一项?
1.古德尔氏征象。
2.查德韦克氏征象。
3.海格氏征。
4.黄褐斑。
答案:2
阴道和宫颈呈紫蓝色的变色称为查德韦克氏征象;这是由于怀孕期间阴道血管增多引起的,被认为是怀孕的可能迹象。古德尔征,也被认为是怀孕的可能迹象,是指在怀孕期间宫颈软化。海格征,也可能是怀孕的迹象,是指子宫下段软化。黄褐斑是指妊娠期间面部皮肤的色素沉着。黄褐斑被认为是怀孕的征兆。
CN:健康促进与维护;CL:适用
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