The nurse is assisting the healthcare provider during a vaginal ...

[a0266361136]

The nurse is assisting the healthcare provider during a vaginal examination. The healthcare provider notes the cervix has a bluish-purple change in coloration. Based on this data, which will the nurse document in the medical record?
 
  1. Goodell sign.
  2. Leukorrhea.
  3. Chadwick sign.
  4. Mucous plug.

Question 2

The nurse is assessing a client in the third trimester of pregnancy and notes a yellowish discharge from both breasts. Which action by the nurse is the most appropriate?
 
  1. Ask the client if she is preparing for breastfeeding.
  2. Notify the healthcare provider.
  3. Document the findings as normal.
  4. Obtain a culture of the discharge immediately.

[patma1981]

Answer to Question 1

Correct Answer: 3
Hormonal changes in pregnancy cause a series of changes to the female genitalia. Chadwick sign appears during pregnancy and is the appearance of a bluish-purple coloration of the cervix due to vascular congestion. This vascularity of the cervix also contributes to the softening of the cervix, and is called Goodell sign. Leukorrhea is a profuse, non-odorous, non-painful, vaginal discharge. 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.

Answer to Question 2

Correct Answer: 3
Colostrum, a yellowish, specialized form of early breast milk, is produced starting in the second trimester and is replaced by mature milk during the early days of lactation after birth. This substance is produced regardless of whether the woman is planning to breastfeed, making this inquiry unnecessary. This is a normal finding and does not require a culture, additional subjective information, or notification of the healthcare provider.

[a0266361136]

Correct answers!

[patma1981]

Great! Please up vote