A pregnant woman in the perinatal clinic complains of a diffuse, ...

[james]

A pregnant woman in the perinatal clinic complains of a diffuse, reddish discoloration of her palms. What action by the nurse is most appropriate?
 
  A.
  Ask if she has been exposed to measles.
  B.
  Assess her for Reynaud's phenomenon.
  C.
  Explain that this is a normal finding.
  D.
  Take the woman's vital signs.

Question 2

An instructor is explaining to students in the OB rotation that Goodell's sign is which of the following?
 
  A.
  Bluish cervical discoloration
  B.
  Cervical softening
  C.
  False labor contractions
  D.
  Slowed fetal heart tones

[joneynes]

Answer to Question 1

ANS: C
Palmar erythema is a reddish discoloration of the palms and occurs in about 60 of Caucasian women and in about 35 of African American women during pregnancy. Although the nurse should assess the patient's vital signs during the visit, there is no need to do so specifically tied to this condition. Palmar erythema is not related to measles or Reynaud's phenomenon, which is a vascular condition.

Answer to Question 2

ANS: B
Goodell's sign is softening of the cervix that occurs due to hormonal influences. It is not related to fetal heart tones or contractions. Chadwick's sign is a bluish discoloration of the cervix, vulva, and vagina.

[james]

TYSM

[ttt030911]

Excellent