While assisting the physician to perform a pelvic examination on ...

[big1devin]

While assisting the physician to perform a pelvic examination on a client in the first trimester of pregnancy, the nurse notes a bluish discoloration of the cervix and vagina. The nurse documents this as:
 
  1. Pelvic cyanosis.
  2. Positive Chadwick's sign.
  3. Positive Hegar's sign.
  4. Positive Goodell's sign.

Question 2

When teaching a client who speaks English as a second language, the nurse appropriate nursing action is
 
  1. To have a family member translate the information
  2. Find another nurse who speaks a little of the client's language
  3. Contact the facilities designated translator
  4. Use pictures and gestures to teach the client

[alexisweber49]

Answer to Question 1

2
Rationale: Chadwick's sign is the bluish discoloration of the cervix and vagina seen in pregnant women secondary to the increased blood flow to the area. It is not an indication of cyanosis, but actually the exact opposite, with increased oxygen to the pelvis.

Answer to Question 2

3
Rationale 1: Including a family member in discussions can violate HIPAA

[big1devin]

Gracias!

[ktidd]

Thanks for the timely response, appreciate it