When performing a physical examination, which sign indicates changes in the cervix associated with pregnancy?

• A. Goodell's sign
• B. Chadwick's sign
• C. Hegar's sign
• D. Braxton Hicks contractions

Answer: (B)

The indication of changes in the cervix associated with pregnancy is recognized through Chadwick's sign. This sign refers to the bluish discoloration of the cervix, vagina, and labia, which occurs due to increased blood flow and vascularity in these areas as a result of hormonal changes during pregnancy. It is one of the early signs that healthcare providers look for when assessing a pregnant individual, typically observable around the sixth week of gestation.

Assessing Chadwick's sign allows healthcare professionals to gather important information about the pregnancy status early on, aiding in confirming the pregnancy. In contrast, Goodell's sign refers to the softening of the cervix, which also indicates pregnancy but is related to the changes in cervical consistency. Hegar's sign involves the softening of the isthmus of the uterus, indicating pregnancy as well, but specifically relates to the uterine body rather than the cervix. Braxton Hicks contractions are practice contractions that occur throughout pregnancy but are not related to cervical changes. This understanding helps to clarify the significance of each sign in relation to pregnancy and the physical examination.