A nurse is reviewing the record of a woman who has just been told that she is pregnant. The physician has documented the presence of Goodell’s sign. The nurse determines this sign refers to which of the following?

Correct Answer: A

Rationale: The correct answer is A: A softening of the tip of the cervix. Goodell's sign is a softening of the tip of the cervix, which is one of the early signs of pregnancy due to increased vascularity and edema. This sign is often used by healthcare providers to confirm pregnancy. Rationale: 1. Goodell's sign specifically refers to the softening of the cervix, not any other part of the reproductive system. 2. It is an important early sign of pregnancy due to hormonal changes. 3. Enlargement of the uterus (Choice C) typically occurs later in pregnancy, not as an early sign. 4. A blowing sound corresponding to maternal pulse (Choice B) and softening of the lower uterine segment (Choice D) are not associated with Goodell's sign.

Correct Answer: C

Rationale: The correct answer is C: pelvic dystocia. Pelvic dystocia occurs when the fetal head is unable to navigate through the pelvis due to its size, shape, or orientation. This can lead to prolonged labor and potential complications during delivery. Uterine dystocia (A) refers to abnormalities in uterine contractions, fetal dystocia (B) pertains to issues with the fetus itself, and contraction dystocia (D) involves problems with the strength or coordination of uterine contractions. Pelvic dystocia specifically addresses the anatomical mismatch between the fetal head and maternal pelvis, making it the correct choice in this scenario.

Correct Answer: C

Rationale: Uterine tachysystole is excessive uterine contractions, reducing placental perfusion and causing fetal hypoxia. This can lead to potential complications such as fetal distress and hypoxia. Category I fetal heart rate tracing is typically associated with normal fetal heart rate. Placenta previa is unrelated to uterine tachysystole. Prolapsed cord is a potential complication of uterine hyperstimulation, not tachysystole.

Correct Answer: A

Rationale: The correct answer is A: Assess deep tendon reflexes for hyperreflexia. This is crucial in preeclampsia to monitor for signs of worsening condition like eclampsia. Hyperreflexia is a common symptom in severe preeclampsia indicating CNS irritability. Providing IV fluid boluses (B) can worsen fluid overload. Educating that preeclampsia is only a concern for pregnancy (C) is incorrect as it can progress during labor. Discouraging pain medication (D) is inappropriate as it can mask symptoms like headaches, a common sign of worsening preeclampsia.

Correct Answer: A

Rationale: The correct answer is A: prolapsed cord. In a footling breech presentation, the feet or legs of the fetus are positioned to deliver first, increasing the risk of the umbilical cord slipping down before the fetus during labor, leading to a prolapsed cord. This is a serious emergency as it can compromise fetal blood flow and oxygen supply. Choice B: Oligohydramnios is a decreased level of amniotic fluid and is not directly related to a footling breech presentation. Choice C: Low biophysical profile score indicates fetal well-being based on specific parameters and is not a direct complication of a footling breech presentation. Choice D: Meconium-stained fluid can occur due to fetal distress but is not specific to a footling breech presentation.