North American Registry of Midwives (NARM) Practice Exam

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What does Chadwick sign refer to in a pregnant woman?

  1. Swelling of the feet

  2. Blue cervix, a probable sign of pregnancy

  3. Decreased appetite

  4. Frequent urination

The correct answer is: Blue cervix, a probable sign of pregnancy

Chadwick sign refers specifically to the bluish discoloration of the cervix, vagina, and vulva that occurs during pregnancy, typically detected around six to eight weeks of gestation. This phenomenon is attributed to increased blood flow and vascularization in response to pregnancy hormones. The presence of this sign is considered a probable indicator of pregnancy because it reflects physiological changes that occur in a woman's body as it prepares to support a developing fetus. Understanding Chadwick sign is important in clinical practice, as it helps differentiate between normal physiological changes during pregnancy and potential complications that may require further evaluation. Recognizing the significance of this sign aids healthcare providers, particularly midwives, in assessing early pregnancy and monitoring maternal health.