North American Registry of Midwives (NARM) Practice Exam

What is a common outcome associated with the sign of cervical motion tenderness?

1. Normal pregnancy

2. Pelvic Inflammatory Disease (PID)

3. Healthy uterine tone

4. Induction of labor

The correct answer is: Pelvic Inflammatory Disease (PID)

Cervical motion tenderness is often assessed during a pelvic examination and can indicate underlying issues within the reproductive organs. When tenderness is noted upon movement of the cervix, this is commonly associated with pelvic inflammatory disease (PID). PID is an infection of the female reproductive organs, which causes inflammation and discomfort, leading to sensitivity when pressure is applied to the cervix. In the context of PID, the presence of cervical motion tenderness suggests that there may be an infection affecting the uterus, fallopian tubes, or ovaries, which is significant for diagnosis and treatment decisions. The ability to identify this sign is crucial for midwives and healthcare providers in order to provide appropriate care, including the potential need for antibiotics or further investigation. While normal pregnancy and healthy uterine tone do not usually present with cervical motion tenderness, and induction of labor is unrelated, PID remains the primary concern when this sign is present. Understanding the implications of this symptom allows midwives to recognize potential complications and act accordingly to ensure better outcomes for their clients.