Jacquemier's sign is also known as

Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2024

Explanation

Chadwick's sign is the correct synonym for Jacquemier's sign.
It refers to the bluish or purplish discoloration of the vaginal mucosa, cervix, and vulva.
This sign appears around the 8th week of pregnancy and is caused by increased blood flow (vascular congestion) to the pelvic organs due to hormonal changes.

Option A: Osiander's sign is not a discoloration but a palpable pulsation. It refers to the increased pulsation felt in the lateral vaginal fornices.
Option C: Goodell's sign refers to the softening of the cervix, not a color change.
Option D: Hegar's sign is the softening of the lower uterine segment (isthmus), not a discoloration of the vaginal mucosa.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Eponyms for Probable Signs of Pregnancy as background academic context rather than a clinical decision trigger.
Recognizing these probable signs of pregnancy is a fundamental skill for nurses and midwives during early antenatal assessment to establish a presumptive diagnosis of pregnancy.
These signs, while not definitive, prompt further investigation like a urine pregnancy test (hCG) or an ultrasound to confirm pregnancy.
The presence and timing of these signs help in estimating the gestational age.

How to Approach the Question

This is a factual recall question based on obstetrical terminology (eponyms).
First, identify the key term in the question stem: 'Jacquemier's sign'.
The lead-in phrase 'also known as' indicates you need to find a synonym.
Systematically review the options, which are all eponyms for other signs of pregnancy.
Recall the definition for each sign: Osiander's (pulsation), Chadwick's (bluish color), Goodell's (soft cervix), Hegar's (soft uterine isthmus).
Match the definition of Jacquemier's sign (bluish discoloration of the vagina) with its corresponding eponym from the options, which is Chadwick's sign.

Concept Tested & Keywords

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E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 6-11

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