Match the pregnancy sign in List-I with its description in List-II.

List-I	List-II
A. Hegar's sign	1. Softening of the lower uterine segment
B. Goodell's sign	2. Softening of the uterine cervix
C. Chadwick's sign	3. Bluish or violet discoloration of the vagina, cervix and vulva
D. Ballottement	4. Rebounding of the fetus against the examiner's fingers on palpation

1. A

   A-2, B-4, C-1, D-3

2. B

   A-1, B-2, C-4, D-3

3. C

   A-3, B-4, C-1, D-2

4. D

   A-1, B-2, C-3, D-4

Appeared in: NORCERT 8 Mains-2025

Explanation

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• The correct option accurately pairs each pregnancy sign with its definition.
• Hegar's sign (A) is the characteristic softening of the lower uterine segment (isthmus), which is description 1.
• Goodell's sign (B) refers to the softening of the uterine cervix, which is description 2.
• Chadwick's sign (C) is the bluish or violet discoloration of the vagina, cervix, and vulva due to increased vascularity, matching description 3.
• Ballottement (D) is the technique where the fetus rebounds against the examiner's fingers upon palpation, which is description 4.

Why Other Options Were Wrong

• Option A: This option incorrectly matches Hegar's sign with cervical softening (Goodell's sign), Goodell's sign with fetal rebounding (Ballottement), and Chadwick's sign with lower uterine segment softening (Hegar's sign).
• Option B: This option incorrectly matches Chadwick's sign with fetal rebounding (Ballottement) and Ballottement with bluish discoloration (Chadwick's sign).
• Option C: This option incorrectly matches Hegar's sign with bluish discoloration (Chadwick's sign) and Chadwick's sign with lower uterine segment softening (Hegar's sign).

Related Visual

• Visual 1: Diagram - A bimanual examination demonstrating Hegar's sign, showing the compressibility of the lower uterine segment.
• Visual 2: Illustration - A comparison of a firm, non-pregnant cervix to the soft, vascular cervix in early pregnancy, illustrating Goodell's sign.
• Visual 3: Image - A clinical photograph or illustration showing the bluish-purple hue of the cervix and vaginal walls, characteristic of Chadwick's sign.
• Visual 4: Diagram - The technique of internal ballottement, showing an examiner's fingers tapping the fetus through the cervix and feeling the rebound.

Clinical Relevance

• Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Probable signs of pregnancy as background academic context rather than a clinical decision trigger.
• Recognizing these probable signs is a fundamental skill in early pregnancy assessment, helping to establish a provisional diagnosis of pregnancy during a physical examination.
• These signs, when found together, significantly increase the probability of pregnancy, prompting further confirmatory tests like ultrasound.
• Differentiating these signs from pathologies like uterine fibroids or ovarian cysts, which can also cause uterine enlargement, is a critical diagnostic step.

How to Approach the Question

• This is a 'Match the Following' question, which tests your knowledge of specific terms and their definitions.
• First, carefully read all the terms in List-I (the signs) and all the descriptions in List-II.
• Systematically match each term in List-I with its correct description. Start with the one you are most confident about.
• Recall: Hegar's sign involves the lower uterine segment. Goodell's sign involves the cervix. Chadwick's sign involves a color change. Ballottement involves fetal movement.
• Match A (Hegar's) to 1 (softening of lower uterine segment).
• Match B (Goodell's) to 2 (softening of cervix).

Concept Tested & Keywords

• Concept Tested: Probable signs of pregnancy
• Stem keywords: Hegar's sign, Goodell's sign, Chadwick's sign, Ballottement, pregnancy sign
• Lead-in keywords: Match

Question ID

Qsz2TrVBYbGI0Gj4B5NbK7

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