NREMT Paramedic Practice

What is Chadwick's sign?

1. Increased blood pressure during pregnancy

2. Softening and blueish discoloration of the cervix

3. Presence of fetal heartbeat

4. Formation of edema in the lower extremities

The correct answer is: Softening and blueish discoloration of the cervix

Chadwick's sign refers to the softening and bluish discoloration of the cervix that occurs during early pregnancy. This phenomenon is primarily due to increased blood flow to the pelvic region, which results in a noticeable change in color. It typically becomes evident around six to eight weeks of gestation and is considered an early indicator of pregnancy. Medical professionals may observe this sign during a pelvic examination, and it is one of the physical signs that can suggest the presence of pregnancy in a patient. The other options, while they may relate to pregnancy or its effects, do not specifically define Chadwick's sign. Increased blood pressure during pregnancy can occur for various reasons but is not indicative of this specific sign. The presence of a fetal heartbeat is a critical finding in confirming pregnancy but does not describe the physical change of the cervix. Lastly, the formation of edema in the lower extremities can happen during pregnancy due to fluid retention but is unrelated to Chadwick's sign.