The nurse is working in a maternity clinic. A primigravida client in her 2nd trimester calls the OB office to report a dark line on her skin in the middle of her abdomen. The phone triage nurse would recognize this as which of the following?
The nurse is working in a maternity clinic. A primigravida client in her 2nd trimester calls the OB office to report a dark line on her skin in the middle of her abdomen. The phone triage nurse would recognize this as which of the following?
A. Chloasma
[1%]
B. Linea nigra
[92%]
C. Goodell Sign
[1%]
D. Striae gravidarum
[6%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Antepartum
Client Need
Test Plan
Health Promotion and Maintenance
Related Topic
Ante/Intra/Postpartum and Newborn Care
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice B is correct. Linea nigra refers to the linear hyperpigmentation of the midline of the abdomen (from sternal notch to pubis). This is a frequent change that occurs during the 2nd trimester.
Choice A is incorrect. Chloasma refers to a butterfly-shaped pigmentation on the face that is seen during the 1st trimester.
Choice C is incorrect. Goodell sign describes the softening of the cervix due to increased vascularity, congestion, and edema. This change occurs during the 1st trimester of pregnancy.
Choice D is incorrect. Striae gravidarum describes the presence of stretch marks due to weight gain, commonly seen on the breast and abdomen during pregnancy.
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2 Key Topics

Skin Changes & Rashes
28.4 Pregnancy Documentation & Physical Changes
Additional Info
