Goodell's sign, noted in a client's medical record, indicates which of the following?

Prepare for the NCLEX exam. Use multiple choice questions and flashcards to optimize your study for the Antepartum and Intrapartum sections. Each question provides hints and explanations. Get exam-ready today!

Goodell's sign refers to the physiological change that occurs in the cervix during early pregnancy, specifically the softening of the cervix. This sign is due to the increased vascularity and hormonal changes associated with pregnancy, particularly the effects of estrogen. As a result, the normally firm tissue of the cervix becomes more pliable and soft, which can be clinically noted during a pelvic examination.

This softening is significant as it often occurs around the sixth week of gestation and is one of the early signs that can indicate pregnancy. The other options do not accurately describe Goodell's sign: a firm cervix or an increase in cervical length would not align with the changes induced by pregnancy hormones, and a decrease in cervical diameter does not directly relate to the changes that Goodell's sign encompasses. Recognizing Goodell's sign is vital for healthcare providers in confirming pregnancy and monitoring cervical changes throughout antepartum care.

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