FAU Advanced Health Assessment Practice Test

What indicates pregnancy in a routine examination of a woman with deep rugae and bluish discoloration of vaginal walls?

1. Sexually transmitted infection

2. Pregnancy

3. Hormonal imbalance

4. Varicosities

The correct answer is: Pregnancy

The presence of deep rugae in the vaginal walls along with bluish discoloration is indicative of increased blood flow and changes associated with pregnancy. During pregnancy, hormonal changes, particularly the increase in estrogen, lead to enhanced vascularity in the pelvic region. This results in the bluish discoloration often observed in the vaginal walls, known as Chadwick's sign, which is a classic early indicator of pregnancy. The deep rugae are a result of the physiological changes in the vaginal canal accommodating for the developing pregnancy. In summary, these physical observations directly correlate to the changes that occur in the body during pregnancy, making it the most accurate interpretation in a routine examination context. Understanding these signs is essential for accurate assessment and diagnosis in women's health.