Question:medium
In early pregnancy, the clinical sign in which the cervix and the body of the bulky uterus feel separated because of a softened isthmus at 6 to 8 weeks of gestation is:
In early pregnancy, the clinical sign in which the cervix and the body of the bulky uterus feel separated because of a softened isthmus at 6 to 8 weeks of gestation is:
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The key word is the softened isthmus felt between cervix and fundus.
Updated On: Jun 23, 2026
- Goodell's sign
- Chadwick's sign
- Piskacek's sign
- Hegar's sign
Show Solution
The Correct Option is D
Solution and Explanation
Sign-by-sign elimination:
Goodell's = cervix feels soft (like lips instead of nose tip): describes texture only, not separation, so out.
Chadwick's = bluish-violet colour of vagina and cervix from venous congestion: a colour sign, not a consistency one, so out.
Piskacek's = lop-sided uterine enlargement at the implantation site: asymmetry, not isthmic softening, so out.
Hegar's = the soft, compressible isthmus at 6 to 8 weeks lets the bimanual fingers almost appose, making cervix and body feel disconnected. This is exactly what the stem describes.
Memory aid: 'Hegar = Hinge.' The soft isthmus acts like a hinge between the firm cervix below and the soft fundus above. That image points straight to option d.
Goodell's = cervix feels soft (like lips instead of nose tip): describes texture only, not separation, so out.
Chadwick's = bluish-violet colour of vagina and cervix from venous congestion: a colour sign, not a consistency one, so out.
Piskacek's = lop-sided uterine enlargement at the implantation site: asymmetry, not isthmic softening, so out.
Hegar's = the soft, compressible isthmus at 6 to 8 weeks lets the bimanual fingers almost appose, making cervix and body feel disconnected. This is exactly what the stem describes.
Memory aid: 'Hegar = Hinge.' The soft isthmus acts like a hinge between the firm cervix below and the soft fundus above. That image points straight to option d.
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