A woman arrives for evaluation of signs and symptoms that include a missed period,adnexal fullness,tenderness,and dark red vaginal bleeding.On examination,the nurse notices an ecchymotic blueness around the woman's umbilicus.What does this finding indicate?

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The ecchymotic blueness around the umbilicus is known as Cullen sign, which is a sign of intra-abdominal hemorrhage. This finding combined with the other symptoms of a missed period, adnexal fullness, tenderness, and dark red vaginal bleeding suggests a ruptured ectopic pregnancy.

A Woman Arrives for Evaluation of Signs and Symptoms That