A woman arrives for evaluation of her symptoms,which 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.How should the nurse interpret this assessment finding?

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Cullen's sign,the blue ecchymosis seen in the umbilical area,indicates hematoperitoneum associated with an undiagnosed ruptured intra-abdominal ectopic pregnancy.Linea nigra on the abdomen is the normal integumentary change associated with pregnancy.It presents as a brown,pigmented,vertical line on the lower abdomen.Turner's sign is ecchymosis in the flank area,often associated with pancreatitis.Chadwick's sign is the blue-purple colour of the cervix that may be seen during or around the eighth week of pregnancy.

A Woman Arrives for Evaluation of Her Symptoms,which Include a Missed