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 and recognizes this assessment finding as:

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Cullen's sign,the blue ecchymosis seen in the umbilical area,indicates hematoperitoneum associated with an undiagnosed ruptured intraabdominal ectopic pregnancy.Linea nigra on the abdomen is the normal integumentary change associated with pregnancy.It manifests 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 color 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