Question:
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
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The Correct Option is D
Solution and Explanation
Step 1: At 6 to 8 weeks the isthmus of the uterus becomes very soft and compressible, while the cervix is still firm and the fundus is enlarged and soft.
Step 2: On bimanual examination the examining fingers seem to meet across the soft isthmus, so the cervix and uterine body feel as if separated. This is Hegar's sign.
Step 3: Compare with the distractors: Goodell's sign is softening of the cervix; Chadwick's sign is the bluish discoloration of the vagina and cervix; Piskacek's sign is asymmetrical enlargement of the uterus at the site of implantation.
Step 4: The feature described, a softened isthmus separating cervix from body, is specifically Hegar's sign.
Ref: Williams Obstetrics.
Step 2: On bimanual examination the examining fingers seem to meet across the soft isthmus, so the cervix and uterine body feel as if separated. This is Hegar's sign.
Step 3: Compare with the distractors: Goodell's sign is softening of the cervix; Chadwick's sign is the bluish discoloration of the vagina and cervix; Piskacek's sign is asymmetrical enlargement of the uterus at the site of implantation.
Step 4: The feature described, a softened isthmus separating cervix from body, is specifically Hegar's sign.
Ref: Williams Obstetrics.
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