A 15-year-old female who is sexually active suspects that she might be pregnant. If she were pregnant, the physical exam should reveal:

Rationale: A. Blood pressure typically decreases slightly in early pregnancy due to vasodilation rather than increasing. B. Softening of the cervix, known as Goodell’s sign, is an early physical change observed in pregnancy and is a reliable clinical indicator along with other signs such as Chadwick’s sign (bluish discoloration of the cervix and vagina). C. Vaginal pH becomes more acidic during pregnancy, not alkaline, due to increased lactic acid from lactobacilli. D. Hyperpigmentation, rather than hypopigmentation, may occur in areas such as the areolae, linea nigra, and face (melasma) during pregnancy.