AANP Adult Gerontology Primary Care Nurse Practitioner Practice Exam 2025 – The All-in-One Resource to Ensure Exam Success!

Cullen's sign refers specifically to the presence of bruising around the umbilicus, which can indicate bleeding within the abdominal cavity. This physical finding is often associated with conditions such as pancreatitis or ruptured ectopic pregnancy, where internal hemorrhage occurs. The discoloration resembles a bruise and can take on a bluish hue, which is a key indicator for healthcare professionals assessing a patient for possible serious abdominal issues.

The other options describe different clinical findings related to various abdominal or pelvic conditions. Rebound tenderness suggests peritoneal irritation, typically seen in appendicitis. A palpable mass may indicate an organ enlargement or tumor. Pain on hip flexion is assessed through the psoas sign and is often indicative of inflammation or irritation of the psoas muscle, commonly seen in appendicitis or diverticulitis. Each of these findings has its own diagnostic implications, but Cullen's sign distinctly highlights the importance of recognizing abdominal bruising as a potential sign of internal trauma or pathology.