The nurse is caring for a patient whose fallopian tubes were damaged by recurrent pelvic infections resulting in complete obstruction of both tubes. The patient asks the nurse, "Why can't I get pregnant?" What is the nurse's best response?
A) "You can get pregnant but the embryo, once fertilized, cannot travel to the uterus to implant and grow."
B) "The blockage of your fallopian tubes prevents the high levels of estrogen and progesterone needed to sustain the pregnancy."
C) "You cannot become pregnant because damage to your fallopian tubes causes ova to stop being released from the ovary."
D) "You cannot become pregnant because sperm cannot travel through the fallopian tubes to fertilize the ova released by the ovary."
A
Feedback:
The sperm travels through the fallopian tube to the ova, released into the abdomen near the end of one of the fallopian tubes. With both fallopian tubes blocked, no passageway exists for sperm to reach the ova. Damage to the fallopian tubes does not impact hormone secretion or ova production. Because the ova are not fertilized, there would be no embryo to travel through the fallopian tubes to implant in the uterus.
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