Which data found on a client's health history would place her at risk for an ectopic pregnancy?
a. Ovarian cyst 2 years ago
b. Recurrent pelvic infections
c. Use of oral contraceptives for 5 years
d. Heavy menstrual flow of 4 days' duration
ANS: B
Infection and subsequent scarring of the fallopian tubes prevent normal movement of the fertilized ovum into the uterus for implantation. Ovarian cysts do not cause scarring of the fallopian tubes. Oral contraceptives do not increase the risk for ectopic pregnancies. Heavy menstrual flow of 4 days' duration will not cause scarring of the fallopian tubes, which is the main risk factor for ectopic pregnancies.
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