An adolescent is diagnosed with pelvic inflammatory disease believed to have been caused by abdominal adhesions after an appendectomy. What should the nurse explain to the patient about future success with fertility?
A) "You won't ovulate normally.".
B) "Your body will reject any embryo implantation.".
C) "Your cervical mucus is changed, and sperm will be killed.".
D) "The eggs won't go through the fallopian tubes because of scarring.".
D
Feedback:
Pelvic inflammatory disease could result from a ruptured appendix or from abdominal surgery that left adhesions in the tubes. About 12% of those who acquire PID will be left subfertile because of tubal scarring. Pelvic inflammatory disease does not affect ovulation. It will not cause the rejection of embryo transplantation, and it does not change the cervical mucus.
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