Wednesday, January 15, 2014

NCLEX Question for Ectopic Pregnancy

Ms. Y. is hospitalized with a possible ectopic pregnancy.  In addition to the classic symptoms of abdominal pain, amenorrhea, and abnormal vaginal bleeding, the nurse knows that which of the following factors in Ms. Y. history may be associated with this condition.?
 
a.  Multiparity
b.  Age under 20
c.  Pelvic inflammatory disease (PID)
d.  Habitual spontaneous abortions

Correct Answer: c. The incidence of ectopic pregnancy in the Untied States has increased by a factor of 4.9 during recent years.  This is attributed primarily to the growing number of women of childbearing age who experience PID and endometriosis, who use intrauterine devices, or who have had tubal surgery.

 
Multiparity (having had two or more children) has not been found to be a factor in the incidence of ectopic pregnancy; infertile women treated with assisted reproductive technology are at higher risk.
 
The incidence of ectopic pregnancy increases with age; youth is not an individual factor.
 
A history of therapeutic abortions has been found to be a factor in extopic pregnancy, not spontaneous abortions (miscarriage).

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