Which factors would contribute to abnormalities of the fallopian ...

[burton19126]

Which factors would contribute to abnormalities of the fallopian tube associated with the development of infertility? (Select all that apply.)
 
  a. History of conization of the cervix
  b. History of pelvic surgical procedures
  c. Incompetent cervix
  d. Past treatments of STD with follow-up test of cure
  e. Endometriosis

Question 2

A client has been diagnosed with an incompetent cervix. What treatment option will be incorporated into the plan of care?
 
  a. Bed rest throughout the pregnancy
  b. Wait and see approach to determine if the client goes into preterm labor
  c. Preparation for cerclage procedure at 32 weeks' gestation
  d. More frequent ultrasounds to assess progression of pregnancy

[ecox1012]

Answer to Question 1

ANS: B, D, E
Surgical procedures related to the cervix, along with an incompetent cervix, would not affect the fallopian tubes in terms of infertility. It would affect fertility issues related to the cervix as a result of potential scarring (conization) and an inability to maintain the pregnancy in the presence of an incompetent cervix. A history of pelvic surgical procedures could result in the development of pelvic adhesions, which would affect the fallopian tube. Also, the presence of STDs, even with effective treatment, along with the clinical diagnosis, would affect the fallopian tube and possibly result in infertility.

Answer to Question 2

ANS: D
An incompetent cervix would place the client in a high-risk category, and more frequent ultrasound monitoring would be included. Although bed rest may be ordered, there is conflicting evidence about the merits of this intervention. However, it is unlikely that it would be ordered for the duration of the pregnancy. An incompetent cervix is a clinical abnormality, so the standard of care requires appropriate surgical intervention. A cerclage procedure is typically done much earlier in the pregnancy period.