The nurse is caring for a client with suspected pelvic inflammatory disease (PID). When the nurse is obtaining the client's health history, which of the following questions would provide pertinent data about the client's risk factors for PID? Select all that apply.

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11ecbb05_ca51_77e8_b433_135941fdea8e_MD0009_00 Pelvic inflammatory disease (PID), a leading cause of ectopic pregnancy and infertility, occurs when bacteria from the genital tract spread upward through the cervix and cause infection of the female reproductive organs (eg, uterus, fallopian tubes, ovaries) and pelvic cavity. Symptoms may include pelvic or lower abdominal pain, menstrual irregularities or increased menstrual cramps, painful intercourse, fever, and abnormal vaginal discharge. Untreated sexually transmitted infections (STIs) (eg, gonorrhea, chlamydia) are the most common cause of PID. The nurse should assess for other risk factors, including: History of PID Multiple sexual partners (Option C) Previous STI (Option D) Unprotected sexual intercourse (ie, without condom use) Placement of an intrauterine device within the past 3 weeks Recent abortion or pelvic surgery (Option E) (Options A and B) Oral contraceptive use and age at menarche are not associated with an increased risk of PID. Educational objective: Pelvic inflammatory disease (PID) is a leading cause of ectopic pregnancy and infertility. The nurse assessing a client with suspected PID should assess for risk factors such as a history of PID or sexually transmitted infections; number of sexual partners; condom use during sexual intercourse; and recent abortion, pelvic surgery, or placement of an intrauterine device.

The Nurse Is Caring for a Client with Suspected Pelvic