A 36-year-old multigravid client is admitted to the hospital with possible ruptured ectopic pregnancy. When obtaining the client's history, which finding would be most important to identify as a predisposing factor?a) marijuana use during pregnancy
b) use of estrogen-progestin contraceptives
c) urinary tract infection
d) episodes of pelvic inflammatory disease

d) episodes of pelvic inflammatory disease

Explanation:

Ectopic pregnancy occurs when the fallopian tubes get narrow which stops the ovum to be passed in the uterus for implantation. This can cause life-threatening conditions due to bleeding.  

The major and most common cause of ectopic pregnancy is pelvic inflammatory disease which can be caused by bacteria like gonorrhea, chlamydia. These bacteria usually come during unprotected sex. They do inflammation in the fallopian tube and narrow it which can result in ectopic pregnancy. So the right answer is d.