Which assessment findings may predispose a client to ectopic pregnancy?

A history of Chlamydia is recognized as a significant risk factor for ectopic pregnancy due to its association with pelvic inflammatory disease (PID). This infection can lead to scarring and changes in the fallopian tubes, which increases the likelihood of an ectopic implantation, where the fertilized egg adheres outside the uterus, often in a fallopian tube. The damage caused by Chlamydia can make the tubes less conducive to the normal movement of the fertilized egg towards the uterus, thereby creating a higher risk for an ectopic pregnancy.

In contrast, while gallbladder disease, recent weight gain, and family history of diabetes may have health implications, they do not have a direct, established link to the risk of developing an ectopic pregnancy in the same way that a history of Chlamydia does. Therefore, the link between sexually transmitted infections and ectopic pregnancy underscores the importance of early detection and treatment of such infections to help mitigate this risk.