Choice A rationale:

This statement is correct.

Using assisted reproductive technologies (ART), such as in vitro fertilization (IVF), can increase the risk of ectopic pregnancy.

This is because when multiple embryos are transferred during IVF, there is a higher likelihood of one or more embryos implanting outside the uterus.

Choice B rationale:

Pelvic inflammatory disease (PID) is indeed associated with an increased risk of ectopic pregnancy.

PID can cause scarring and damage to the fallopian tubes, making it more difficult for a fertilized egg to travel to the uterus and increasing the likelihood of implantation in the fallopian tube.

Choice C rationale:

This statement is incorrect.

Previous ectopic pregnancies are a risk factor for future ectopic pregnancies.

If a client has had one ectopic pregnancy, they are at a higher risk of experiencing another one in the future.

This information is crucial for individuals who have previously had an ectopic pregnancy to be aware of the increased risk.

Choice D rationale:

Smoking is associated with an increased risk of ectopic pregnancy.

Nicotine and other toxic substances in cigarettes can affect the function of the fallopian tubes and increase the chances of ectopic implantation.

Therefore, it is important for the nurse to convey that smoking can impact the occurrence of ectopic pregnancy.