The nurse would refer a client, age 54, for follow-up for suspected endometrial carcinoma if she reports which of the following?
A) Use of oral contraceptives between ages 18 and 25
B) Onset of painless, red postmenopausal bleeding
C) Menopause occurring at age 46
D) Use of intrauterine device for 3 years
B
Feedback:
Any episode of bright red, painless bleeding occurring after menopause needs to be investigated. Abnormal uterine bleeding in postmenopausal women should be regarded with suspicion. Oral contraceptive use is associated with cervical cancer. Late menopause (after age 52) is associated with endometrial cancer. Use of an intrauterine device is not associated with endometrial cancer.
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