During a routine physical examination, a 22-year-old patient asks if she is at risk of developing breast cancer. Which reported factors would the nurse confirm as increasing this patient's risk?
1. Hispanic heritage
2. Onset of menarche at age 11
3. Breastfed her two children for 6 months
4. Use of the female condom
2
Rationale 1: Asian, Hispanic, and Native American women have a lower risk of developing and dying from breast cancer.
Rationale 2: The early onset of menarche contributes to the risk for breast cancer because the woman is exposed to higher levels of estrogen and progestin for a longer period.
Rationale 3: Some studies suggest that breastfeeding reduces the risk of breast cancer.
Rationale 4: The female condom does not have hormonal ingredients and does not impact breast cancer risk.
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