During a routine physical examination, a 22-year-old client reports she has recently had two relatives diagnosed with breast cancer. She questions which of her personal behaviors place her at risk for the development of the disease
Which of the following reported factors can be implicated in the increased risk for breast cancer? 1. Onset of menarche at age 11
2. Breast-fed her two children for 6 months
3. Hispanic heritage
4. Use of the female condom
Onset of menarche at age 11
Rationale: The risk of breast cancer is increased with menarche onset before age 12. Breast-feeding children is associated with a lowered risk for the development of breast cancer. Individuals having a Jewish heritage have an increased risk for the development of breast cancer; there is no information supporting the disease being increased in the Hispanic population. Breast cancer risk may be increased with the use of hormonal agents in contraceptives such as the pill. The female condom does not have hormonal ingredients and does not impact breast cancer risk.
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