A nurse manages care for a woman who has been receiving Depo-Provera for 2 years. This patient is at increased risk for and should be assessed for

a. breast cancer.
b. endometrial cancer.
c. osteoporosis.
d. breast duct ectasia.


ANS: C
The greatest concern for a patient taking Depo-Provera long term is bone loss. Data show that bone mineral density may decrease 1% to 2% a year and may not fully recover after medroxyprogesterone acetate (MPA) is withdrawn.
Depo-Provera does not increase the risk of breast or endometrial cancer.
Depo-Provera does not increase the risk of breast duct ectasia.
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