The nurse is providing teaching for reproductive cancer screenings for an older female client. Which information will the nurse include in the teaching?
1. "A pelvic ultrasound should be done annually."
2. "Obtain an CA-125 on your next annual exam."
3. "Pap smears can be eliminated if the previous one was normal."
4. "Either a mammogram or clinical breast exam should be done annually."
3. "Pap smears can be eliminated if the previous one was normal."
Explanation: 1. A pelvic ultrasound is used to evaluate symptoms and is only useful in detecting an advanced disease.
2. The CA-125 is not recommended as an ovarian cancer screening tool because there is little conclusive evidence that it would decrease the mortality from ovarian cancer.
3. Current recommendations are that women who are over age 65, who have had a regular history of normal Pap smears, and who are not at high risk because of other factors should not receive routine Pap smears.
4. Mammography is recommended yearly for women over the age of 40.
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