A nurse is reinforcing teaching with a client who is perimenopausal.
Which of the following statements by the client indicates an understanding of the teaching?

Choice A rationale

Declining estrogen levels during perimenopause can indeed cause headaches. Estrogen influences neurotransmitters like serotonin, and its decline can lead to vasodilation, contributing to headaches.

Choice B rationale

Papanicolaou tests should continue even after menopause. Cervical cancer risk persists, and regular screening remains essential for early detection.

Choice C rationale

Perimenopause involves irregular periods. It's common for menstrual cycles to become erratic before they eventually cease at menopause.

Choice D rationale

The best time for a breast self-examination is after menstruation ends, when breasts are less tender and swollen. Doing it on the first day of the period is not recommended.

Choice A rationale

Ulcerative colitis often results in inflammation and ulcers in the colon lining, which can lead to bleeding and a positive fecal occult blood test. This is a common complication of the condition.

Choice B rationale

Cholecystitis, an inflammation of the gallbladder, does not typically cause gastrointestinal bleeding or a positive fecal occult blood test. It is more associated with abdominal pain and digestive issues.

Choice C rationale

The use of laxatives generally does not cause internal bleeding that would result in a positive fecal occult blood test. Laxatives are more likely to cause changes in bowel habits and diarrhea.

Choice D rationale

Stomatitis, inflammation of the mouth, is unlikely to cause a positive fecal occult blood test. It primarily affects the oral cavity and is not associated with gastrointestinal bleeding. .