The Nurse Would Refer a Client, Age 54, for Follow-Up

The nurse would refer a client, age 54, for follow-up for suspected endometrial carcinoma if she reports which of the following?

A) Use of oral contraceptives between ages 18 and 25
B) Onset of painless, red postmenopausal bleeding
C) Menopause occurring at age 46
D) Use of intrauterine device for 3 years