A nurse in a provider's office is reinforcing teaching to a client who is at high risk for ovarian cancer. Which of the following statements by the client indicates an understanding of the teaching?

A. "A decreased CA125 level places me at greater risk for ovarian cancer.": CA125 is a tumor marker that may be elevated in ovarian cancer, but a decreased or normal level does not increase risk. Low levels are not indicative of disease risk and should not be interpreted as a warning sign. B. "I will develop ovarian cancer if I have the BRCA1 gene.": While the BRCA1 gene mutation increases the risk of ovarian cancer, it does not guarantee that the client will develop the disease. Genetic predisposition indicates higher probability, but other factors influence whether cancer develops. C. "My doctor will perform pelvic exams to detect for ovarian cancer.": Pelvic exams are part of routine monitoring for women at high risk for ovarian cancer. Although not definitive for early detection, they allow the provider to assess for masses or abnormalities that may warrant further evaluation. D. "I will have regular Pap tests to monitor for ovarian cancer.": Pap tests screen for cervical cancer, not ovarian cancer. While routine Pap smears are important for cervical health, they do not detect ovarian malignancies.