A sexually active 18-year-old female presents to the nurse practitioner for abnormal uterine bleeding. A finding that does not usually suggest cervical cancer is:

Rationale: A. Infection with HPV, especially high-risk strains, is strongly associated with cervical cancer. B. Hardening of the cervix can indicate malignant changes. C. An irregular, cauliflower-like cervical growth is a classic visual finding in cervical cancer. D. A cervical polyp is typically benign and does not usually suggest cervical cancer, though it may cause abnormal bleeding.