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?

"The best time to perform a breast self-examination is on the first day of my period."

"I can expect to have regular periods until I am in menopause."

"I might have headaches due to a decline in my estrogen levels."

"I should stop receiving Papanicolaou tests once I reach menopause."