A clinic nurse is assessing a client with a suspected diagnosis of endometriosis. Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?

C Dysmenorrhea that is unresponsive to NSAIDs D Abdominal bloating starting several days before menses B An atypical Papanicolaou smear at her last clinic visit A A history of pelvic inflammatory disease (PID)