A 15-month-old girl is having her first health visit at a clinic. The mother has no immunization record but says the child was immunized 3 months ago at the local health department. Which of the following is the best action for the nurse to take?
A) Ask the mother to bring the records to the next health maintenance visit.
B) Start the catch-up schedule since there are no immunization records.
C) Keep the child at the facility while the mother returns home for the records.
D) Call the local health department and verify the child's immunization status.
Question 2
The mother of a 5-year-old girl brings the child to the clinic for an evaluation. The mother tells the nurse, She seems to be so tired and irritable lately. And she looks so pale.
Further assessment reveals pale conjunctiva and oral mucous membranes. The nurse suspects iron-deficiency anemia. Which additional finding would help provide additional evidence for this suspicion?
A) Spooned nails
B) Negative splenomegaly
C) Oxygen saturation: 99
D) Bradycardia
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