Ms. Taylor brings her 8-year-old daughter Sara to the clinic for the third time in the last two months. Sara complains of abdominal pain, however, her blood tests and abdominal ultrasound examination are negative
Sara's mother states that Sara is very active and that she often falls down. When the nurse asks about Sara's behavior, the mother states that their form of discipline at home is "time outs". In addition, the mother states that Sara eats well but the nurse documents Sara's weight as falling below the 10th percentile. The nurse also notices in documentation that Sara had bruises on her arms at the time of the last two visits. Today the nurse notes that Sara has ecchymoses on her left leg and ankle. The most appropriate action for the clinic nurse to take in relation to Sara's complaints is to:
A) Ask Sara privately whether she feels safe at home and whether someone is hurting her
B) Ask Sara and her mother again about the bruising and Sara's activities
C) Ask Sara's mother about Sara's activities and take another blood sample for a complete blood count.
D) Ask Sara's mother to keep a diary of what Sara is eating, and note when the pain is experienced in relation to Sara's diet and activity.
A
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