A school-age child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. Physical exam and all ordered lab work have been normal
Which question by the nurse would most likely help determine the etiology of the child's abdominal pain?
1. "Have there been any changes in your child's school or home life recently?"
2. "How many meals does your child eat each day?"
3. "Are your child's immunizations up to date?"
4. "Has your child had any fevers or viral illnesses in the last three months?"
Correct Answer: 1
Rationale: With a normal exam and lab work there is a high probability that this child's abdominal pain is stress related, and it is most important to identify the possible stressors in this child's life to aid in diagnosis and treatment. The other questions are also important to ask but are not as relevant to this child's symptoms as "Have there been any changes in your child's school or home life recently?"
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