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An 11-month-old African American girl presents for follow-up of presumed IDA. She was diagnosed a month ago after her parents noticed regular ingestion of dirt found near her house built in the 1950s. The initial evaluation demonstrated hemoglobin of 10 g/dL and MCV of 70 fL, and iron treatment was initiated. Repeat labs show no change in the hemoglobin level. Additional parental concerns now include absence of babbling and verbal communication and persistently low energy levels. Which of the following is the most appropriate next step? A Begin daily folic acid supplementation B Check a blood lead level C Continue oral iron treatment and recheck hemoglobin in 3 months D Obtain long bone radiographs E Stop iron treatment and begin vitamin B12
SCIENCE
HEALTH SCIENCE
NURSING

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