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A 4-month-old former term infant presents for follow-up of anemia, diagnosed on laboratory data obtained at an outside pediatrician. Dietary history is negative for goat’s milk or cow’s milk intake. Both of her parents are from the same town in Greece. Current laboratory evaluations show a hemoglobin of 9.5 g/dL, MCV of 60 fL, target cells, and normal hemoglobin electrophoresis. RDW, serum iron, serum ferritin, and TIBC are normal. Which of the following is the best next step in management? A Check blood lead level B Provide preconception counseling for parents C Repeat hemoglobin electrophoresis in 2 weeks D Send globin gene testing E Start pyridoxine 100 mg/d orally
SCIENCE
HEALTH SCIENCE
NURSING

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