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An eight-year-old has daily stool staining in underwear with a history of infrequent large stools. The child denies diarrhea. Exam suggests stool in the rectal vault. Which next step is most appropriate?

A three-year-old has picky eating, high cow’s milk intake, and borderline hemoglobin on screening. Which next step best addresses early iron deficiency risk?

A fourteen-year-old has mild inflammatory acne on the face with a few pustules and comedones. There are no nodules or scarring. Which initial therapy is most appropriate?

A seven-year-old has bedwetting three nights per week and has never been dry at night. Daytime continence is normal. There are no urinary symptoms and exam is normal. Which next step is most appropriate?

A seven-year-old has nasal discharge and a daytime cough for 11 days without improvement. Fever has been absent for the past week. The exam is otherwise reassuring. Which is the best next step?

A fourteen-month-old is behind on immunizations due to missed visits. Today the child is well and has no contraindications. Which approach is most appropriate?

A two-week-old infant presents for a weight check. The family reports they never received newborn screening results, and the hospital record is unavailable. The infant appears well. Which action is most appropriate today?

A thirteen-year-old presents with two weeks of increased thirst, frequent urination, and unintentional weight loss. Capillary glucose in the clinic is 320 milligrams per deciliter. The patient is alert and has normal respirations. Which next step is most appropriate?

A two-year-old has barking cough and stridor only when crying. At rest, there is no stridor and oxygen saturation is ninety-six percent. Which is the best management plan?

A nine-year-old with known sickle cell disease is seen for routine care. The child is stable and followed by hematology. Which primary care action is most appropriate?