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A 4-year-old girl who was recently adopted is brought to the primary care physician for

A 4-year-old girl who was recently adopted is brought to the primary care physician for her initial appointment. The adoption agency told her parents that the child has several motor functioning delays, intellectual deficits, and problems with attention. Her physical appearance is notable for a smooth philtrum, thin upper lip, and small palpebral fissures. Her physician is concerned that the child may have been exposed to maternal alcohol use while in utero. Which of the following actions is the most appropriate next step in this patient’s management? Creating a medical home for the child Deferring overall management to specialists Delaying diagnosis until the patient is older Establishing the maternal drinking history

 
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