Which components are included in a health history?

• A. Review of systems, past medical history, nutritional assessment, and family medical history.
• B. Current medication list and immunization record only.
• C. Physical examination findings and growth chart.
• D. Genetic history and social history only.

Answer: (A)

Health history gathers subjective information about the child’s health and factors that influence it. The essential parts are the review of systems to capture current symptoms, the past medical history to record illnesses and procedures, the nutritional assessment to understand growth and dietary needs, and the family medical history to identify inherited risks. This combination provides a broad view of the child’s health background and current needs. The other options miss important elements: focusing only on medications and immunizations leaves out symptoms, past illnesses, and family history; basing it on physical findings and a growth chart centers on the exam rather than the history; and omitting most medical background while emphasizing only genetic and social history excludes key information about illnesses, treatments, and nutrition.