A nurse is assessing a child who has rubeola. Which of the following findings should the nurse expect?

A. Paroxysmal coughing: This is most characteristic of pertussis (whooping cough), not rubeola (measles). Rubeola is primarily identified by fever, cough, coryza, conjunctivitis, and a distinct rash. B. Koplik spots: Small, white lesions with a bluish center inside the mouth are pathognomonic for rubeola. They usually appear 2–3 days before the rash and are a key diagnostic feature of the disease. C. Lymphadenopathy: While enlarged lymph nodes can occur with various viral illnesses, it is not a defining or expected feature of rubeola. The hallmark oral and skin findings are more specific. D. Steatorrhea: Fatty, foul-smelling stools are associated with malabsorption syndromes such as cystic fibrosis or celiac disease. They are not linked to rubeola infection.