A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask?

A. Acute rheumatic fever (ARF) is a post-streptococcal inflammatory disease that occurs 2–4 weeks after a group A Streptococcus pharyngitis infection. Asking about a recent sore throat helps determine if the child had a preceding streptococcal infection, which is critical for supporting the diagnosis of ARF. B. Recent injuries are not relevant to the development of ARF. ARF is caused by an immune response to a streptococcal infection, not trauma. C. While aspirin can be used in ARF for anti-inflammatory purposes, knowing recent aspirin use is not essential for the initial health history to identify a preceding infection. D. Congenital heart defects are not related to ARF, which causes acquired valvular damage due to inflammation of the heart. This question does not help identify a recent streptococcal infection or support the diagnosis of ARF.