A school-age child is exhibiting symptoms of rheumatic fever including fatigue, shortness of breath, ankle edema, joint pain, and aimless movement of the upper extremities or chorea. Which question should the practical nurse (PN) ask the parent concerning the child's recent health history that would be relevant to the diagnosis?

A. "Has your child had a recent fall or injury to the head?": This might be relevant for neurological injury but is unrelated to rheumatic fever etiology. B. "Does anyone in the household smoke cigarettes?": Smoking is not linked to rheumatic fever development. C. "Does your child use insect repellent while outdoors?": This relates to insect-borne diseases, not rheumatic fever. D. "Has your child had a sore throat in the last 2 or 3 weeks?": Rheumatic fever often follows an untreated group A streptococcal infection, typically presenting as sore throat.