During a school screening the nurse notes one scapula/shoulder appears higher than the other on a forward bending test. What is the next best nursing action?

A. Refer to appropriate care for what is most likely scoliosis: Uneven shoulder or scapular height noted during a forward bending test suggests spinal asymmetry consistent with possible scoliosis. Early referral allows for confirmatory evaluation, typically with imaging, and timely intervention to prevent progression during growth. B. Teach child stretching exercises only since this is naturally occurring during a growth spurt: While growth spurts can cause temporary musculoskeletal changes, asymmetry on forward bend is a structural finding rather than simple muscle tightness. Stretching alone does not address spinal curvature and may delay necessary evaluation. C. Reassure child that this is normal and no action needed: Visible asymmetry of the shoulders or scapulae during screening is not considered a normal variant and warrants further assessment. Reassurance without follow-up risks missing early scoliosis, which is best managed when identified promptly. D. Place child on bed rest for 48 hours: Bed rest has no role in the assessment or management of suspected scoliosis. The condition is structural rather than acute or inflammatory, and restricting activity does not correct spinal curvature or improve outcomes.