The nurse is examining a 2-year-old child who was adopted from Guatemala. What would be a priority screening for this child?

A. Screening for congenital defects: While assessment for congenital anomalies is important, these are often identified earlier in life and may not pose an immediate health risk compared with infectious diseases in an internationally adopted child. B. Screening for abuse: Evaluating for abuse is necessary during any new patient assessment, but it is not the highest priority unless there are specific signs or concerns; infectious disease screening has more immediate public health and treatment implications. C. Screening for childhood illnesses: Routine childhood illness screening, including growth and developmental assessments, is important but does not address the potential exposure to infectious diseases that may have long-term consequences if untreated. D. Screening for infectious diseases: Children adopted internationally may have increased risk for infectious diseases such as tuberculosis, hepatitis B, HIV, and parasitic infections. Early identification and treatment are critical for the child’s health and to prevent transmission to others.