In which scenario should a nurse practitioner recommend a follow-up for pes planus?

Recommending follow-up for pes planus, or flat feet, is particularly important if it appears to be symptomatic. In cases where a child is experiencing pain or discomfort due to flat feet, it is crucial to evaluate the situation further to address any potential underlying issues. The presence of symptoms can indicate that the condition may require intervention or management beyond observation.

Alternatively, while it is essential to monitor the condition in children, pes planus is often seen as a normal variant in younger children, especially since the arch may not develop until the child is older. A follow-up might not be necessary if there are no symptoms, even if the flat feet persist beyond 18 months, as many children will outgrow this condition without any long-term issues.

Thus, looking for symptoms or complaints of pain in the child is key to deciding when to recommend follow-up care, making symptomatic cases the priority for intervention. This approach helps ensure that any potential complications, such as discomfort or functional limitations, are addressed appropriately.