A 2-year-old child adopted from Russia has partial vaccination records. What should be done regarding the vaccinations not listed?

Starting the child on a catch-up schedule for only the vaccine doses not listed is the most appropriate course of action in this scenario. Catch-up vaccination schedules are designed to help ensure that children receive all necessary immunizations according to their age, especially when records are incomplete.

In cases where vaccination history is uncertain, it's critical to assess which specific vaccines the child has not received rather than assuming that all vaccines need to be restarted. This practice adheres to the guidelines from health authorities, which allow for previously administered vaccines to be counted if there's credible evidence or partial records indicating they were given.

By focusing on only the missing doses, healthcare providers can avoid unnecessary vaccinations that could lead to potential side effects and ensure that the child is appropriately protected against preventable diseases. This approach is tailored to the individual needs of the child and aligns with best practices in pediatric immunization.