some children are just naturally fuzzy
-- these don't look bad to me, but in the second her arm looks a tad sharper than her teeth. On the first you can see that the hair on the side of her head is sharp, but her face is not, it is projecting into the soft zone.
With that long a lens on a medium format, at f 4.5 or 5.6 your depth of focus is going to be pretty narrow. Remember that the zone of sharp focus projects behind the point of focus 2/3 of the zone, and only 1/3 is in front of the point of focus.
This is why when you focus you pick a point on the front of her face slightly behind the nose -- her eyes or the bridge of her nose -- then her nose is sharp but more of the rest of her head is also. If you just focus on the outline of her head you are really picking a point somewhere around her ears, which is what the top pic looks like.
This all assumes your rangefinder is not out of alignment.