A 12-year-old adolescent boy who was hospitalized with complications of diabetes is concerned that his 9-year-old sister is taller than he is and asks the nurse why he is so short compared to his sister. The nurse's best response would be:
a. "When we get your diabetes under control, you may see yourself having a major growth spurt."
b. "You may have inherited the genetic makeup for being short, while your sister got the tall genes."
c. "Since she does not have diabetes, she is able to take in more food and put her food intake to maximum use."
d. "Girls may begin their growth spurt as early as age 7-1/2, while boys typically start a growth spurt by age 13."
D
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A Incorrect. A major growth spurt will not necessarily result from the control of one's diabetes.
B Incorrect. Because the boy has not necessarily reached the AGS, it would not be accurate to suggest that the child has the genetic makeup for short stature.
C Incorrect. The relationship and food intake is not the best response for the difference between height in the siblings.
D Correct. In the adolescent growth spurt (AGS), girls may begin their growth spurt as early as 7-1/2 years of age, whereas boys may not begin their growth spurt until age 13.
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