Following genetic testing and a thorough history from the child's mother and father, a 5-month-old boy has been diagnosed with osteogenesis imperfecta. What teaching point should the care team provide to the mother and father?
A)
"His skeleton is prone to breakage, and we'll begin hormone therapy to treat this."
B)
"His hips are extremely susceptible to dislocation, so rough play is out of the question."
C)
"You'll need to commit to calcium supplementation for the duration of his development."
D)
"You'll need to be very careful to avoid causing fractures to his fragile bones."
Ans:
D
Feedback:
There is no definitive treatment for correction of the defective collagen synthesis that is characteristic of osteogenesis imperfecta, and prevention and treatment of fractures are important. Hip dislocation is not a common manifestation, and neither hormone therapy nor calcium supplements are useful in treatment.
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