The nurse is teaching infant care to parents with an infant who has been diagnosed with osteogenesis imperfecta (OI). What should the nurse include in the teaching session?
a. "Bisphosphonate therapy is not beneficial for OI."
b. "Physical therapy should be avoided as it may cause damage to bones."
c. "Lift the infant by the buttocks, not the ankles, when changing diapers."
d. "The infant should meet expected gross motor development without assistive devices."
ANS: C
Infants and children with this disorder require careful handling to prevent fractures. They must be supported when they are being turned, positioned, moved, and held. Even changing a diaper may cause a fracture in severely affected infants. These children should never be held by the ankles when being diapered but should be gently lifted by the buttocks or supported with pillows. Bisphosphonate and physical therapy are beneficial for OI. Lightweight braces will be used when the child starts to ambulate.
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