Which assessment data obtained by the nurse during the health history portion of the assessment process support the current diagnosis of Duchenne muscular dystrophy (MD) for an 18-month-old child?
1. Infant was postmature by almost 2 weeks.
2. The child seems very muscular.
3. The child walked early and without support at 10 months.
4. The child's older sister developed scoliosis in the fourth grade.
2
Explanation:
1. Postmaturity is not related to Duchenne MD.
2. Duchenne MD is also called pseudohypertrophic due to the enlarged appearance of the muscle. The pathophysiology is infiltration of the muscle fibers with fatty tissue.
3. This finding is not indicative of Duchenne MD.
4. The older sister's scoliosis is not related to MD. Duchenne MD is sex-linked recessive and affects only boys.
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