The parents of a 3-year old cannot understand how their child has developed osteoporosis, stating "We didn't think children could get this disease." Which assessment by the nurse is most important?
A.
Attainment of developmental milestones
B.
Dietary intake of calcium
C.
Height and weight
D.
Labor and birth history
ANS: D
Very-low-birth-weight and premature infants are at risk for developing osteoporosis because bone mass is acquired during the last weeks of pregnancy. If this child were born prematurely, that could explain the osteoporosis. Attaining milestones and height and weight are not the priority (height loss is possible with multiple fractures in older children). Although teens can develop osteoporosis from dietary deficiency of calcium and vitamin D, it is highly unlikely that a 3-year-old would have osteoporosis from this situation.
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