The parents of a 3-year old cannot understand how their child has ...

[rmenurse]

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

Question 2

A student nurse is caring for a patient in skin traction. What action by the student causes the registered nurse to intervene?
 
  A.
  Assesses neurovascular status every 2-4 hours
  B.
  Ensures correct weights are hanging freely
  C.
  Positions child perpendicular to the traction
  D.
  Removes traction to assess the skin every 4 hours

[Danny Ewald]

Answer to Question 1

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.

Answer to Question 2

ANS: C
The child should be positioned directly in line with the traction. The other interventions are correct.