The nurse is working with a group of caregivers of school-aged children discussing fractures. The nurse explains that a twist around the bone frequently associated with child abuse is what type of fracture?

B. This is the vaccine for hepatitis B, a viral infection that can cause liver damage and cancer.
The CDC recommends that all newborns receive the first dose of this vaccine within 24 hours of birth, followed by two more doses at 1 to 2 months and 6 to 18 months of age.
Choice A.
MMR is incorrect, as this is the vaccine for measles, mumps, and rubella, which is not given at birth but at 12 to 15 months and 4 to 6 years of age.
Choice B.
Varicella is incorrect, as this is the vaccine for chickenpox, which is also not given at birth but at 12 to 15 months and 4 to 6 years of age.
Choice C.
DTaP is incorrect, as this is the vaccine for diphtheria, tetanus, and pertussis (whooping cough), which is not given at birth but at 2, 4, 6, and 15 to 18 months and 4 to 6 years of age.
Therefore, choice D is the best answer to this question.

Muscular dystrophies are disorders associated with progressive degeneration of muscles, resulting in relentless and increasing weakness.
This is a general description of muscular dystrophy, a group of genetic diseases that affect different types of muscles and cause various degrees of disability.
Children with muscular dystrophy may experience frequent falls, difficulty walking or running, muscle pain, learning difficulties, and breathing problems.
There is no cure for muscular dystrophy, but treatments can help manage symptoms and slow down the progression of the disease.
Choice B.
The extent of degeneration depends on performing daily physical therapy is incorrect, as physical therapy cannot prevent or reverse the degeneration of muscles caused by muscular dystrophy.
Physical therapy can help maintain muscle strength and flexibility, prevent contractures and deformities, and improve mobility and function.
Choice C.
The child will be able to function normally and require no special accommodations is incorrect, as muscular dystrophy affects the child’s ability to perform daily activities and may require assistive devices, such as braces, wheelchairs, or ventilators.
The child may also need special education services, occupational therapy, speech therapy, or psychological counseling to cope with the disease.
Choice D.
The weakness that the child is currently experiencing will probably not increase incorrectly, as muscular dystrophy is a progressive disease that causes muscle weakness to worsen over time.

The rate and severity of progression may vary depending on the type and subtype of muscular dystrophy.
Therefore, choice A is the best answer to this question.