Orthopaedic Nurses Certification Board (ONCB) Metabolic/Inflammatory/Tumors Practice Exam

What dietary factor is commonly associated with the development of rickets in children?

1. Parents' vegetarian diet

2. Child's poor vitamin C intake

3. Child's recent treatment with corticosteroids

4. Parents' residence in southern U.S.

The correct answer is: Parents' vegetarian diet

The correct answer is associated with the parents' vegetarian diet because it can lead to vitamin D deficiency if not properly managed. Rickets is primarily caused by a deficiency of vitamin D, calcium, or phosphate in the diet, which is crucial for developing strong bones in children. If parents adhere to a vegetarian diet without ensuring their child's adequate intake of these essential nutrients, particularly vitamin D—commonly obtained from fortified foods or sunlight exposure—this can significantly increase the risk of rickets. Moreover, the vegetarian diet, while healthy, may lack certain nutrients necessary for bone health if it's not well-balanced. Considering that children may have additional dietary restrictions or preferences, this dietary factor can be pivotal in their risk for developing rickets. In contrast, poor vitamin C intake, recent corticosteroid treatment, and simply residing in the southern U.S. are not directly linked to rickets. Vitamin C is more associated with scurvy than rickets, while corticosteroids may affect bone health but do not specifically cause rickets. Living in the southern U.S. might actually provide more sunlight exposure, which could help prevent vitamin D deficiency.