The school health nurse observes that a large percentage of Hispanic children in the elementary school are overweight. Which screening program should the nurse choose to target the highest priority health concern for this population?

A) Ensure that all meals delivered to persons receiving Meals-on-Wheels include fresh or canned fruit:
While ensuring meals include fruit can contribute to overall nutrition, it does not specifically address the prevention of osteoporosis. Osteoporosis prevention strategies typically focus on calcium and vitamin D intake and weight-bearing exercises rather than just including fruit in meals.

B) Schedule blood pressure screenings during craft club hours for elderly women at the senior center:
Blood pressure screenings are important for managing cardiovascular health but do not directly impact the prevention of osteoporosis. Osteoporosis prevention strategies are more focused on factors such as bone density, calcium intake, and physical activity.

C) Lobby the local school board to increase physical education classes at all schools in the district:
Increasing physical education classes in schools is a key strategy for osteoporosis prevention. Weight-bearing exercises and physical activity are essential for building and maintaining bone density, especially in youth. Lobbying for increased physical education supports long-term bone health by promoting regular exercise from an early age.

D) Collaborate with a local scout troop to determine families that need wheelchair ramps installed:
While installing wheelchair ramps is important for accessibility and mobility, it does not directly contribute to osteoporosis prevention. Osteoporosis prevention focuses on improving bone health through dietary changes and physical activity rather than addressing mobility issues.

A) Long bone density testing:
Bone density testing is typically not a priority for elementary school students. This type of testing is more relevant for older populations or individuals at risk for conditions such as osteoporosis. For elementary-aged children, other measures are more pertinent to their immediate health needs.

B) Annual flu vaccination status:
While tracking annual flu vaccination status is important for preventing influenza and maintaining public health, it does not encompass a broad range of health risks. A health risk screening protocol should include measures that provide a comprehensive view of a child's overall health and growth.

C) Weight and height measurement:
Weight and height measurements are fundamental components of health risk screening in elementary school children. These measurements help assess growth patterns, identify potential issues with malnutrition or obesity, and monitor overall health. They are critical for evaluating whether children are developing appropriately and for identifying early signs of potential health problems.

D) Serum total cholesterol level:
Measuring serum total cholesterol levels is more relevant for older children or those with specific risk factors for cardiovascular disease. For elementary school children, it is more practical to focus on growth metrics such as weight and height, which provide immediate and actionable insights into their health status.