A child with Prader-Willi syndrome (PWS) has short stature, and the provider is considering treatment with growth hormone. Which aspect of this child's history should the nurse report to the provider?
a. Behavior problems
b. Low muscle tone
c. Mental impairment
d. Sleep apnea
D
Growth hormone must be avoided in patients with PWS who are severely obese, who have a history of upper airway obstruction or sleep apnea, or who have severe respiratory impairment because of a risk of sudden death associated with these disorders. Behavior problems, low mus-cle tone, and mental impairment are commonly associated with PWS and are not contraindica-tions to treatment with growth hormone.
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