A 13-year-old boy who is in the first percentile of height for his age has been referred for care. Which of the following assessment findings would contraindicate the safe and effective use of somatropin to treat his growth deficiency?
A) The boy has not yet begun puberty.
B) The boy has low serum albumin levels.
C) The epiphyses of the boy's long bones have closed.
D) The sutures of the boy's skull have not yet fully closed.
C
Feedback:
Somatropin is ineffective when impaired growth is present after puberty, when the epiphyses of the long bones have closed. Low albumin is not a contraindication to the use of somatropin. The sutures of the skull close early in life.
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