A 13-year-old boy who is in the first percentile of height for his age has been referred for care. Which assessment finding would contraindicate the safe and effective use of somatropin to treat his growth deficiency?

The epiphyseal of the boy's long bones have closed

Explanation: Epiphyseal plates is a part of a long bone,were new bone growths take place. Puberty is the transitional period from childhood to adulthood,through the development of sexual characteristics. In early puberty the height of a child increase,this is called growth spurt. This growth spurt may decrease in late puberty after epiphyseal fission in late puberty,that is, after growth plate closure in late puberty.

the answer is b)3/8x+1

some of your causes might be acidic rain or natural wildfires that cause the parks to be degraded

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