The Nurse in a Pediatrician's Office Is Assessing a 9-Year-Old

The nurse in a pediatrician's office is assessing a 9-year-old male patient who is being monitored for the possible diagnosis of hypopituitarism. Which assessment finding does the nurse recognize specifically as an indication of growth hormone deficiency?

A) High weight-to-height ratio
B) Large hands and feet for body size
C) Severe aching in knees and ankles
D) Height increase of 1.75 inches in 12 months