A 6-year-old female has had a recent growth spurt and an exam reveals breast and pubic hair development. Her bone age is determined to be 8 years. What will the primary care pediatric nurse practitioner do next?
A) Order LH and FSH levels and a long-acting GnRH agonist.
B) Order thyroid function tests to exclude primary hypothyroidism.
C) Reassure the parent that this is most likely idiopathic.
D) Refer the child to a pediatric endocrinologist for management.
Correct Answer:
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