When Assessing a Child with True Precocious Puberty, the Nurse

When assessing a child with true precocious puberty, the nurse will most likely find which of the following signs or symptoms in addition to evidence of secondary sexual characteristics?

A) sexual provocativeness, active sexual involvement, and lack of involvement with caregivers
B) normal or elevated levels of gonadotropin-releasing Gn-RH) , luteinizing hormone (LH) , follicle-stimulating hormone (FSH) , and estrogen or testosterone being produced
C) low self-esteem, fear related to being more sexually developed than peers
D) acne, adult body odor, greater height than peers, reproductive capability, and emotional lability