NCLEX : Pediatric Care and Development
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Example Question #11 : Pediatric Care And Development
The nurse cares for a 2-year-old boy whose mother is worried that he is not fully toilet trained yet. The mother is worried because he is not yet able to hold his urine for more than a couple hours, but is proud that he can use the toilet for bowel movements. How should the nurse reply to the mother?
“Your child could be developmentally delayed and should have achieved full toilet training by now. Let me refer you to a pediatric psychologist.”
“Bladder control is usually achieved before bowel control, but he is on track to become fully potty trained.”
“Bladder control is usually achieved after bowel control, but he should be fully potty trained by this age.”
“You should tell your son ‘no’ every time he wets himself. That is the only way he will learn that his behavior is not acceptable.”
“Bladder control is usually achieved after bowel control, so toilet training can take anywhere from 2 to 3 years to fully achieve.”
“Bladder control is usually achieved after bowel control, so toilet training can take anywhere from 2 to 3 years to fully achieve.”
Toilet training may be achieved anywhere from 24 months to 36 months, and may sometimes take longer for boys than girls. Bladder control usually occurs after bowel control. Parents should not be concerned if their children take the full 36 months to become toilet trained or if they have difficulty holding their urine longer than a few hours due to the small size of their bladders. Toilet training that takes longer than 3 years may be caused by psychological factors, but this child is not in need of the assessment of a child psychologist at his age. The nurse should not encourage the mother to tell the child that his behavior is unacceptable because it is not expected of him to achieve full toilet training for another year.
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