Question

A caregiver brings her 7-year-old son to the pediatrician's office, concerned about the child's bedwetting after being completely toilet trained even at night for over 2 years. The caregiver further reports that the child has wet the bed every night since returning home from a one week fishing trip. The child refuses to talk about the bedwetting. The nurse notes the child is shy, skittish, and will not make eye contact. Further evaluation needs to be done to rule out which of the following?

1) The child is out of the habit of waking himself up during the night to void
2) The child has been sexually abused, maybe on the fishing trip
3) The child did not want to go on the fishing trip and is now retaliating against being made to go
4) The child has a urinary tract infection due to not bathing while on the fishing trip

Answer 1

The caregiver should further evaluate the situation to rule out possible causes for the child's bedwetting.

Step-by-step explanation:

The caregiver should further evaluate the situation to rule out possible causes for the child's bedwetting.

Firstly, it is important to consider whether the child is out of the habit of waking himself up during the night to void. Secondly, the possibility of the child being sexually abused, possibly during the fishing trip, should also be considered. Lastly, it is important to evaluate if the child did not want to go on the fishing trip and is now retaliating against being made to go.

A urinary tract infection due to not bathing while on the fishing trip may also be a factor to consider, but it is less likely than the other possibilities mentioned.