A mother has brought her 3-year-old child to the clinic for an annual well-child checkup.The mother tells the nurse that the child is in the process of being potty trained.The child will state that the need to go to the bathroom,but refuses to go on the toilet.What is the nurse's best response?

A) "This occurs because the child might be frightened of falling in the toilet."
B) "It is recommended that you try putting her in 'time-out' if she continues to refuse to sit on the toilet."
C) "Sometimes children at that age see urine and feces as part of themselves."
D) "Stop, your child is too young to worry about potty-training."

Question

Janka Beaublanc · Accepted Answer

Final Answer : C, Explanation :  When children begin to achieve bladder control and learn the appropriate skills,they sometimes resist urinating on the toilet.Children often associate their urine and feces as extensions of self,and they do not want to flush part of themselves away.The neurological system is not well developed until 2 to 3 years of age.Up until this time,the small child is not able to associate the sensations of filling and urge with urination.When the child recognizes feelings of urge,he or she can hold urine for 1 to 2 hours,and is able to communicate a need to eliminate,toilet training becomes successful.Fear of falling in the toilet may be a concern,but it is not the most appropriate answer for this question.

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