A caregiver brings her 7-year-old son to the pediatrician's
office, concerned about the child's bed-wetting after being completely toilet trained even at night for over two 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 bed-wetting. The nurse notes the child is shy, skittish, and will not make eye contact. Further evaluation needs to be done to rule out which problem?
A) The child has a urinary tract infection due to not bathing while on the fishing trip
B) The child is out of the habit of waking himself up during the night to void
C) The child did not want to go on the fishing trip and is now retaliating against being made to go
D) The child has been sexually abused, may be on the fishing trip
Question 2
A 12-year-old girl who has not yet reached menarche comes to the pediatrician's office for her annual well-child check. As the nurse is weighing and measuring her, the child says emphatically that she does not want to get her period. Which response would
A) What have you heard about it that makes you worried?
B) But it's a good thing, having a period is a part of growing up.
C) Are you afraid of getting pregnant?
D) Do you think it will hurt?
This young child is pulling at the ear and acting fussy, two important signs of otitis media.
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