During the well-child checkup for 2-year-old twins (one boy, one girl), their mother asks the nurse about preparing to toilet train her children. What information can be provided to the parent? Select all that apply.
A) It is typically more difficult to toilet train a female child.
B) Nighttime continence will occur in some children after age 4 or 5 years.
C) Daytime continence is normal in a 3-year-old child.
D) Children who are able to remain dry for a few hours at a time may be signaling readiness for toilet training.
E) Children old enough to undress themselves will have increased abilities to toilet train.

Question

Quizplus · Accepted Answer

Beginning sometime between 2 and 3 years of age, The American Academy of Pediatrics advises parents to watch for signs that a child may be ready for toilet training. These signs include staying dry for 2 hours at a time or dry after naps, as well as being able to walk to the bathroom and ability to undress themselves. Most children will achieve daytime urinary control by 3 to 4 years of age. Sometimes, toddlers need to experience outdoor playtime without diapers to see what happens when they experience bladder fullness, followed by urethral relaxation and bladder emptying. They begin to understand the relationship between bladder fullness and voluntary bladder emptying and are ready for toilet training. Nighttime continence may not occur until 4 or 5 years of age.

During the Well-Child Checkup for 2-Year-Old Twins (One Boy, One