A preschooler that is being potty trained is refusing to have bowel movements. The mother brought the child to the clinic because now the child has constipation
The nurse speaks to the mother about behavior modification efforts to have the preschooler defecate. All of the following may help except: 1. Rewarding the child for defecating in the toilet.
2. Identifying when the child usually defecated prior to potty training, then attempting to use the toilet at that time.
3. Create regular times to use the potty, especially 5 to 10 minutes after a meal.
4. Rewarding the child for defecating in a diaper, then trying to retrain using the toilet.
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Feedback
1. Incentives for defecation may be the reason some children will have success because the urge for a treat is important to the child.
2. Timing can help create a known pattern so that the child understands the expectations at particular times throughout the day.
3. Food that is consumed helps to put pressure on the bowel, which may lead to defecation if the child does not have to "hold it.".
4. Reverting back to diapers may make the child refuse to use a toilet because of the convenience.
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