Which statement is true about enuresis?
Most children with enuresis have spontaneous resolution by age 4 years.
Bedwetting alarms and behavioral therapy are of value in the treatment plan for enuresis.
Nighttime enuresis is less common than daytime (diurnal) enuresis.
Enuresis often indicates an underlying disease process and a child with this condition should have a urological workup.
The Correct Answer is B
Rationale:
A. Most children do not achieve spontaneous resolution of enuresis by age 4; it is more common for spontaneous resolution to occur gradually over time, often by age 6–7 years.
B. Bedwetting alarms and behavioral therapy are effective first-line interventions for enuresis, helping children recognize bladder fullness and establish bladder control.
C. Nighttime (nocturnal) enuresis is more common than daytime (diurnal) enuresis in children.
D. Enuresis is usually a normal developmental variation and does not typically indicate an underlying disease in otherwise healthy children; extensive urological workup is not routinely required unless other concerning symptoms are present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. By age 3, children typically begin to distinguish between reality and make-believe, showing emerging imaginative play and understanding of fantasy versus real events.
B. Cooperation with other children develops gradually and is more consistently observed around ages 4–5.
C. Taking turns when playing structured games generally emerges closer to 4–5 years of age as social and cognitive skills mature.
D. Preferring to play with others rather than alone is more characteristic of children around 4 years old; 3-year-olds often engage in parallel play, playing alongside rather than directly with peers.
Correct Answer is C
Explanation
Rationale:
A. Hepatitis A vaccine prevents hepatitis A virus infection, which primarily affects the liver, not viral gastroenteritis caused by other pathogens.
B. Hepatitis B vaccine prevents hepatitis B virus infection, also primarily hepatic, and does not protect against common viral gastroenteritis.
C. Rotavirus vaccine is the most effective preventive measure against rotavirus infection, which is a leading cause of severe viral gastroenteritis in infants and young children worldwide. It reduces the incidence of hospitalization, severe diarrhea, and dehydration caused by rotavirus.
D. Vaccine for enterotoxigenic E. coli (ETEC) is not routinely available for infants and children in most countries and is primarily targeted for travelers, not for general pediatric prevention.
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