A 4-year-old boy is brought to a general practice for the third time this year, now with six weeks of night wa…

Question

A 4-year-old boy is brought to a general practice for the third time this year, now with six weeks of night waking and new bedwetting after a year of being dry. His childcare educators report that he has become clingy and has started hitting other children. He has no injuries and examination is normal. His mother answers in short sentences, looks at the floor, and says her partner has a temper and that the house gets loud at night. Which one of the following is the most appropriate next step?

Accepted Answer

Ask her privately about violence at home

Answer

Advise her to leave the relationship

Answer

Arrange referral for family therapy

Answer

Notify the department of child protection

Answer

Reassure her that bedwetting is common at this age

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