A 7-year-old girl who was formerly completely toilet trained recently began wetting the bed at night. To determine a cause for the enuresis, the nurse practitioner should ask her parents which question or make which statement?

Choice A reason: Asking about punishment focuses on management strategies rather than identifying potential triggers or underlying causes, and may not provide clinically relevant information for evaluation. Choice B reason: Family history can provide some context for enuresis risk, but it does not address recent triggers or behavioral changes that may be causing the regression. Choice C reason: Bedwetting beyond age 5 is clinically significant and warrants assessment, so dismissing it as normal up to age 10 is inaccurate. Choice D reason: Recent stressors or life changes, such as the birth of a new sibling, can precipitate secondary enuresis. This question helps the clinician identify situational factors contributing to the child’s bedwetting.