Interview the adult. Toileting is dependent on family expectations and background, and cultural differences. Type of diaper used also impacts feeling of wetness, so children who wear pull-ups may not feel wet.
Ask adults about the toileting set up (potty chair or toilet seat), what the child wears underneath clothing, and whether the child indicates they need to have a BM.
Most girls are bladder and bowel trained for daytime. Some boys are bladder and bowel trained for daytime. The average age of training for boys is 31 months.
Most children are getting too large for a potty chair. If knees are higher than the bottom, the organs are not in the best position for sphincter control. Encourage parents to have a child-sized toilet seat insert and steps, so the child can independently get up on the toilet and place feet on the steps for stability. Picking out “big boy” underwear with favorite characters on them is a big motivator for boys. Reassure parents who have friends with girls who are “already trained” that boys often take a few months longer.
North Carolina Department of Public Instruction, 2015
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