A 4-Year-Old Boy Is Brought to the Office for a Routine

A 4-year-old boy is brought to the office for a routine visit.  He is growing well and talking in short sentences.  The patient can hop and copy a square.  He has started to play board games with his brothers and sister but occasionally hits his siblings when he loses a game.  His parents are concerned that he cannot yet tie his shoelaces and ask if it is normal for him to occasionally fondle his genitals in public or try to touch his brother's genitals while bathing.  The mother says, "He has shown me dolls kissing each other's private parts a few times and has asked where babies come from.  I haven't even had that talk with his 6-year-old brother.  Is that a normal question for a 4-year-old to ask?"  The parents are also concerned that the patient still sucks his thumb when anxious and occasionally wets his bed at night.  He will be starting preschool soon.  Which of the following behavior is concerning in this patient?

A) Becoming physically aggressive when losing a game
B) Fondling one's own genitals in public
C) Inability to tie shoelaces
D) Nocturnal enuresis
E) Simulating oral sex using dolls
F) Thumb sucking
G) Touching the genitals of a sibling while bathing

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free