IGNOU Post B. SC. Nursing entrance -2021
Child Health Nursing (Pediatrics)
Easy
A child attains bladder and bowel control at the age of?
Appeared in: IGNOU Post B. SC. Nursing entrance -2021
Explanation
- By the age of 3, most children have achieved daytime control over both their bladder and bowels.
- The development of continence follows a typical sequence: bowel control is established first (around age 2), followed by daytime bladder control (around ages 2-3).
- Nighttime bladder control is a later milestone, usually achieved between the ages of 3 and 5 years.
- Therefore, 3 years is the age when a child is generally expected to have attained control over both functions during waking hours.
Why Other Options Were Wrong
- Option B: At 2 years old, a child has typically mastered bowel control, but daytime bladder control is still developing and not yet reliable.
- Option C: By 4 years of age, most children have already achieved daytime bladder and bowel control. This age is more associated with the consolidation of nighttime bladder control.
- Option D: At 5 years old, a child is expected to have full daytime and nighttime control. This age represents the upper limit for achieving nighttime continence, not the initial attainment of overall control.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Developmental milestones in toddlers, specifically the age of achieving bladder and bowel control as background academic context rather than a clinical decision trigger.
- Nurses play a crucial role in educating parents about toilet training readiness. Key signs include the child staying dry for at least 2 hours, showing interest in the toilet, and being able to communicate the need to go.
- It is important to advise parents to use positive reinforcement and avoid punishment for accidents, as this can lead to negative psychological associations and setbacks.
- Constipation is a common issue that can interfere with both bladder and bowel control. Nurses should assess for and provide guidance on managing constipation.
How to Approach the Question
- This is a factual recall question about developmental milestones.
- First, identify the key concepts in the question: 'bladder and bowel control' and 'age'.
- Recall the typical sequence and timing of toilet training. Remember that bowel control usually comes before bladder control, and daytime control comes before nighttime control.
- Evaluate the options based on these milestones. Bowel control is typically achieved by age 2. Daytime bladder control is achieved by age 2-3.
- Therefore, the age at which a child would have attained both is around 3 years.
- Eliminate the other options: 2 years is too early for reliable bladder control, and 4-5 years are more associated with the later milestone of nighttime control.
Concept Tested & Keywords
- Concept Tested: Developmental milestones in toddlers, specifically the age of achieving bladder and bowel control.
- Stem keywords: child, bladder control, bowel control, age
- Lead-in keywords: BEST, MOST RELEVANT CLUE
- Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
- Negative lead-in flag: false
Question ID
Q-nMMkXuKuzf-QrTMenG3w
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1532-1534
E6 Nelson Textbook of Pediatrics(2024) — Volume 2 p. 1094-1096
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 11323-11325
Practise the full IGNOU Post B. SC. Nursing entrance -2021
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Otolaryngology Questions
- You are assessing the nutrition of a 3-year-old child in your pediatric clinic. The child is developmentally normal and has no known food allergies o…
- What is choanal atresia?
- While administering ear drops in a 2 years old child. Which of the following is done by the nursing officer while giving ear drops ear pinna is?(Imag…
- A child undergoes heart surgery to repair the defects associated with Tetralogy of Fallot. What behavior is essential for the nurse to prevent postop…
- What is the nurse's priority intervention when preparing for admission of a child with acute laryngotracheobronchitis?
- A child received from the recovery room after tonsillectomy and adenoidectomy. Which position should the nurse provide to the child?
- When feeding an 18-month-old child two days after he underwent a cleft palate repair, a nurse would offer liquid nutrition using a?
- In the stages of growth and development, infancy extends from?
- A five-year-old child gets admitted to the hospital with the diagnosis of Bronchopulmonary Dysplasia (BPD). If the child is at the third stage, what…
- How should you instruct the student nurse to modify the examination for a 7-year-old child?
More IGNOU Post B. SC. Nursing entrance -2021 Questions
- Part of skin which contains sweat glands, nerve endings and blood capillaries is?
- Shoulder blades, skull, sternum and ribs are made up of?
- All of the following features are true related to the kidney except?
- Penicillin, an antibiotic, can treat all of the following infections except?
- 'Microbes' which form the largest group of microorganisms is?
- A condition that gives rise to a response leading to action is?
- All of the following are mental activities by an individual except?
- All of the following are psychological tests except?
- All of the following are negative experiences of hospitalization except?
- First sign of puberty?