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.
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