RUHS, Jaipur, M.Sc Nursing Entrance Exam-2024
Child Health Nursing (Pediatrics)
Easy
At what age do most children achieve toilet training
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2024
Explanation
- Most children develop the necessary physical and cognitive readiness for toilet training between 18 and 24 months of age.
- This readiness is linked to the myelination of pyramidal tracts in the nervous system, which allows for voluntary control over the anal and urethral sphincters, a process that occurs around 18 months.
- During this period, toddlers also develop the cognitive ability to recognize the physical urge to eliminate and communicate this need to a caregiver.
- Bowel control is typically achieved before bladder control.
Why Other Options Were Wrong
- Option A: Infants at 6-9 months lack the neurological development and voluntary muscle control over their sphincters, making toilet training physiologically impossible.
- Option B: At 12-15 months, a toddler's sphincter control is still immature and not reliable enough for consistent toilet training, even though they are learning to walk and communicate.
- Option D: While some children may still be completing the process, most have achieved daytime toilet training well before 3-4 years. This age range is more typical for mastering nighttime bladder control, which is a later milestone.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Developmental Milestones: Toilet Training as background academic context rather than a clinical decision trigger.
- Nurses play a crucial role in educating parents on recognizing the signs of toilet training readiness, emphasizing that it is a developmental process, not a race.
- Advising parents to avoid starting training too early is important, as it can lead to power struggles, frustration for both parent and child, and potential issues like stool withholding.
- Assessment of readiness should be individualized. Factors like the child's temperament, cultural norms, and family dynamics can influence the timing and approach to toilet training.
How to Approach the Question
- First, identify the question type. This is a factual recall question about a specific developmental milestone.
- Recall the key physiological requirement for the milestone in question. For toilet training, the critical factor is the development of voluntary sphincter control.
- Remember the typical age range when this physiological development occurs. The myelination of nerve pathways for sphincter control happens around 18 to 24 months.
- Evaluate the given options based on this knowledge. Eliminate ages that are clearly too early (before the child is physically capable) or too late (after the milestone is typically achieved).
- Select the option that best aligns with the period of physiological and cognitive readiness.
Concept Tested & Keywords
- Concept Tested: Developmental Milestones: Toilet Training
- Stem keywords: age, children, toilet training
- Lead-in keywords: MOST
- Negative lead-in flag: false
Question ID
Q7JFoidS5G0QzWDr9Q7Dxw
Reference Book
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
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1532-1534
E6 Nursing Fundamentals Potter Perry 12e Part 1 p. 178-180
Practise the full RUHS, Jaipur, M.Sc Nursing Entrance Exam-2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Development Questions
- Which of the following statements is not true about Associative play?
- Weaning is to be started at which month?
- When toddlers move around on their hands keeping their abdomen off the floor, it is called?
- At what age does a child normally develop 'social smile' milestone?
- All of the following are development assessment techniques, except?
- When do infants typically start sitting without support?
- What is the developmental stage of a child aged 3 to 6 years?
- In which month can a baby sit without support?
- What is the ideal age for complementary feeding?
- When does the Anterior Fontanel normally close?
More RUHS, Jaipur, M.Sc Nursing Entrance Exam-2024 Questions
- Which nerve is responsible for transmitting pain sensation from the appendix to the brain
- The coronary arteries arise from which part of aorta
- The role of Hepatic Portal System is to
- Which hormone is secreted by adrenal medulla & is involved in fight & flight response
- Which process is responsible for synthesis of ATP in mitochondria
- Which of the following enzymes is responsible for the breakdown of starch into glucose
- Which of the following is considered a key element of the chain of infection
- Which characteristic is commonly used to classify bacteria
- Excess collection of fluid in peritoneal cavity is known as
- In acid base balance, a pH below 7.35 is indicative of