IGNOU PB Bsc Nsg Entrance-2017
Child Health Nursing (Pediatrics)
Easy
Toilet training should be started for a baby at the age of?
Appeared in: IGNOU PB Bsc Nsg Entrance-2017
Explanation
- The ideal time to begin toilet training is during the toddler years, typically between 18 and 24 months of age.
- This timing corresponds with key developmental milestones, including the myelination of nerve tracts that allows for voluntary control of bladder and bowel sphincters.
- Cognitively, toddlers begin to recognize the urge to urinate or defecate and can start to communicate this need to their caregivers.
- Bowel control is often achieved before bladder control.
Why Other Options Were Wrong
- Option A: Infants (0-12 months) lack the necessary neuromuscular maturity and cognitive awareness for toilet training. Their elimination is reflexive, not voluntary.
- Option C: While some children may still be in the process, toilet training is typically well underway or completed by the preschool years (3-5 years). Starting at this age is considered late.
- Option D: By school age (6+ years), children are expected to have full bowel and bladder control. Persistent incontinence at this age may indicate a medical or psychological issue, such as enuresis, requiring evaluation.
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 providing anticipatory guidance to parents, educating them on identifying signs of readiness for toilet training to prevent premature or forceful training, which can cause stress and conflict.
- Assessing a child's developmental stage is a key nursing skill to provide appropriate health education to families regarding milestones like toilet training.
- What if? If a 5-year-old child is still not toilet trained during the day, the nurse should recommend a consultation with a pediatrician to rule out underlying physical causes (like chronic constipation), developmental delays, or other medical issues like enuresis.
How to Approach the Question
- First, identify that the question asks for the appropriate developmental stage for a specific milestone (toilet training).
- Recall the key physiological and cognitive developments required for toilet training, such as voluntary sphincter control and the ability to communicate.
- Correlate these developments with the standard age ranges for each developmental stage provided in the options.
- The toddler stage (1-3 years) is when these abilities emerge, typically between 18-24 months.
- Select the 'Toddler' option as it aligns with the onset of these necessary skills.
Concept Tested & Keywords
- Concept Tested: Developmental Milestones: Toilet Training
- Stem keywords: Toilet training, baby, age
- Lead-in keywords: started for a baby at the age of
- Negative lead-in flag: false
Question ID
QRytEiEUHXU72BRt5I0m4U
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 Comprehensive Textbook of Community Health NursingShyamala D part 1 (pp 26-389 of 389) p. 146-148
Practise the full IGNOU PB Bsc Nsg Entrance-2017
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 IGNOU PB Bsc Nsg Entrance-2017 Questions
- In the communication process, the response from the receiver to the sender is called?
- When every study population subject has an equal chance to be selected as a sample for a research study, it is known as?
- If scores of a sample are distributed as 4, 6, 8, 3, 7, 8, 3, 9, 6, the mean is?
- Research in which a researcher makes changes in an independent variable and studies their effects on a dependent variable under controlled conditions…
- In administration, the principle of division of work is essential because?
- Span of control stands for?
- In a general ward, the ratio of nurse and patient should be?
- Job responsibilities of an ANM are all, except?
- The advantages of nursing audits are all, except?
- The importance of human relations in nursing is all, except?