मातृ र बाल नर्सिङ – Maternal & Child Nursing MCQ

मातृ र बाल नर्सिङ: प्रश्न र उत्तर

सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।

सही: ० / ०

1. A 28-year-old client at 35 weeks gestation reports feeling frequent contractions that are irregular in nature. She states they feel like 'practice' contractions. The fetal monitor shows intermittent accelerations. What is the *best* nursing response?

   कInstruct the client to continue monitoring her contractions and report any changes. खAdminister a dose of nifedipine for preterm labor control. गEncourage the client to rest in a quiet room with dimmed lights. घPrepare for possible admission for observation and further management.
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

2. Which of the following nursing interventions is *essential* when caring for a newborn immediately after vaginal delivery?

   कImmediately dry the infant thoroughly with a warm towel. खApply a sterile lubricant to the breast to facilitate latching. गPlace the infant skin-to-skin on the mother’s chest immediately. घAdminister prophylactic antibiotic eye drops to prevent conjunctivitis.
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

3. A newborn infant demonstrates meconium staining of the skin and mucous membranes. The nurse observes that the infant has a slightly bluish discoloration around the umbilicus. What is the *most likely* explanation for this finding?

   कThe infant has experienced respiratory distress syndrome (RDS). खThe infant has suffered fetal hypoxia during labor. गThe infant has developed a congenital heart defect. घThe infant’s skin is simply stained due to meconium exposure.
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

4. A 32-year-old woman, G2P1, presents to the emergency department at 37 weeks’ gestation with severe vaginal bleeding and abdominal pain. Her cervix is dilated to 8 cm. What immediate action should the nurse prioritize?

   कAdminister intravenous fluids for hypotension. खInsert a Foley catheter to drain any retained products. गPrepare for potential surgical delivery (Cesarean section). घMonitor fetal heart rate continuously to assess distress.
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

5. A primigravida client at 38 weeks’ gestation reports experiencing intermittent contractions for the past hour, each lasting approximately 30 seconds and spaced 20-40 minutes apart. The cervix is currently at 6 cm dilation and 70% effacement. Based on these findings, what is the *most* appropriate initial nursing intervention?

   कAdminister an intravenous infusion of oxytocin to accelerate labor. खInstruct the client to rest in a comfortable position and monitor fetal movement. गEncourage oral fluids and provide reassurance regarding the progress of labor. घInitiate electronic fetal monitoring for continuous assessment of fetal heart rate.
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

6. A preterm newborn (32 weeks) is receiving oxygen via nasal cannula. Which finding would MOST necessitate a rapid reassessment and potential intervention?

   कHeart rate of 140 bpm खRespiratory rate of 50 breaths/min गGrunting sounds during breathing घAxillary temperature of 36.8°C
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

7. During labour at 38 weeks gestation, a client experiences frequent uterine contractions and reports increased vaginal bleeding. Further assessment reveals positive clots in the vagina. What is the MOST immediate nursing action?

   कAdminister intravenous oxytocin to augment labor खPrepare for an emergency Cesarean section गAssess fetal heart rate continuously घInitiate bladder scan
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

8. A mother reports her 6-month-old infant has been exhibiting fanning of the toes and dorsiflexion of the big toe when the sole of the foot is stroked. This finding is MOST indicative of:

   कCongenital Hip Dysplasia खReflux गMuscular Distention घCerebral Palsy
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

9. A newborn infant presents with significant jaundice accompanied by lethargy and poor feeding. Which of the following findings would MOST strongly suggest pathologic (non-physiological) neonatal jaundice?

   कSerum bilirubin level of 10 mg/dL खPresence of cephalhematoma गDirect bilirubin > indirect bilirubin ratio of 2:1 घVisible pale skin around the eyes
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

10. A pregnant woman at 30 weeks gestation reports experiencing intermittent lower abdominal pain and vaginal spotting. Based on this information, which is the MOST appropriate initial nursing intervention?

    कAdminister intravenous fluids to maintain hydration खAssess fetal movement and position गSchedule an immediate ultrasound examination घProvide reassurance and monitor for worsening symptoms
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।