मातृ र बाल नर्सिङ – Maternal & Child Nursing MCQ
मातृ र बाल नर्सिङ – अन्तर्राष्ट्रिय नर्सिङ
Maternal & Child Nursing · International Nursing (NCLEX-RN, DHA, HAAD) · ४०७ प्रश्न
४०७ प्रश्न उपलब्ध। मोड छान्नुहोस्:
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
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A postpartum client at 36 hours after delivery reports experiencing vaginal bleeding that has increased in volume and frequency. The fetal membranes have not yet passed. What is the nurse’s *priority* action? a) Administer oxytocin. b) Assess vital signs and administer fluids. c) Notify the physician immediately. d) Encourage the client to rest and apply ice packs.
सही उत्तर: घ) d) Encourage the client to rest and apply ice packs.
Abundant vaginal bleeding (postpartum hemorrhage) following delivery is a critical emergency. The priority is immediate medical assessment and intervention, requiring notification of the physician. While other options may be appropriate later, they don't address the life-threatening situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn immediately after birth. The baby has a large, boggy fontanelle that is easily depressed. Which finding would *most* indicate cephalhematoma? a) A firm, symmetrical fontanelle. b) Increased intracranial pressure as indicated by reflexes. c) A large, boggy fontanelle with no palpable pulsations. d) The fontanelles are flat and sunken.
सही उत्तर: घ) d) The fontanelles are flat and sunken.
Cephalhematoma typically presents as a localized swelling of the cranial bones surrounding the fontanelle; it is often described as boggy and without pulsation. A firm fontanelle would suggest an intracranial lesion like a hematoma or edema, while sunken fontanelles indicate dehydration. Option D is incorrect as it describes a pathological finding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports her 6-month-old infant has been refusing solids and only wants breast milk. The nurse should assess which of the following as a potential concern? a) Increased incidence of bacterial infections. b) Delayed motor development. c) Risk for iron deficiency anemia. d) Potential for excessive fluid intake.
सही उत्तर: घ) d) Potential for excessive fluid intake.
Iron deficiency anemia is a common concern in infants who are predominantly breastfed, as breast milk iron content is lower than infant formula. Options a, b and d represent potential issues but don't directly relate to the stated behavior of refusing solids. This aligns with standard pediatric nursing practice.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing oral rehydration solution (Jeevan Jal) for a dehydrated infant. The correct preparation involves:
सही उत्तर: ग) Measuring the exact amount of each ingredient according to the package instructions
The correct approach is adding the exact measured amount of water to the powdered rehydration salts (option 2) per the package instructions. This ensures proper concentration and electrolyte balance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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At approximately 36 weeks gestation, a pregnant woman's fundal height measures 32 centimeters. What is the MOST appropriate next step in management?
सही उत्तर: घ) Prescribe bed rest and increased fluid intake
An abdominal fundal height of 32 cm at 36 weeks gestation suggests a degree of intrauterine pressure, indicating potential cephalopelvic disproportion (CPD) or other issues. An ultrasound (option 3) is the most appropriate next step to assess fetal growth and placental position accurately.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports that her newborn has green amniotic fluid at the time of rupture of membranes (ROM). What does this generally indicate?
सही उत्तर: ख) Exposure to maternal smoking during pregnancy
Greenish amniotic fluid (option 1) is a common finding after ROM, typically caused by bacterial colonization of the vaginal flora that mixes with the fetal urine. This suggests a potential fetal infection. The other options are less likely explanations for green fluid.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A neonate is exhibiting signs of respiratory distress including nasal flaring, retractions, and grunting. Which of the following interventions would be MOST appropriate?
सही उत्तर: ग) Holding oxygen at 2 liters per minute via nasal cannula
Phototherapy with a blue light source (option 2) is the standard initial treatment for neonatal jaundice, utilizing light to break down bilirubin. Caffeine can actually worsen respiratory distress. Oxygen alone may not be sufficient, and monitoring blood glucose is important but doesn't directly address the respiratory issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman reports experiencing irregular menstrual cycles, increased urinary frequency, and fatigue. Based on these symptoms, what is the most likely diagnosis?
सही उत्तर: ख) Pre-eclampsia
Pre-eclampsia (option 1) is characterized by hypertension and proteinuria, frequently presenting with the reported symptoms of irregular cycles, frequent urination, and fatigue. The other options are less likely given this constellation of symptoms – gestational diabetes often presents with increased thirst and hunger, placenta previa involves bleeding, and normal pregnancy symptoms are typically milder and less widespread.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn who is demonstrating signs consistent with Down syndrome. Which of the following findings would be MOST characteristic?
सही उत्तर: ग) Hypotonia and limited range of motion in limbs
Characteristic features of Down syndrome include hypotonia (decreased muscle tone), limited range of movement, and a flattened face. The other options represent findings more typical of other neonatal conditions (2072).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is educating a couple about fetal movement. Which statement demonstrates the nurse’s understanding of quickening?
सही उत्तर: घ) ‘Quickening describes the first feeling of movement felt by the mother, usually between 18-24 weeks’
Quickening is defined as the initial sensation of fetal movements, most commonly described as fluttering, and typically occurs between 18-24 weeks. The other options describe later stages or less precise descriptions of movement (2072).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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