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

111. A pregnant woman at 36 weeks gestation complains of severe edema, particularly in her ankles and feet, accompanied by shortness of breath. Her blood pressure is elevated (150/90 mmHg). Based on these findings, what is the MOST important nursing priority?

     कAdminister a diuretic medication as prescribed खEncourage frequent ambulation to promote venous return गRestrict fluid intake to reduce edema घMonitor fetal heart rate for signs of distress
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

112. A newborn infant is admitted to the NICU with suspected hypoglycemia. Initial blood glucose level is 20 mg/dL. Which nursing intervention should be implemented IMMEDIATELY?

     कAdminister intravenous dextrose 25% खOffer expressed breast milk or formula via oral feeding गMonitor urine output closely for signs of dehydration घMaintain strict bed rest to prevent shock
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

113. A 6-month-old infant presents with a fever of 38.5°C (101.3°F), irritability, and poor feeding. Physical examination reveals no obvious source of infection. Which finding is MOST likely to support a diagnosis of bronchiolitis?

     कPresence of crackles in all lung fields खGeneralized edema throughout the body गDecreased respiratory rate accompanied by cyanosis घClear breath sounds with occasional wheezing
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

114. A primiparous (first time) mother at 38 weeks gestation reports experiencing frequent episodes of uterine contractions, each lasting approximately 30 seconds to a minute, and occurring every 10-20 minutes. She denies any vaginal bleeding or rupture of membranes. What is the MOST appropriate initial nursing intervention?

     कAdminister an intravenous injection of oxytocin to strengthen contractions खEncourage the client to rest in a lateral recumbent position गProvide reassurance and monitor fetal heart rate closely घOffer warm blankets to alleviate discomfort
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

115. A pediatrician is examining a 6-month-old infant who presents with fanning of the toes and dorsiflexion of the big toe when the sole is stroked. Which finding best supports the diagnosis of neurological maturity?

     कPresence of reflexes like the Moro reflex. खAbsence of sucking reflex. गHigh muscle tone. घAsymmetry in the plantar surface of the foot.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

116. A nurse is teaching a new mother about breastfeeding. Which statement best describes the importance of frequent breastfeedings for the infant?

     कFrequent feeding stimulates the production of colostrum, which is rich in antibodies. खFrequent nursing ensures consistent stimulation of milk production by the mammary glands. गFrequent feedings help the infant establish a strong bond with their mother. घFrequent feeding provides infants with necessary nutrients to meet growth requirements.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

117. A postpartum client has been experiencing vaginal leakage for the past 4 hours. The nurse notes that the lochia is scant, pinkish, and odor-free. Which intervention should the nurse implement FIRST?

     कAdminister an analgesic to relieve pain. खApply a warm compress to the perineal area. गInsert a urinary catheter to monitor bladder output. घAssess for signs of infection, such as fever or foul odor.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

118. A nurse is assessing a newborn immediately after birth who presents with a soft, pliable lump on the vertex of the head. Which finding would MOST likely differentiate this condition from cephalhematoma?

     कPresence of bruising around the affected area. खAbsence of any palpable pulsations in the affected area. गFirm, well-defined borders surrounding the lesion. घThe lump disappears completely after gentle manipulation.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

119. A pregnant woman in her 32nd week of gestation reports experiencing increased vaginal bleeding and abdominal pain. Based on this information, which of the following is the MOST immediate priority for the nurse?

     कAdminister Rho(D) immune globulin to prevent Rh sensitization. खInsert a Foley catheter to monitor urine output. गPrepare for potential delivery in an operating room. घAdminister intravenous fluids and monitor vital signs.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

120. A postpartum client reports experiencing vaginal leakage several hours after delivery. The nurse observes bright red blood on the bedsheets. Which finding would MOST likely indicate that placental separation has occurred? a) A decrease in uterine tone as assessed by palpation. b) Presence of clots in the vaginal discharge. c) A warm, boggy uterus with a relaxed fundus. d) Increased fetal movements noted during assessment.

     कa) A decrease in uterine tone as assessed by palpation. खb) Presence of clots in the vaginal discharge. गc) A warm, boggy uterus with a relaxed fundus. घd) Increased fetal movements noted during assessment.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।