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 newborn infant is exhibiting signs of neonatal jaundice. The nurse is preparing for phototherapy. Which of the following actions is MOST important? a) Placing the infant in a dark room to reduce melanin production. b) Positioning the infant under a full-spectrum light source at a distance of 60 cm. c) Applying cool compresses to the infant’s skin. d) Restricting breastfeeding to decrease bilirubin levels.
सही उत्तर: ग) c) Applying cool compresses to the infant’s skin.
Phototherapy utilizes specific wavelengths of light to convert bilirubin into a form that can be excreted by the body. Positioning the baby correctly under the light source is key, and a distance of 60 cm is standard practice. Options (a) and (c) are ineffective, and option (d) could negatively impact nutrition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe abdominal pain, vaginal bleeding, and uterine contractions. Based on these findings, which of the following interventions is MOST appropriate in the initial management? a) Administer intravenous fluids to maintain hydration. b) Initiate magnesium sulfate for seizure prophylaxis. c) Insert a Foley catheter to monitor bladder output. d) Administer oxytocin to induce labor.
सही उत्तर: ख) b) Initiate magnesium sulfate for seizure prophylaxis.
Magnesium sulfate is the standard initial treatment for preeclampsia, addressing the risk of seizures which are a serious complication. Option (a) provides hydration but doesn’t address the primary issue. Option (c) might be useful later, and option (d) could worsen the situation due to uncontrolled contractions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports experiencing uterine contractions every 5-7 minutes and intermittent pain. The fetal heart rate remains reassuring. Which statement best describes the nurse’s next action?
सही उत्तर: ग) Encourage the mother to rest and hydrate.
Option 2 is correct; continuous electronic fetal monitoring is crucial when contractions are occurring, allowing for real-time assessment of fetal heart rate changes and uterine activity. Options 1, 3, and 4 may be necessary later but are not the immediate priority given reassuring fetal monitoring.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client reports experiencing vaginal bleeding that increases in amount following contractions. The nurse’s priority action is to:
सही उत्तर: ख) Assess the perineum for lacerations and hematomas.
Option 1 is correct – increased vaginal bleeding after contractions strongly suggests postpartum hemorrhage. Options 2, 3, and 4 may provide temporary relief but do not address the underlying cause of excessive bleeding. Assessment for lacerations is crucial as well.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe abdominal pain, headache, visual disturbances, and elevated blood pressure. Based on these symptoms, which complication should the nurse suspect immediately?
सही उत्तर: ख) Pre-eclampsia
Option 1 is correct; pre-eclampsia presents with a combination of hypertension, proteinuria, and neurological symptoms. Options 2, 3, and 4 are possible pregnancy conditions but do not explain the specific cluster of signs described in the scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant demonstrates signs of jaundice within the first 24 hours after birth. Which intervention should the nurse implement *first*?
सही उत्तर: क) Administer phototherapy immediately to reduce bilirubin levels.
Option 0 is correct as immediate phototherapy is the standard initial treatment for neonatal jaundice. Options 1, 2, and 3 are secondary interventions or potentially harmful actions that could delay effective treatment. Phototherapy utilizes specific wavelengths of light to convert bilirubin into a form easily excreted by the body.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 36 weeks gestation reports experiencing intermittent contractions that are irregular and not progressing. Based on these findings, which of the following is the nurse’s MOST appropriate action? a) Encourage the woman to rest and hydrate. b) Assess fetal heart rate and uterine activity continuously. c) Administer an antispasmodic medication. d) Initiate intravenous fluids immediately.
सही उत्तर: ख) b
The correct answer is (b). Irregular, non-progressing contractions at 36 weeks can indicate preterm labor. Continuous monitoring of fetal heart rate and uterine activity is crucial to assess the progression of labor and determine whether interventions are needed (induction or augmentation). Options a, c, and d are inappropriate responses in this initial assessment phase.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 28 weeks gestation reports experiencing severe headache, blurred vision, and swelling of her hands and face. A urinalysis reveals elevated protein levels. Which condition is the nurse MOST concerned about? a) Gestational diabetes. b) Pre-eclampsia. c) Eclampsia. d) Hyperemesis gravidarum.
सही उत्तर: ख) b) Pre-eclampsia.
Option B is correct because the symptoms presented (severe headache, blurred vision, swelling, and elevated protein in urine) are classic signs of pre-eclampsia. While eclampsia involves seizures, pre-eclampsia is the underlying condition requiring immediate investigation and management. Gestational diabetes has different symptomology and Hyperemesis Gravidarum involves severe vomiting.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-week old infant is brought to the clinic for follow up after being born prematurely. The nurse observes that the infant's skin appears excessively dry, and the mother reports difficulty with the infant’s feeding and frequent crying. Which action should the nurse take FIRST? a) Provide frequent small feedings. b) Assess the infant's temperature to rule out hypothermia. c) Offer a warm formula to increase caloric intake. d) Encourage breastfeeding by positioning the baby in a more upright position.
सही उत्तर: ख) b) Assess the infant's temperature to rule out hypothermia.
Option B is correct because prematurity frequently leads to difficulties with thermoregulation, so assessing the infant’s temperature first is crucial for identifying and addressing hypothermia – a major concern for premature infants. The other options address feeding but don't prioritize immediate temperature management.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant immediately following birth has a large, firm, nontender swelling on the vertex (top) of the head. This swelling is causing slight discomfort to the infant but does not interfere with feeding or breathing. What is the MOST likely diagnosis? a) Cephalohaematoma. b) Caput succedaneum. c) Subgaleal haematoma. d) Scalp hematoma.
सही उत्तर: ख) b) Caput succedaneum.
Option B is correct because caput succedaneum is a common, self-limiting condition in newborns characterized by swelling of the scalp without bruising. It resolves spontaneously. Option A is a collection of blood beneath the membranes and Option C & D are other causes of bleeding on the head.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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