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

131. During routine prenatal care at 32 weeks gestation, a pregnant client reports experiencing intermittent contractions that are not progressing and do not result in cervical dilation or effacement. She describes them as ‘practice contractions’. Which of the following interventions is MOST appropriate for the nurse to implement? a) Encourage frequent sips of clear fluids. b) Instruct the client to rest in a warm bath. c) Advise the client to monitor the frequency and duration of contractions. d) Prescribe bed rest with knees drawn up to the chest.

     कa) Encourage frequent sips of clear fluids. खb) Instruct the client to rest in a warm bath. गc) Advise the client to monitor the frequency and duration of contractions. घd) Prescribe bed rest with knees drawn up to the chest.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

132. A 6-month-old infant presents to clinic with symptoms including poor weight gain, irritability, and a bulging fontanelle. The mother reports that the baby is not thriving as well as other infants her age. What is the MOST likely underlying cause of these symptoms? a) Acute respiratory infection. b) Iron deficiency anemia. c) Congenital hypothyroidism. d) Early-onset bacterial meningitis.

     कa) Acute respiratory infection. खb) Iron deficiency anemia. गc) Congenital hypothyroidism. घd) Early-onset bacterial meningitis.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

133. A preterm infant (32 weeks gestation) presents to the emergency department with respiratory distress, rapid breathing, and a weak cry. Physical examination reveals signs of prematurity including lanugo and decreased muscle tone. Which intervention would be MOST appropriate for the nurse to implement initially? a) Administer oxygen via nasal cannula at 2 liters per minute. b) Initiate intravenous fluids with Dextrose Solution. c) Place the infant in a humidified incubator. d) Begin phototherapy using a blue light source.

     कa) Administer oxygen via nasal cannula at 2 liters per minute. खb) Initiate intravenous fluids with Dextrose Solution. गc) Place the infant in a humidified incubator. घd) Begin phototherapy using a blue light source.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

134. Which lochia finding requires immediate notification of the physician?

     कLochia serosa, scant, light pink. खLochia rubra, heavy, bright red. गLochia alba, milky white discharge. घLochia creta, small amount of mucus-like discharge.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

135. A nurse is observing a newborn infant during breastfeeding. Which of the following observations would indicate that the infant is latched correctly?

     कThe mother is straining and grimacing during the feed. खThe baby’s mouth is wide open, with the nose clear of the breast. गThe baby's cheeks are puffed out, and there is a tenting of the skin above the nipple. घThe baby is moving its head from side to side while feeding.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

136. Which of the following findings is MOST indicative of hyperbilirubinemia in a newborn infant?

     कA symmetrical pink skin colour across the body. खPale skin at the wrists and ankles. गIncreased bowel movements, resulting in frequent stools. घThe infant exhibiting a strong Moro reflex.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

137. A nurse is assessing a newborn infant who is 24 hours old. The baby’s mother reports that the baby has been exclusively breastfed, and the infant is exhibiting poor weight gain. Which finding would BEST indicate that the infant is receiving adequate milk?

     कIncreased urine output of 6-8 wet diapers per day. खA palpable full bladder on abdominal palpation. गThe infant frequently cries during or immediately after feedings. घMarkedly furrowed brow and insertion of the rootlets at the breast.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

138. A mother reports her 6-month-old infant has a fever of 38.5°C (101.3°F). Which nursing action is MOST important at this time?

     कAdminister acetaminophen as prescribed by the physician immediately. खOffer the infant additional formula to maintain hydration. गAssess the infant’s mucous membranes for signs of dehydration. घEncourage the mother to increase her breastfeeding frequency.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

139. A nurse is teaching a new mother about breastfeeding techniques. Which observation would indicate that the infant is effectively latched onto the breast?

     कThe mother’s nipples are reddened and sore खThe infant is rooting frequently but unable to establish a good latch गThe infant is swallowing air along with milk घThe baby demonstrates rhythmic sucking and swallowing movements consistent with efficient feeding
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

140. A 2-week-old infant is being seen for a routine checkup. The nurse observes that the infant's fontanel (soft spot) is sunken. Which action should the nurse take first?

     कAdministering fluids per physician’s orders खMonitoring the infant’s temperature regularly गAssessing the infant’s head circumference घProviding frequent oral hygiene
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।