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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During a postpartum home visit, the nurse assesses a client who recently delivered a healthy infant. The client reports experiencing lochia that has increased in volume and is now brownish in color. Which of the following actions should the nurse advise the client to take?
सही उत्तर: ख) Apply a dry cotton ball to the perineal area for 30 minutes
The correct answer is ‘Apply a dry cotton ball to the perineal area for 30 minutes’ (option 1). This helps to prevent infection, which is a significant concern with increased lochia volume. Douching can disrupt vaginal flora and increase the risk of infection. The other options are inappropriate as they could exacerbate inflammation or introduce harmful bacteria.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant’s mother reports that the baby has been crying inconsolably since birth. The nurse observes rapid respirations, nasal flaring, and retractions. What nursing intervention would be most appropriate at this time?
सही उत्तर: घ) Monitor the infant’s blood glucose levels
The correct answer is ‘Monitor the infant’s blood glucose levels’ (option 3). Neonatal hypoglycemia is a common cause of irritability and respiratory distress in newborns. While oxygen and skin-to-skin contact are beneficial, assessing for hypoglycemia is the most immediate priority given the presenting symptoms. Administering antiemetics or providing a bath would be inappropriate without first ruling out this serious metabolic issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports that her 6-month-old infant has been experiencing frequent vomiting and diarrhea for the past 24 hours. The infant appears lethargic and is not feeding well. Which of the following interventions should the nurse implement first?
सही उत्तर: क) Administering antiemetic medication as prescribed by the physician
The correct answer is ‘Maintaining strict fluid replacement with intravenous fluids’ (option 0). Dehydration is the primary concern in this scenario, and immediate IV fluids are crucial for correcting electrolyte imbalances. The other options are less immediately critical; antiemetics may not resolve dehydration quickly, assessing hydration is important but shouldn't delay fluids, and a bland diet isn't appropriate without adequate fluid replacement.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A new mother is concerned about the amount of breast milk her baby is receiving. Which of the following statements best describes how to assess this?
सही उत्तर: ख) Observe the baby's stool frequency and color
Measuring the baby’s urine output (option 1) is a reliable method to assess fluid intake, which indirectly indicates milk production. Frequent stools are not always an indicator; assessing color and frequency alone can be misleading. The number of sucks doesn't correlate with volume and pain levels for the mother are related to breastfeeding technique, not overall milk supply.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The nurse is assessing a 6-month-old infant who has been diagnosed with iron deficiency anemia. Which of the following findings would BEST support this diagnosis?
सही उत्तर: ख) Decreased red blood cell count
Elevated serum ferritin levels (option 1) are a key indicator of iron stores within the body and are typically elevated in patients with iron deficiency anemia. The other options represent different conditions that may occur alongside, but do not confirm diagnosis of Iron Deficiency Anemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant exhibits signs of respiratory distress including nasal flaring, retractions, and grunting. The nurse suspects meconium aspiration syndrome (MAS). Which intervention is MOST crucial in the initial management of this condition?
सही उत्तर: घ) Providing frequent suctioning of the airway
Frequent suctioning of the airway (option 3) is the most critical initial intervention in MAS. The goal is to remove the meconium from the airways, which can be done effectively with repeated suctioning. Positive pressure ventilation is usually reserved for more severe cases and a prone position is generally avoided as it can worsen hypoxia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following interventions is MOST important for preventing hypoglycemia in a neonate receiving parenteral nutrition?
सही उत्तर: ग) Frequently monitoring blood glucose levels
Frequently monitoring blood glucose levels (option 2) is paramount. Continuous monitoring allows for timely adjustments to the glucose infusion rate to maintain euglycemia. The other options are less critical; dextrose 10% is typically too concentrated, delaying feeding could lead to further hypoglycemia, and continuous infusions at a low rate may not accurately reflect the infant’s immediate needs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman reports experiencing intermittent pelvic pain and vaginal bleeding. Based on the clinical presentation, which of the following is the MOST likely diagnosis?
सही उत्तर: ख) Placenta Previa
Placenta previa (option 1) is characterized by painless vaginal bleeding from the lower uterine segment and is a very common cause of intermittent pelvic pain and vaginal bleeding in pregnancy. The other options are less likely given the described symptoms – miscarriage can be painful but often presents with heavier bleeding, ectopic pregnancy usually causes sharp, localized pain, and a threatened abortion typically involves lighter spotting.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 32-year-old woman, G3P2 (gravida 3, para 2), presents to labor and delivery at 38 weeks gestation with regular contractions. She reports a sudden onset of severe headache, visual disturbances, and epigastric pain. Based on these findings, which diagnosis is most likely?
सही उत्तर: ग) Preeclampsia.
The correct answer is ‘Preeclampsia.’ The symptoms described (severe headache, visual disturbances, epigastric pain) are classic signs of preeclampsia. The other options do not align with this constellation of findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn is exhibiting signs of respiratory distress including nasal flaring, retractions, and grunting. The nurse’s assessment reveals a meconium-stained amniotic fluid sample. Which intervention would be most appropriate at this time?
सही उत्तर: ख) Initiate bulb suctioning of the airway.
The correct answer is ‘Prepare for immediate endotracheal intubation.’ Meconium aspiration syndrome (MAS) is a significant risk in newborns with meconium-stained amniotic fluid. Rapid progression of respiratory distress necessitates immediate airway management. Oxygen alone may not be sufficient.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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