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 nurse is educating a new mother about breastfeeding. Which statement by the mother indicates a need for further instruction? a) “I will ensure I am comfortable and relaxed while nursing.” b) “My baby should latch onto the breast with a wide-open mouth.” c) “The baby may root around on the breast to find the nipple.” d) “I can express milk and offer it to the baby if needed.”
सही उत्तर: ग) c
Option C is correct. A normal latch involves a wide-open mouth allowing the baby to effectively draw milk from the areola, not just the nipple. Options A, B and D indicate appropriate understanding of breastfeeding techniques.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn who has meconium-stained stool. Which finding would be MOST concerning? a) The stool’s color is dark green. b) The stool’s odor is pungent. c) The stool is difficult to pass and causes abdominal distention. d) The stool is soft and easily passed.
सही उत्तर: ख) b
Option C is correct. Meconium-stained stool, particularly when associated with abdominal distention, can indicate fetal distress during labor, potentially leading to hypoxia and neurological damage in the newborn. Options A, B and D are normal variations that do not warrant immediate concern.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation complains of sudden onset vaginal bleeding and abdominal cramps. The nurse recognizes this as a potential sign of placental abruption. Which action should the nurse take FIRST? a) Encourage the patient to rest in bed. b) Administer oxygen via nasal cannula. c) Notify the physician immediately and prepare for possible surgical intervention. d) Assess the fetal heart rate continuously.
सही उत्तर: ग) c
Option C is correct. Placental abruption is a serious obstetric emergency requiring immediate medical attention, including potential delivery of the infant via cesarean section. Options A, B and D are important supportive measures but do not address the critical need for prompt diagnosis and intervention. This aligns with standard protocols for managing placental abruption.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports her 6-month-old child is experiencing frequent projectile vomiting and watery diarrhea. The nurse recognizes this as a potential sign of dehydration. Which of the following nursing interventions is MOST important at this time? a) Offering small, frequent meals of bland foods. b) Administering antidiarrheal medication as prescribed by the physician. c) Establishing intravenous (IV) fluid replacement therapy. d) Monitoring the child’s urine output and skin turgor.
सही उत्तर: घ) d
Option C is correct. Dehydration in a young infant requires immediate IV fluid replacement to restore electrolyte balance and maintain hydration. Options A, B and D are supportive measures but do not address the acute need for fluid resuscitation. This is consistent with national guidelines on pediatric dehydration management.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a newborn who is receiving phototherapy. Which of the following actions should the nurse prioritize? a) Allowing the infant to wear dark clothing to enhance treatment. b) Placing the infant on a padded surface away from direct sunlight and external light sources. c) Applying cool compresses to the infant’s abdomen. d) Frequently changing the infant’s diapers to prevent skin irritation.
सही उत्तर: ख) b
Option B is correct. Phototherapy relies on minimizing exposure to all light sources to effectively convert bilirubin into a form excreted in urine. Options A, C, and D are inappropriate interventions that could interfere with the phototherapy process or cause harm to the infant. This aligns with DHA guidelines for neonatal care.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client presents with a fundus that is firm but displaced to the right and above the umbilicus. The nurse's assessment reveals fetal heart rate monitoring is within normal limits. What is the MOST likely finding?
सही उत्तर: घ) A retained placental fragment.
A firm but displaced uterine fundus to the right and above the umbilicus suggests uterine atony – a failure of the uterus to contract adequately after delivery. This is the most common cause of postpartum hemorrhage. The other options are less likely given the normal fetal heart rate.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant weighing 3.2 kg has been admitted to the NICU for evaluation. Based on current growth charts, what is the MOST likely approximate weight of the infant at 1 year of age?
सही उत्तर: ख) 9.1 kg
According to standard growth curves, a baby weighing 3.2kg at birth will typically gain approximately 9.1 kg (or 9.1 kg) by one year of age.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant is brought to the clinic by the mother due to concerns about delayed development. The nurse observes that the baby exhibits fanning of the toes and dorsiflexion of the big toe when the sole is stroked – a reflex known as the Babinski reflex. What does this finding MOST likely indicate?
सही उत्तर: ख) The infant may have an underlying neurological condition such as cerebral palsy.
The Babinski reflex is typically absent in infants. Its presence suggests an abnormality in the nervous system, most commonly cerebral palsy or other neurological conditions. The other options are less relevant to this specific finding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents to the NICU with symptoms including irritability, poor feeding, tremors, and high-pitched cry. The infant's mother reports that she used opioids during pregnancy. The nurse suspects neonatal abstinence syndrome (NAS). Which intervention is MOST important for the nurse to implement immediately?
सही उत्तर: ग) Maintain a calm and quiet environment for the infant.
Phototherapy is the standard treatment for NAS. It uses blue light to help metabolize the opioids. While other interventions are important components of care (creating a calm environment and encouraging breastfeeding), phototherapy addresses the underlying cause of the syndrome.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 36 weeks gestation reports experiencing intermittent lower abdominal cramping and vaginal spotting. Which of the following actions is MOST appropriate for the nurse to take FIRST?
सही उत्तर: ख) Assess fetal heart rate patterns and uterine contractions.
The priority is assessing the fetal status given the signs of placental abruption (cramping and spotting). Monitoring the fetal heart rate will provide immediate information about fetal well-being. The other options are secondary interventions. This aligns with standard obstetric emergency protocol.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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