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 teaching a new mother about postpartum care. Which statement best describes the expected characteristics of breast milk?
सही उत्तर: ग) It adapts to the infant's changing nutritional needs
The correct answer (2) – ‘It adapts to the infant’s changing nutritional needs’ – accurately describes breast milk. Breast milk composition changes over time to meet the infant's evolving requirements. The other options are incorrect; breast milk is rich in fats and carbohydrates for growth, primarily composed of antibodies and immunoglobulins, and while it has some immune components, its primary function is as a nutrient source.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 28 weeks gestation reports experiencing increasing fatigue and mild swelling of her hands and face. Which of the following findings would *most strongly* indicate the presence of pre-eclampsia?
सही उत्तर: घ) Elevated blood pressure of 130/85 mmHg
The correct answer (3) – ‘Elevated blood pressure of 130/85 mmHg’ – is the defining characteristic of pre-eclampsia. While headache and edema can be present, hypertension is the critical diagnostic criterion. Decreased urine output and uterine contractions are associated with other complications. It's important to note that even a slight elevation in BP needs monitoring.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a 6-week-old infant diagnosed with cystic fibrosis. What is the *primary* purpose of administering pancreatic enzyme supplementation to this child?
सही उत्तर: ख) To prevent bowel obstruction caused by thick mucus
The correct answer (1) – ‘To prevent bowel obstruction caused by thick mucus’ – is the key function of pancreatic enzyme supplementation. Cystic fibrosis causes excessive mucus production throughout the body, including in the digestive tract, leading to obstruction. The other options are secondary effects or incorrect applications of this treatment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn admitted for phototherapy. Which of the following nursing interventions is *most* important?
सही उत्तर: घ) Monitor the infant's respiratory rate closely for signs of distress
The correct answer (3) – ‘Monitor the infant's respiratory rate closely for signs of distress’ – is essential when a newborn is undergoing phototherapy. Phototherapy can cause hyperthermia and respiratory depression. The other options are incorrect; direct radiant heat should be avoided, blankets could impede light exposure, and covering completely will restrict gas exchange.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client, 36 hours after delivery, reports experiencing vaginal bleeding of approximately 50-100 ml per hour. Her uterus is still soft to palpation and she has not yet experienced lochia. What is the nurse’s *most* appropriate initial action?
सही उत्तर: क) Administer oxytocin to stimulate uterine contraction
The correct answer (0) is ‘Assess her blood pressure and pulse closely’. Excessive vaginal bleeding in the immediate postpartum period can indicate hypovolemic shock. Monitoring vital signs is crucial. The other options are less appropriate initially – oxytocin could worsen the bleeding, frequent urination won't address the volume loss, and warm blankets are a supportive measure but don’t directly address the cause of the hemorrhage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is reviewing information about child abuse. Which of the following findings would *most strongly* suggest potential physical abuse?
सही उत्तर: ख) Unexplained bruising and lacerations
Unexplained bruising and lacerations are classic indicators of physical abuse, signifying a forceful trauma. While other options may be associated with neglect or emotional distress, they don't directly point to intentional physical harm.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to Erikson's theory of psychosocial development, what is the *primary* developmental task for a toddler (approximately 1-3 years old)?
सही उत्तर: ग) Industry vs. Inferiority
Erikson’s stage of ‘Autonomy versus Shame and Doubt’ focuses on the toddler's efforts to assert independence and control over their environment, which is a core concept within this age group’s development.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pediatrician suspects that a 4-year-old child may have rickets. Which vitamin deficiency is *most likely* responsible for this condition?
सही उत्तर: ख) Vitamin D
Rickets is primarily caused by a deficiency of Vitamin D, which is crucial for calcium absorption and bone mineralization in children. While other vitamins play roles in overall health, Vitamin D’s specific role in skeletal development makes it the primary cause of rickets.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn infant diagnosed with cystic fibrosis. Which of the following results would be *most* indicative of this condition?
सही उत्तर: ख) Serum Chloride: 92 mEq/L
A sweat chloride level of 92 mEq/L (or higher) is the hallmark diagnostic test for cystic fibrosis. This reflects the impaired ability of the sweat glands to excrete chloride ions due to defective ion transport mechanisms. The other options represent normal ranges.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports that her 6-month-old infant has been experiencing frequent episodes of vomiting and watery diarrhea for the past 24 hours. The infant appears lethargic and is not taking fluids well. What is the nurse’s *most* appropriate initial action?
सही उत्तर: घ) Encouraging the mother to monitor the infant's temperature closely.
The correct answer is 3 because dehydration is the primary concern with diarrhea in infants. ORS provides electrolytes and fluids necessary for hydration. Options 1 & 2 are inappropriate as they don’t address the immediate threat of dehydration. Option 4 is a secondary consideration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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