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

11. Which finding in a newborn would MOST strongly suggest an initial assessment for hypoglycemia?

    कAbsent capillary refill in the extremities. खExcessive sweating. गA weak, rapid pulse. घAn acrocyanotic reflex.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

12. A mother reports that her newborn has a large, yellow-orange discoloration of the skin, particularly prominent on the face and torso. This finding is MOST concerning for:

    कPhysiologic Jaundice. खBreastfeeding jaundice. गHemolytic Disease of the Newborn (HDN). घGilbert's Syndrome.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

13. A newborn delivered at 32 weeks gestation weighs 1.5 kg and is exhibiting signs of respiratory distress, including nasal flaring, retractions, and grunting. The nurse understands that this is most likely due to:

    कTransient Bronchopulmonary Dysplasia (TBPD). खMeconium aspiration syndrome. गRespiratory Distress Syndrome (RDS). घPneumonia.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

14. A neonate is exhibiting signs of physiologic jaundice. Which of the following interventions is MOST crucial in managing this condition?

    कAdministering frequent doses of ascorbic acid. खInitiating phototherapy with blue light. गApplying a warm compress to the infant’s abdomen. घElevating the infant's head above heart level.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

15. A gravida 3, para 2 woman presents to labor and delivery with contractions every 5 minutes. Her cervix is dilated to 4 cm. Based on these findings, what is the nurse’s *primary* initial action?

    कAdminister oxytocin intravenously to accelerate cervical dilation. खEncourage ambulation and relaxation techniques to manage pain. गAssess fetal heart rate and maternal vital signs closely. घInitiate intravenous fluids for hydration.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

16. A nurse is caring for a newborn immediately after birth who is exhibiting signs of respiratory distress – rapid, labored breathing with nasal flaring and retractions. Which intervention should the nurse implement *first*?

    कAdministering oxygen via nasal cannula खInitiating suctioning of the airway गPlacing the infant in a semi-recumbent position घPositioning the infant prone
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

17. A 6-month-old infant presents with fever, irritability, and poor feeding. The nurse suspects an ear infection (otitis media). What is the *most* important action for the nurse to take before administering any medication?

    कImmediately administer antibiotics as prescribed खAssess the child's airway and breathing गPerform a thorough abdominal examination घCheck the child’s temperature rectally
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

18. During postpartum assessment, a nurse observes that a client has persistent vaginal bleeding after delivery that is heavier than normal lochia. What is the *primary* nursing concern in this situation?

    कPotential for post-partum infection खRisk of uterine atony गIncreased risk of hemorrhage due to placental fragments घThe need for immediate administration of oxytocin
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

19. A newborn infant, 3 days old, is exhibiting signs of dehydration – poor skin turgor, decreased tears, and sunken fontanelles. The nurse notes the infant's urine output is significantly less than expected. Based on these findings, what is the *most* appropriate initial nursing intervention?

    कAdministering intravenous fluids immediately खMonitoring the infant’s temperature closely गEncouraging frequent breastfeeding घProviding oral electrolyte solutions
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

20. A primigravida client at 38 weeks gestation reports intermittent contractions starting at 0900 hours. By 1200 hours, she is experiencing regular contractions every 5 minutes, each lasting 60 seconds, with fetal movement. What is the nurse's *first* action?

    कAdminister oxygen to the client खNotify the physician immediately गEncourage the client to rest and drink water घPerform a vaginal examination
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।