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

191. A pregnant woman at 28 weeks gestation reports experiencing intermittent contractions of the uterus. These contractions are irregular and not causing cervical dilation or effacement. What is the nurse’s FIRST action?

     कInstruct the patient to rest in a warm bath खAdminister an antispasmodic medication as prescribed by the physician गAssess the fetal heart rate continuously घEncourage the mother to drink plenty of fluids
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

192. A newborn infant, 3 hours old, presents with a high anterior fontanel bulging, irritability, poor feeding, and lethargy. Which nursing assessment finding would be MOST indicative of cephalohematoma?

     कBluish discoloration surrounding the parietal bones खRedness over the occipital bone consistent with caput medusae गA flat, non-tender area on the vertex of the head घTenderness to palpation only over the mastoid process
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

193. A pregnant woman at 36 weeks gestation reports experiencing increased vaginal bleeding and abdominal cramping. She denies any trauma. Based on this information, what is the nurse’s PRIORITY action?

     कAdminister Rho(GAM) immunoglobulin intravenously खNotify the obstetrician immediately and prepare for potential emergency intervention गEncourage the patient to rest and monitor her vital signs at home घAdminister intravenous fluids to maintain hydration levels
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

194. A mother reports that her 6-month-old infant has been fussy and irritable for the past several days. The infant also exhibits a mild temperature of 38.2°C (100.8°F). Which nursing action is MOST appropriate at this time?

     कAdminister an over-the-counter acetaminophen medication as prescribed by the mother for fever management खAssess the infant's respiratory rate and auscultate lung sounds गEncourage the mother to increase the infant’s fluid intake with breast milk or formula घProvide the mother with educational materials on common childhood illnesses
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

195. A mother reports that her newborn infant has a high-pitched cry, is irritable, and frequently pulls at his hands and feet. The nurse observes that the infant is feeding poorly and appears restless. These symptoms are MOST consistent with which condition?

     कNeonatal Hypoglycemia खNeonatal Septicemia गNeonatal Abstinence Syndrome (NAS) घKernighan Syndrome
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

196. A postpartum client is 24 hours after delivery and reports experiencing significant vaginal bleeding despite receiving uterotonic medications. The fundus uteri is palpably soft and low. What is the nurse’s FIRST action?

     कAdminister an additional dose of oxytocin. खApply a warm compress to the perineum. गInsert a pessary into the vagina. घAssess for signs of uterine rupture.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

197. A newborn infant, 3 days old, presents with lethargy, poor feeding, and a body temperature of 36.7°C (98°F). The nurse observes that the infant's skin has a yellow hue, primarily in the palms, soles, and face. Which of the following is the MOST likely diagnosis?

     कNeonatal Septicemia खKernighan Syndrome गPathological Jaundice घTransient Neonatal Hyperbilirubinemia
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

198. A mother reports she has been experiencing frequent Braxton Hicks contractions for the past week. She states they are becoming more regular and painful. What is the nurse’s MOST appropriate initial response?

     कAdminister an over-the-counter pain reliever as prescribed by the client’s physician. खInstruct the client to rest in a comfortable position and monitor her contractions. गEncourage the client to increase fluid intake and reduce sodium consumption. घSchedule a consultation with a maternal-fetal medicine specialist immediately.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

199. A newborn infant presents with Horner's syndrome (ptosis, miosis, anhidrosis) on the right side. This finding MOST likely indicates:

     कRespiratory distress खTransient neonatal phenomenon गPersistent pulmonary hypertension of the newborn घCardiac anomaly
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

200. During a home visit for a postpartum client, you notice the infant is frequently rootling (attempting to suck on the air) and appears restless. This finding MOST closely suggests:

     कSuccessful breastfeeding खNeonatal hypoglycemia गNormal newborn reflexes घAspiration pneumonitis
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।