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 mother reports her newborn has a bilirubin level of 18 mg/dL. Which intervention should the nurse prioritize?
सही उत्तर: ग) Initiate phototherapy with blue lights
Option 2 (Initiating phototherapy) is correct as elevated bilirubin necessitates phototherapy to reduce its production and promote excretion. Options 1, 3, and 4 are important but do not address the immediate threat of hyperbilirubinemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the MOST important nursing intervention for a newborn immediately following vaginal birth?
सही उत्तर: ख) Maintaining neutral temperature with radiant warming devices
Option 1 (Administering intravenous fluids) is incorrect as newborns typically do not require IV fluids immediately after birth. Option 2 (Maintaining neutral temperature) is crucial for preventing heat loss, but the immediate priority is to prevent hypothermia. Options 3 and 4 are important assessments but secondary to rapid warmth.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation reports experiencing increasing shortness of breath. Auscultation reveals crackles in both lungs. What is the MOST likely diagnosis?
सही उत्तर: ख) Gestational Asthma
Option 1 (Gestational Asthma) is correct because the symptoms described – shortness of breath and crackles – are consistent with gestational asthma, a common complication in pregnancy. Options 2 (Pneumonia), 3 (Pre-eclampsia), and 4 (Thromboembolism) are less likely given the presentation without additional supporting signs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A fetal monitor shows intermittent late decelerations during an oxytocin infusion. Which intervention should the nurse implement *immediately*?
सही उत्तर: घ) Notify the physician regarding a potential fetal distress
Late decelerations are often associated with umbilical cord compression. Positioning the client supine with knees flexed helps to relieve pressure on the abdomen and improve uterine tone, allowing for better fetal positioning. The other options are inappropriate responses to this clinical situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman is 32 weeks gestation. Using Naegele’s rule, calculate the estimated date of delivery (EDD).
सही उत्तर: ख) January 1st, 2024
Naegele's rule calculates the EDD by adding 7 days to the first day of the woman’s last menstrual period. January 1st, 2024 is the correct calculation based on a LMP of November 15th, 2023. The other options are incorrect due to misapplication of the rule.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a preterm infant with bronchiolitis. Which nursing intervention is MOST appropriate for managing the infant’s breathing difficulties?
सही उत्तर: क) Administering supplemental oxygen via nasal cannula
Supplemental oxygen via nasal cannula (option 1) is a primary intervention for preterm infants with respiratory distress. Encouraging burping, postural drainage, and applying cool compresses are less effective for bronchiolitis and may potentially worsen the situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a newborn who has experienced meconium staining of the skin. What is the PRIMARY nursing intervention to manage this situation?
सही उत्तर: ख) Maintaining frequent suctioning of the nasal passages
Frequent suctioning (option 1) is crucial to remove meconium from the infant’s airways, which prevents aspiration. Maintaining hydration and electrolytes (option 2), promoting movement, and topical antibiotics are secondary interventions. Meconium itself doesn't require direct treatment but needs to be cleared from the baby's respiratory system.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is educating a mother about fetal movement during pregnancy. Which description best explains what is meant by ‘quickening’?
सही उत्तर: ख) The first palpable fetal movements felt by the mother
'Quickening' (option 1) refers to the initial, often subtle, fetal movements that a pregnant woman first detects – typically around 16-25 weeks. Regular contractions (option 2), increased heart rate (option 3), and sudden bursts of activity are not defined as quickening.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a postpartum checkup, a nurse assesses a new mother who reports experiencing vaginal leakage. The nitrazine paper turns blue-green. What is the MOST likely interpretation of this finding?
सही उत्तर: क) Fetal Fluids
Blue-green coloration with a nitrazine paper indicates amniotic fluid (option 1), which is expected in vaginal leakage after delivery. Uterine secretions (option 2) typically appear clear or slightly cloudy. Vaginal discharge (option 3) can be yellow or brown, and breast milk leakage (option 4) would result in a different color change on the paper.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman experiencing increased vaginal bleeding and abdominal pain at 28 weeks gestation requires immediate medical attention. Which of the following complications is MOST likely?
सही उत्तर: क) Placenta Previa
Placenta previa (option 1) – this describes bleeding from the placental implantation site, a common and serious complication at that gestational age. Gestational diabetes mellitus (option 2), multiple pregnancy (option 3), and ectopic pregnancy (option 4) are all possibilities but don't specifically explain the combination of bleeding and pain experienced by the patient.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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