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

21. A 6-week-old infant presents with a positive diagnosis of cystic fibrosis based on sweat chloride testing. Which nursing intervention is MOST important at this time?

    कInitiate treatment with pancreatic enzyme replacement therapy. खBegin physical therapy to improve muscle tone. गRestrict fluid intake to decrease mucus production. घAdminister high calorie formula.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

22. A pregnant client at 28 weeks gestation presents with a blood pressure of 160/100 mmHg and proteinuria in her urine. Which condition should the nurse suspect?

    कGestational Diabetes Mellitus. खPre-eclampsia. गEclampsia. घHyperemesis Gravidarum.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

23. A newborn infant, born at 32 weeks gestation, exhibits signs of respiratory distress including nasal flaring, retractions, and grunting. Which intervention is the nurse's *initial* action?

    कAdminister oxygen via nasal cannula. खPlace the infant in a semi-fowler’s position. गInitiate intravenous fluids with electrolytes. घMonitor heart rate continuously.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

24. A 3-month-old infant is diagnosed with cystic fibrosis. Based on this diagnosis, which administration method is MOST appropriate for providing medication?

    कAdministering the medication via a metered-dose inhaler. खGiving the medication orally as a suspension. गInjecting the medication intramuscularly. घApplying the medication topically to the skin.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

25. A postpartum client who delivered a healthy infant 6 hours ago reports experiencing pink vaginal discharge and increasing pain in her lower abdomen. Which of the following actions should the nurse take *first*?

    कAdminister oral antibiotics to prevent infection. खEncourage frequent bladder scanning to assess for urinary retention. गAssess the perineum for signs of laceration or hematoma. घElevate the client’s hips and provide warm blankets.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

26. A newborn infant demonstrates cyanosis during crying. The nurse recognizes this as potentially related to a congenital heart defect. Which finding would *most* support the diagnosis of Tetralogy of Fallot?

    कA) A symmetrical pattern of peripheral pulses. खB) Hepatomegaly and splenomegaly. गC) A characteristic ‘tet spell’ associated with increased cardiac output. घD) Normal capillary refill times in all extremities.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

27. A pregnant woman at 32 weeks gestation reports experiencing irregular contractions. The fetal heart rate monitoring reveals an increase in variability. Which of the following interventions is *most* appropriate for the nurse to implement?

    कA) Administer intravenous fluids to increase maternal blood volume. खB) Initiate a continuous infusion of oxytocin to augment labor. गC) Provide reassurance and monitor fetal well-being closely. घD) Position the woman in a side-lying position to reduce uterine contractions.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

28. A 6-week-old infant is brought to the clinic by the mother who reports projectile vomiting after each feed. Physical examination reveals an olive-shaped mass in the epigastrium. Based on this information, which of the following conditions is *most* likely?

    कA) Pyloric Stenosis. खB) Infant Reflux. गC) Congenital Hip Dysplasia. घD) Intussusception.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

29. A nurse is educating a mother about postpartum care for her newborn. Which of the following instructions is *most* important regarding umbilical cord care?

    कA) To apply an antiseptic solution to the cord stump daily. खB) To keep the cord stump dry and exposed to air, allowing it to fall off naturally within 1-3 weeks. गC) To tightly wrap the cord stump with gauze to prevent infection. घD) To submerge the cord stump in warm water for 30 minutes twice a day.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

30. A nurse is assessing a newborn who was delivered by vaginal delivery with some bruising to the scalp. The infant’s head circumference is slightly larger than expected. Which of the following findings would *most* indicate cephalohaematoma?

    कA) Presence of clear serous fluid draining from the laceration site. खB) A well-defined, bluish-purple mass palpated over the vertex of the skull. गC) Increased capillary refill time in the hands and feet. घD) Reports of the infant exhibiting a strong Moro reflex.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।