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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Variable decelerations are seen on the fetal monitor. What is the nurse's first action?
सही उत्तर: ख) Change the mother's position
Variable decelerations indicate cord compression, and repositioning may relieve pressure on the cord. If they persist or worsen, further interventions and provider notification follow.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Late decelerations on the fetal monitor are caused by:
सही उत्तर: क) Uteroplacental insufficiency
Late decelerations begin after the peak of the contraction and reflect reduced placental blood flow. Head compression causes early decelerations and cord compression causes variable decelerations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During an oxytocin infusion, the client has 6 contractions in 10 minutes and the fetal heart rate shows late decelerations. What should the nurse do first?
सही उत्तर: घ) Stop the oxytocin infusion
Tachysystole with a non-reassuring pattern requires stopping oxytocin first, then side-lying position, IV fluids and notifying the provider. Supine positioning would worsen placental perfusion.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which symptom reported by a client with preeclampsia suggests worsening disease?
सही उत्तर: ग) Epigastric or right upper quadrant pain
Epigastric/RUQ pain reflects liver involvement and is a severe feature, along with severe headache and visual changes. Mild dependent edema is common in normal pregnancy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with preeclampsia begins having a tonic-clonic seizure. What is the nurse's first action?
सही उत्तर: ख) Turn the client to her side and protect her from injury
During an eclamptic seizure the priority is airway protection and preventing injury; side-lying reduces aspiration risk. Nothing should be forced into the mouth.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which medication should be readily available at the bedside of a client receiving IV magnesium sulfate?
सही उत्तर: क) Calcium gluconate
Calcium gluconate is the antidote for magnesium toxicity. Naloxone reverses opioids and protamine reverses heparin.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In HELLP syndrome, the letters 'LP' stand for:
सही उत्तर: घ) Low platelets
HELLP means Hemolysis, Elevated Liver enzymes and Low Platelets. It is a severe variant of preeclampsia that needs prompt delivery planning.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Preeclampsia is defined as new-onset hypertension with proteinuria or organ dysfunction occurring after how many weeks of gestation?
सही उत्तर: ग) 20 weeks
Preeclampsia develops after 20 weeks of gestation. Hypertension present before 20 weeks usually indicates chronic hypertension.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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An Rh-negative mother has just given birth to an Rh-positive newborn. Within what time should Rh immune globulin be given?
सही उत्तर: ख) Within 72 hours after birth
Rh(D) immune globulin given within 72 hours prevents maternal sensitization to fetal Rh-positive cells. It is also routinely given at about 28 weeks of gestation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Routine screening for gestational diabetes in a pregnant client without risk factors is usually done at:
सही उत्तर: क) 24 to 28 weeks of gestation
Insulin resistance rises in the second half of pregnancy, so screening is done at 24-28 weeks. High-risk clients may be screened earlier as well.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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