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 pregnant woman reports experiencing severe heartburn. Which of the following nursing interventions would be MOST appropriate?
सही उत्तर: घ) Administer antacids as prescribed by the physician
Avoiding spicy and acidic foods is a simple and effective way to manage heartburn symptoms during pregnancy. While elevating the head and small, frequent meals can help, directly advising against those foods offers immediate relief based on dietary impact.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a routine postpartum assessment of a newly delivered infant, the nurse observes dark, tar-like stools. What is the MOST likely explanation for this finding?
सही उत्तर: ग) Cystic Fibrosis
Dark, tarry stools are diagnostic of iron deficiency anemia in newborns. This occurs because iron from the infant's stores is being excreted into the stool. Cystic fibrosis causes thick, greasy mucus-filled stools.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with projectile vomiting following a forceful cough. The nurse recognizes this as a classic symptom of which condition?
सही उत्तर: ग) Intussusception
Intussusception involves the telescoping of one part of the bowel into another, causing sudden and forceful vomiting – often described as ‘projectile.’ While pyloric stenosis can cause vomiting, it usually happens in infants under 6 months. Reflux is a common issue but does not typically present with projectile force.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is exhibiting signs of respiratory distress, including nasal flaring, retractions, and grunting. Which finding would MOST likely confirm a diagnosis of transient tachypnea of the newborn (TTN)?
सही उत्तर: घ) A meconium-stained stool
Elevated serum bilirubin is a common indicator of TTN, which results from fluid overload during passage through the mother’s birthing canal. While other symptoms can be present, bilirubin elevation strongly supports the diagnosis. Cyanosis indicates hypoxia and doesn’t specifically point to TTN.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A woman at 36 weeks’ gestation reports experiencing intermittent, sharp pains in her lower back accompanied by urinary frequency and urgency. Which of the following assessments is MOST important for the nurse to perform immediately?
सही उत्तर: ग) Evaluate uterine contractions with a Doppler device
The symptoms – back pain, urinary frequency/urgency – are classic signs of pre-eclampsia. Assessing uterine contractions (option 2) is crucial to monitor the progression of this potentially life-threatening condition. The other options are less directly related to the immediate priority of evaluating for pre-eclampsia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A primiparous postpartum client reports experiencing significant urinary incontinence following delivery. Which intervention would the nurse *most appropriately* implement to assist the client?
सही उत्तर: ख) Recommend a pelvic floor muscle relaxation technique
Option 1 is correct. Pelvic floor muscle relaxation techniques are specifically taught to strengthen the muscles supporting the bladder and reduce urinary incontinence after childbirth. The other options aren't targeted interventions for this specific issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn who has been receiving phototherapy for bilirubin encephalopathy. Which finding would *most significantly* indicate the therapy is effective?
सही उत्तर: ख) Decreased jitteriness
Option 1 is correct. Decreased jitteriness (also known as reduced movement) is a direct indicator of phototherapy's effectiveness in reducing bilirubin levels and preventing neurological damage. Options 2, 3 & 4 are either complications or unrelated findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A neonate presents with conjugated hyperbilirubinemia and xanthochromia in the amniotic fluid. Which finding is *most consistent* with this presentation?
सही उत्तर: ख) Group B Streptococcus (GBS) infection
Option 1 is correct. Conjugated hyperbilirubinemia and xanthochromia in the amniotic fluid are classic signs of Group B Streptococcus (GBS) infection passing through the placenta, causing neonatal jaundice. The other options are less likely to directly cause these specific findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client presents with a fundal mass that is firm and displaced laterally and superiorly to the umbilicus. Auscultation reveals fetal heart tones of 140 bpm. What is the *most likely* interpretation of these findings?
सही उत्तर: ग) Abruptio placentae
Option 2 is correct. A displaced, firm fundus with a regular fetal heart rate (140 bpm) strongly suggests abruptio placentae, where the placenta has partially separated from the uterine wall. Options 1 & 3 are less likely and option 4 describes normal involution.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 36 weeks gestation reports experiencing intermittent vaginal bleeding and uterine contractions. Based on these findings, what is the *most* appropriate initial nursing intervention?
सही उत्तर: क) Administer intravenous fluids to increase blood volume
Option 0 is correct. Vaginal bleeding and uterine contractions at 36 weeks can indicate preterm labor. Immediate assessment of the fetus is critical to determine if there's compromise. The other options are less appropriate as immediate priorities. Options 1 & 2 are reactive, not proactive. Option 3 isn’t the first step.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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