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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After evacuation of a hydatidiform mole, which teaching point is most important?
सही उत्तर: घ) Use reliable contraception while hCG levels are being monitored
Serial hCG levels are followed to detect gestational trophoblastic neoplasia, and a new pregnancy would confuse the results. Persistent or rising hCG needs further evaluation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client receiving methotrexate for an unruptured ectopic pregnancy should be told to avoid which product?
सही उत्तर: ग) Vitamins containing folic acid
Methotrexate is a folic acid antagonist, so folic acid supplements reduce its effectiveness. Clients are also advised to avoid alcohol and NSAIDs during treatment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which history is a well-known risk factor for ectopic pregnancy?
सही उत्तर: ख) Previous pelvic inflammatory disease
PID scars the fallopian tubes and impedes passage of the fertilized ovum. Previous ectopic pregnancy and tubal surgery are other important risk factors.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which finding is most characteristic of abruptio placentae?
सही उत्तर: क) Sudden abdominal pain with a rigid, board-like uterus
Premature separation of the placenta causes pain, uterine tenderness and rigidity, with bleeding that may be concealed. Painless bleeding with a soft uterus suggests placenta previa.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client at 32 weeks presents with painless, bright red vaginal bleeding. Which action should the nurse avoid?
सही उत्तर: घ) Performing a vaginal examination
Painless bright red bleeding in late pregnancy suggests placenta previa, and a vaginal exam could cause severe hemorrhage. Location of the placenta is confirmed by ultrasound.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client's fundus is firm but displaced to the right and above the umbilicus. What is the most appropriate nursing action?
सही उत्तर: ग) Assist the client to empty her bladder
A full bladder pushes the uterus up and to one side and can interfere with contraction. Since the fundus is already firm, massage is not the priority.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the correct normal sequence of lochia after birth?
सही उत्तर: ख) Rubra, serosa, alba
Lochia progresses from red (rubra) to pinkish-brown (serosa) to yellowish-white (alba). A return to bright red bleeding after serosa should be reported.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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On the third postpartum day, where would the nurse expect to palpate the fundus of a client who had an uncomplicated vaginal birth?
सही उत्तर: क) About 3 cm (fingerbreadths) below the umbilicus
After rising to about the umbilicus in the first 12 hours, the fundus descends roughly 1 cm per day. It is usually no longer palpable abdominally by about 2 weeks.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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At about how many weeks of gestation is the uterine fundus normally palpable at the level of the umbilicus?
सही उत्तर: घ) 20 weeks
The fundus reaches the umbilicus at about 20 weeks; at 12 weeks it is just above the symphysis pubis. From about 20 to 36 weeks, fundal height in cm roughly equals weeks of gestation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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On assessment one hour after birth, the nurse finds a soft, boggy fundus. What is the nurse's first action?
सही उत्तर: ग) Massage the fundus until it becomes firm
Fundal massage stimulates the uterine muscle to contract and is the first nursing action for a boggy uterus. The provider is notified if the uterus does not stay firm or bleeding continues.
💬 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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