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

41. A newborn infant is diagnosed with cephalohematoma. What is the *primary* differentiating factor between this condition and caput succedaneum?

    कCaput succedaneum always involves bruising of the scalp खCephalohematoma represents bleeding within the subdermal tissues गCaput succedaneum typically resolves spontaneously घCephalohematoma can be palpated as a firm, separate mass
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

42. A pregnant client with gestational diabetes is being taught about dietary modifications. Which of the following recommendations should the nurse emphasize to ensure optimal blood glucose control?

    कConsuming large amounts of fruit throughout the day खEating complex carbohydrates in combination with protein and fat गAvoiding all sweets and sugary drinks घFollowing a strict 8-12 hour fast before meals
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

43. A newborn infant is exhibiting signs of respiratory distress including nasal flaring, retractions, and grunting. Auscultation reveals a bubbling sound at the base of the lung field. The nurse suspects meconium aspiration syndrome (MAS). What is the *most* immediate nursing intervention?

    कAdminister oxygen via nasal cannula at 24% खEstablish intravenous access for fluid resuscitation immediately गPosition the infant in a prone position to facilitate expulsion of meconium घInitiate gastric decompression with frequent suctioning
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

44. A 30-year-old woman at 28 weeks gestation reports nausea and vomiting that has not responded to antiemetic medication. The nurse’s assessment reveals a palpable uterine fundus approximately 10 cm below the maternal umbilicus. What is the most likely diagnosis?

    कNormal physiological pregnancy खHydramnios (polyhydramnios) गMalpresentation of fetus घPlacental insufficiency
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

45. A pregnant woman at 32 weeks gestation reports experiencing increasing vaginal bleeding and abdominal pain. Based on this information, the priority nursing intervention should be:

    कAdminister Rho(D) immune globulin to prevent Rh sensitization खInitiate intravenous antibiotics to treat a potential infection गAssess fetal heart rate and maternal vital signs immediately घProvide emotional support and counsel regarding possible preterm labor
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

46. A newborn infant is being discharged home after a period of observation. The nurse provides discharge instructions to the parents. Which statement by the parent indicates a need for further teaching?

    क‘We will gently stimulate the baby when it appears sleepy.’ ख‘We will burp the baby frequently during and after feedings.’ ग‘We will place the baby on its back to sleep until at least one year of age.’ घ‘We will ensure the baby’s cord stump is kept dry and exposed to air.’
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

47. A postpartum client is experiencing lochia rubra that is bright red in color and passing large clots. Which of the following nursing actions should be taken FIRST?

    कIncrease the client’s fluid intake to promote uterine contractility. खApply a warm compress to the perineal area to reduce pain. गAssess the client’s vital signs, including blood pressure and pulse. घNotify the physician immediately regarding the excessive bleeding.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

48. A mother reports her 6-month-old infant has a fever of 38.5°C (101.3°F). Which nursing assessment should the nurse prioritize?

    कAssess the infant’s urine output to ensure adequate hydration. खMeasure the infant’s head circumference to assess for potential intracranial issues. गEvaluate the infant’s respiratory rate and work of breathing. घAdminister acetaminophen as prescribed by the physician.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

49. A newborn infant is admitted to the NICU with a diagnosis of prematurity and respiratory distress syndrome. Which nursing intervention is MOST important in supporting the infant’s breathing?

    कAdministering corticosteroids as prescribed. खMaintaining supine positioning with head elevation. गProviding frequent gastric tube feedings every 2-3 hours. घApplying oxygen via nasal cannula at 24% initially.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

50. A pregnant woman at 36 weeks gestation reports experiencing intermittent contractions that she describes as 'spasms'. These contractions are irregular in frequency and duration, and do not lead to cervical dilation or effacement. Which of the following is the MOST appropriate nursing intervention?

    कAdminister an antispasmodic medication as prescribed by the physician. खInstruct the woman to rest in a comfortable position and hydrate frequently. गEncourage the woman to monitor her contractions, noting frequency, duration, and intensity. घSuggest that the woman avoid any strenuous activity or heavy lifting.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।