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 neonate demonstrates signs of hypoglycemia (jitteriness, irritability). The nurse’s priority action is:
सही उत्तर: ख) Perform a blood glucose test
The correct answer is 1. Hypoglycemia in neonates requires immediate intervention. Administering intravenous dextrose rapidly corrects the low blood sugar. Options 2 and 3 are diagnostic or therapeutic interventions to be done *after* initiating treatment. Monitoring maternal glucose levels would not address the infant's hypoglycemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a home visit of a pregnant client, the nurse observes that the client reports experiencing significant anxiety related to the upcoming birth and her ability to care for the newborn. What is the MOST appropriate nursing intervention?
सही उत्तर: ग) Encourage the client to verbalize her fears and concerns
The correct answer is 2. The nurse’s role in managing anxiety involves providing accurate, reassuring information – education is key to alleviating anxieties. Options 1 & 3 are inappropriate interventions for anxiety. Option 4 while potentially helpful long-term, doesn't address the immediate need for reassurance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant, born via vaginal delivery, has a positive Nikolsky's sign (skin readily spreads when gently stroked). Which condition should the nurse suspect?
सही उत्तर: ख) Cystic Fibrosis
The correct answer is 1. A positive Nikolsky’s sign is strongly associated with Cystic Fibrosis due to impaired epithelial cell function. Options 2, 3 and 4 are other congenital conditions but don't explain the Nikolsky's sign.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client is experiencing excessive lochia (heavy bleeding). Upon assessment, the nurse observes that the uterus is boggy and irregular in contour. Which nursing intervention should the nurse implement FIRST?
सही उत्तर: घ) Administer oxytocin (Pitocin) as prescribed
The correct answer is 3, applying manual pressure. This addresses the immediate issue of a boggy uterus - attempting to contract it manually is the priority action. Options 1 and 2 are interventions for fluid imbalance or supporting uterine walls but don’t address the underlying problem of uterine atony. Option 4 could be used later, but initial management focuses on stimulating contractions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation reports experiencing intermittent contractions that she describes as ‘practice contractions’. What is the MOST appropriate nursing intervention for the nurse to implement at this time?
सही उत्तर: ख) Encourage the patient to monitor her contractions and report any changes
The correct answer is 1. ‘Practice contractions’ are common in late pregnancy. The nurse’s role is to educate the client on their significance, encourage self-monitoring, and advise rest and hydration. Options 2 and 3 are inappropriate; oxygen alone doesn't address the situation, and pain medication isn't indicated without significant discomfort. Option 4 is incorrect as it suggests a need for medication before assessing the situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 28 weeks gestation reports experiencing lower abdominal pain, vaginal spotting, and increased urinary frequency. Which intervention should the nurse implement *first*?
सही उत्तर: ख) Notify the physician immediately.
This presentation is highly suggestive of preterm labor or preeclampsia. Immediate notification of the physician is paramount for further evaluation and management – this is the priority intervention. Magnesium sulfate, monitoring of fetal HR, and encouraging movement are important supportive measures but following protocol for potentially life-threatening conditions comes first.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother brings her 6-month-old child to the clinic complaining of excessive crying and difficulty sleeping. The nurse observes that the infant is frequently arching his back during periods of crying. What is the *most* likely diagnosis?
सही उत्तर: ख) Gastroesophageal Reflux (GER).
Excessive crying and arching back in infants are classic symptoms of gastroesophageal reflux. GER is characterized by stomach contents flowing back up into the esophagus. The other options are less likely to present with this specific symptom pattern.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant, 3 hours old, has a temperature of 38.9°C (102°F). The infant is irritable, lethargic, and has poor feeding. Which nursing intervention is *most* appropriate?
सही उत्तर: घ) Maintain meticulous skin hygiene.
The primary concern is neonatal infection (sepsis). Maintaining meticulous skin hygiene and monitoring temperature are crucial steps. Acetaminophen is not typically used in neonates due to potential side effects. Frequent breastfeeding alone won’t address sepsis. A warm bath can cause heat loss.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a pregnant woman at 36 weeks gestation. The client reports experiencing increased vaginal bleeding and passage of small clots. What is the *priority* nursing action?
सही उत्तर: क) Administer Rho(D) immune globulin (RhoGAM).
The priority is to address the potential hemorrhage. Vaginal bleeding during pregnancy can indicate placental abruption, which is a life-threatening emergency. Rho(D) immune globulin prevents sensitization to Rh factor. Rest and assessing for preterm labor are important but secondary to controlling the bleeding. Intravenous fluids are supportive care.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant demonstrates persistent vomiting, lethargy, and poor feeding. The nurse suspects necrotizing enterocolitis (NEC). What is the MOST important nursing intervention at this time? a) Encourage frequent small feedings. b) Maintain a strict fluid restriction. c) Initiate continuous suctioning of the oral cavity. d) Provide a warm, quiet environment for rest.
सही उत्तर: ग) c
NEC is characterized by inflammation and ulceration of the gastrointestinal tract. Continuous suctioning (option c) directly addresses this by removing feeds that could further irritate the damaged mucosa. Options a, b, and d are inappropriate as they exacerbate the problem.
💬 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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