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 at 38 weeks gestation reports experiencing regular contractions that are intermittently painful but have not yet progressed to cervical dilation or effacement. The nurse recognizes that this is most likely:
सही उत्तर: ग) Braxton Hicks Contractions
(2) – ‘Braxton Hicks’ contractions are irregular, non-progressive uterine contractions typically occurring in late pregnancy. Options 1 & 3 indicate progression of labor; option 4 describes a more defined threat of labor.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month old infant is brought to the clinic by their parents who report the baby frequently ‘fanning’ their toes when the sole of the foot is stroked. This physical finding is most indicative of:
सही उत्तर: घ) Normal Reflex Response
(3) – The described response (dorsiflexion of the big toe with stroking) is a classic clinical sign of positive Babinski’s reflex, which is consistent with normal neurological development in infants. Options 1, 2, and 3 represent other potential conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a pregnant woman at 36 weeks gestation who reports experiencing frequent heartburn. The nurse’s priority action should be to:
सही उत्तर: ख) Advise the client to eat small, frequent meals and avoid lying down after eating
The correct answer is 1. Heartburn is common in pregnancy due to hormonal changes that relax the esophageal sphincter. Small, frequent meals and avoiding lying down immediately after eating are proven methods to alleviate symptoms. The other options – administering medication (without assessment), instructing the client to elevate their head (which can be helpful but less immediate) and increasing fluid intake (which may exacerbate heartburn) – are not the priority initial steps.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 2-year-old child presenting with jaundice has been receiving phototherapy for 24 hours. The nurse observes that the infant's total serum bilirubin level is decreasing, but the indirect bilirubin level remains elevated. What does this finding suggest? a) The phototherapy is not effective. b) The infant is effectively excreting bilirubin through the skin. c) The infant is producing more conjugated bilirubin. d) The infant needs a higher intensity of phototherapy.
सही उत्तर: ग) c) The infant is producing more conjugated bilirubin.
Phototherapy works by converting indirect (unconjugated) bilirubin into direct (conjugated) bilirubin, which can be excreted in urine and stool. The nurse's observation reflects this process.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn with cephalhematoma. Which of the following findings would *most* support this diagnosis? a) Palpable, firm mass located over the parietal eminence. b) A boggy, reducible mass felt just below the scalp. c) A hard, fixed mass that does not change with movement. d) Generalized edema surrounding the affected area.
सही उत्तर: घ) d) Generalized edema surrounding the affected area.
Cephalhematoma is characterized by a solid, non-reducible mass beneath the skull. Options (a), (b), and (d) describe other conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with a persistent cough and signs of respiratory distress. The nurse suspects bronchiolitis. What is the *most* important nursing intervention to promote airway clearance? a) Administering nebulized bronchodilators as prescribed. b) Elevating the head of the bed and providing humidified air. c) Encouraging frequent breastfeeds to increase mucus clearing. d) Applying warm compresses to the infant’s chest.
सही उत्तर: ख) b) Elevating the head of the bed and providing humidified air.
Elevating the head of the bed and providing humidified air are key interventions for promoting airway clearance in bronchiolitis. These measures help to reduce congestion and facilitate breathing. Option (a) describes medication administration, which is prescribed by a physician; options (c) and (d) are not primary treatments for respiratory distress
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client reports experiencing significant vaginal bleeding following a vaginal birth. Assessment reveals hematuria. The nurse understands that this presentation most likely indicates: a) Placenta accreta. b) Uterine atony. c) Postpartum hemorrhage due to retained placental fragments. d) Endometriosis.
सही उत्तर: ख) b) Uterine atony.
The correct answer is (b). Uterine atony, the inability of the uterus to contract effectively after delivery, is a leading cause of postpartum hemorrhage. Options (a), (c), and (d) are less likely causes presenting with hematuria.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is exhibiting signs of respiratory distress including nasal flaring, retractions, and grunting. The nurse assesses a temperature of 38.7°C (101.6°F) rectally. Which nursing intervention is the *most* appropriate at this time? a) Encourage frequent feedings to stimulate bowel movements. b) Administer acetaminophen for fever. c) Provide supplemental oxygen via nasal cannula. d) Assess fetal heart rate continuously.
सही उत्तर: ग) c) Provide supplemental oxygen via nasal cannula.
The correct answer is (b). A newborn with a rectal temperature of 38.7°C (101.6°F) requires antipyretic medication, such as acetaminophen, to manage the fever. Options (a), (c), and (d) are not the immediate priority in addressing the respiratory distress; supplemental oxygen is administered if needed, but fever control is paramount.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 3-month-old infant presents with irritability, poor feeding, and sunken eyes. The nurse notes that the diaper is wet. Which of the following findings would *most* strongly suggest dehydration? a) Increased skin turgor. b) Normal capillary refill time. c) Decreased urine output. d) Clear sclerae.
सही उत्तर: घ) d) Clear sclerae.
Decreased urine output is a classic sign of dehydration in infants. Other options (increased skin turgor, normal capillary refill, clear sclerae) can be associated with hydration or are less specific indicators of fluid imbalance compared to decreased urination.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a new mother about breastfeeding techniques. Which statement best describes the importance of latching? a) A good latch ensures the infant receives only breast milk. b) A good latch maximizes nipple stimulation and facilitates effective milk transfer. c) A good latch minimizes pain for the mother during feeding. d) A good latch prevents the infant from tiring quickly.
सही उत्तर: ग) c) A good latch minimizes pain for the mother during feeding.
A proper latch is essential for efficient breastfeeding. It allows the baby to draw sufficient milk, stimulates milk production, and avoids nipple trauma. While minimizing pain is a benefit, it's not the *primary* reason for correct latching.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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