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 client presents to the clinic complaining of fatigue, edema, and blurred vision. The nurse recognizes these as potential symptoms of preeclampsia. What is the MOST important initial action for the nurse to take?
सही उत्तर: ख) Collect a urine sample for protein screening
Measuring blood pressure is the critical first step in assessing preeclampsia. Elevated blood pressure is the hallmark sign and warrants immediate investigation. The other options are important but not the priority for initial assessment (2072).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a newborn admitted with jaundice. The infant’s total serum bilirubin level is 28 mg/dL. Which intervention should the nurse prioritize?
सही उत्तर: क) Initiate phototherapy immediately
Phototherapy is the primary treatment for neonatal hyperbilirubinemia. While dark rooms and fluid administration are supportive measures, phototherapy directly addresses the elevated bilirubin level. Monitoring blood glucose is important but not the immediate priority in this scenario (2072).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a postpartum client who delivered a healthy infant six hours ago. The client reports experiencing urinary leakage when she laughs. Which intervention would the nurse implement first to address this issue?
सही उत्तर: ग) Teach the client Kegel exercises to strengthen pelvic floor muscles
Kegel exercises are a cornerstone of postpartum care for urinary incontinence. The other options – medications, pads, and fluid restrictions – can provide symptomatic relief but do not address the root cause of the problem. This aligns directly with standard postpartum rehabilitation practices.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 7-year-old child presents with a persistent cough, fever, and rapid breathing. The physician suspects pneumonia. What is the *primary* nursing intervention for this patient?
सही उत्तर: क) Administering corticosteroids to reduce inflammation
The correct answer is 0. In suspected pneumonia, providing supplemental oxygen via nasal cannula or mask is the immediate priority to address the respiratory distress. Options 1 & 2 are supportive measures, and option 3 is helpful but secondary to ensuring adequate oxygenation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant's mother has recently been diagnosed with gestational diabetes. The infant's blood glucose levels are elevated after birth. Which intervention should the nurse implement *immediately* to address this?
सही उत्तर: क) Administering a subcutaneous injection of insulin as prescribed
The correct answer is 0. Elevated blood glucose levels in a newborn of a diabetic mother necessitate immediate intervention with an injectable insulin, as oral medications are ineffective in neonates and can be harmful. Options 1 & 2 describe management strategies but are not the initial action needed to rapidly lower hyperglycemia. Option 3 is monitoring but doesn’t address the elevated level.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant client at 30 weeks gestation reports experiencing intermittent contractions for the past hour, which she describes as ‘Braxton Hicks’ contractions. The fetal heart rate remains reassuringly stable. What is the *most* appropriate nursing action?
सही उत्तर: क) Administer a dose of oxytocin to strengthen contractions
The correct answer is 0. 'Braxton Hicks’ contractions are generally benign, particularly when the fetal heart rate is stable. The priority is observation and reassurance. Options 1 & 2 would be inappropriate without evidence of a problem. Option 3 is useful but not the immediate priority given the reassuring fetal status.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is exhibiting signs of jaundice, with a bilirubin level of 18 mg/dL. Which intervention is *most* important for the nurse to implement at this time?
सही उत्तर: क) Placing the infant under blue light (phototherapy)
The correct answer is 0. Jaundice in newborns, particularly with high bilirubin levels, requires phototherapy which converts bilirubin into a form that can be excreted by the kidneys. Options 1 & 2 are interventions but phototherapy is the core treatment. Option 3 and 4 address related issues but are not the primary intervention for hyperbilirubinemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports her 6-month-old infant has been experiencing frequent vomiting and diarrhea. The infant’s weight has dropped significantly. Which of the following actions should the nurse take *first*?
सही उत्तर: क) Administering an antiemetic medication as prescribed by the physician
The correct answer is 0. The infant’s significant weight loss and symptoms (vomiting and diarrhea) strongly suggest dehydration and malnutrition which warrants immediate assessment of hydration status and medical referral. Options 1 & 2 are potential interventions but not the priority action. Option 3 is premature; stabilization first. Option 4 is inappropriate given the acute presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe nausea and vomiting, leading to dehydration. Which of the following nursing interventions is MOST important in the initial management of this condition? a) Administering intravenous fluids immediately. b) Encouraging frequent small meals throughout the day. c) Monitoring electrolyte levels closely and administering potassium supplements as needed. d) Providing a bland diet rich in crackers and toast.
सही उत्तर: क) a
Option (a) is correct because severe nausea and vomiting can rapidly lead to dehydration and electrolyte imbalance. Immediate intravenous fluids are crucial to restore fluid volume and correct these imbalances. Options (b), (c), and (d) address supportive measures but don't directly tackle the immediate threat of dehydration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 3-year-old child is diagnosed with iron deficiency anemia. The nurse observes that the child’s skin has a slightly yellowish tint. Which statement BEST describes the significance of this observation?
सही उत्तर: घ) It confirms the presence of jaundice due to rapid cell turnover
The yellow tint of the skin (jaundice) is a common sign of anemia, specifically indicating that the bone marrow is rapidly producing new red blood cells to replace those being destroyed. While bilirubin plays a role, it’s primarily a consequence of the increased breakdown.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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