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 primiparous (first time) mother reports experiencing vaginal bleeding after delivery. Which of the following actions should the nurse prioritize?
सही उत्तर: क) Administer Rho(D) immune globulin to prevent Rh sensitization.
The correct answer is ‘Administer Rho(D) immune globulin to prevent Rh sensitization.’ After delivery, maternal antibody levels against Rh factor can cross the placenta and cause hemolytic anemia in a subsequent Rh-negative infant. Rho(D) immunoglobulin (RhoGAM) prevents this. The other options are incorrect because they do not address the immediate concern of postpartum hemorrhage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation reports experiencing significant nausea and vomiting, leading to dehydration. Which of the following interventions should the nurse prioritize?
सही उत्तर: ख) B) Encourage frequent sips of clear liquids
Option A is correct. Dehydration in pregnancy can lead to serious complications, and immediate administration of intravenous fluids is necessary to restore fluid balance. Option B is a reasonable initial measure but doesn’t address the severity of dehydration. Options C and D are inappropriate as they don't directly manage the underlying cause.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a 2-year-old child who has recently been diagnosed with iron deficiency anemia. Which intervention would be MOST effective in promoting iron absorption?
सही उत्तर: ग) C) Provide the iron supplement with a source of Vitamin C
Option C is correct. Vitamin C enhances non-heme iron absorption, which is the type found in supplements and many common foods. Option A provides no benefit and may hinder absorption. Option B is contraindicated as milk/calcium interfere with iron absorbtion, and option D doesn't impact iron availability.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents to the clinic with a persistent cough and nasal congestion. The nurse observes that the child is demonstrating a “white nosed” appearance. Which of the following conditions is MOST likely?
सही उत्तर: ग) C) Cystic Fibrosis
Option B is correct. The ‘white-nosed’ appearance (cyanosis due to respiratory distress) along with a barking cough and inspiratory stridor are strong indicators of pneumonia, which is frequently seen in young children. Option A could present similarly but lacks the characteristic stridor. Option C is possible but less common than pneumonia in this presentation and option D does not cause a barking cough.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is educating a new mother about caring for her newborn. Which of the following instructions is MOST important for promoting effective breastfeeding?
सही उत्तर: ख) B) Assess the infant’s latch technique regularly
Option B is correct. Proper latch technique is paramount for successful breastfeeding, as it ensures efficient milk transfer and minimizes discomfort for the infant and mother. Option A is incorrect as frequent bottle feeding can reduce breastmilk supply, option C does not directly impact breastfeeding effectiveness, and option D can interfere with establishing a proper suck-down.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a pregnant woman in her third trimester experiencing increasing shortness of breath. Auscultation reveals crackles in both lung bases. At approximately 36 weeks gestation, what is the most likely underlying cause of these findings?
सही उत्तर: ख) B) Pre-eclampsia with pulmonary edema
Option B is correct. Crackles in the lungs during late pregnancy are a classic sign of pre-eclampsia, which can cause fluid retention and pulmonary edema due to increased vascular permeability. Option A is less likely as gestational diabetes doesn't typically present with crackles. Option C is possible but usually associated with fetal growth restriction presenting differently, and option D represents normal physiological changes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation reports experiencing severe lower back pain that radiates down her legs. She has a history of lumbar stenosis. The nurse should suspect:
सही उत्तर: ग) Placental Insufficiency
The correct answer is 2. Severe, radiating back pain in pregnancy can be a sign of spinal cord compression, exacerbated by conditions like placental insufficiency or lumbar stenosis which the patient has a history of. Multiple sclerosis and labor induction are less likely causes given the described symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a home visit, a nurse observes a 6-month-old infant who is showing signs of dehydration: decreased skin turgor, dry mucous membranes, and sunken eyes. The nurse’s next step should be to:
सही उत्तर: क) Administer an oral electrolyte solution
The correct answer is 0. Administering an oral electrolyte solution is the immediate intervention for dehydration in a young infant. The other options are appropriate supportive measures, but they do not address the underlying fluid deficit as directly as an electrolyte solution.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant has a bluish discoloration of the skin around the mouth and tongue, accompanied by small, white spots on the buccal mucosa. The nurse recognizes this finding as indicative of:
सही उत्तर: ख) Koplik's spots
The correct answer is 1. Koplik’s spots are characteristic of congenital rubella infection, appearing in the first few days of life. The other options – Rinovirus infection, neonatal jaundice, and transient neonatal tachypnea – present with different clinical signs and symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a pregnant woman in her third trimester who reports experiencing intermittent uterine contractions. The fetal heart rate remains reassuring. The nurse's priority action is to:
सही उत्तर: ख) Perform a vaginal examination
The correct answer is 1. Performing a vaginal examination is the primary immediate step in assessing labor. Maintaining reassurance regarding the fetal heart rate indicates no acute fetal distress. The other options are not the most urgent initial action – oxygen administration, BP/pulse monitoring, and assessing fetal movement can be done concurrently but examining the cervix is key to determining if true labor is established.
💬 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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