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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The nurse is teaching a mother about postpartum care for her newborn. Which of the following instructions should the nurse emphasize? (a) Sponge the baby's skin with cold water to prevent overheating. (b) Dress the baby in light-colored clothing to monitor temperature. (c) Keep the baby dry and cover with a warm blanket to prevent heat loss. (d) Allow the baby to sleep naked to stimulate thermoregulation.
सही उत्तर: घ) Allow the baby to sleep naked to stimulate thermoregulation.
The key for preventing hypothermia in newborns is maintaining warmth. Covering the baby with a warm blanket helps retain body heat, unlike cold water sponging (a), light colored clothing (b) or allowing them to be naked(d).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant has cyanosis noted at rest. The nurse should first assess: (a) The infant’s temperature. (b) The infant's breathing pattern and effort. (c) The infant’s bilirubin levels. (d) The infant’s feeding pattern.
सही उत्तर: ग) The infant’s bilirubin levels.
Cyanosis at rest in a newborn indicates respiratory distress, so the first priority is to assess the infant’s breathing – frequency, rate, depth, and effort. Temperature, bilirubin, and feeding patterns are less immediately relevant to cyanosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation reports feeling decreased fetal movement. Which action by the nurse is MOST appropriate? (a) Immediately notify the physician regarding the decreased fetal movement. (b) Encourage the patient to perform gentle ambulation to stimulate fetal movement. (c) Monitor fetal heart rate continuously for any abnormalities. (d) Administer intravenous fluids to increase blood flow to the fetus.
सही उत्तर: ख) Encourage the patient to perform gentle ambulation to stimulate fetal movement.
The most appropriate response is (b). While monitoring fetal heart rate and notifying the physician are important, passively encouraging movement via ambulation is a gentle and non-invasive approach that often stimulates fetal movement. Options (a) and (d) are premature interventions without further investigation. Option (c) alone might miss subtle changes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports her 6-month-old infant has been experiencing frequent vomiting and diarrhea, resulting in dehydration. Which of the following nursing interventions is MOST important at this time? (a) Administering oral rehydration solution (ORS) immediately without assessment. (b) Encouraging the mother to continue breastfeeding as usual. (c) Monitoring the infant’s vital signs and assessing for signs of continued fluid loss. (d) Providing the infant with small, frequent meals of solid foods.
सही उत्तर: ग) Monitoring the infant’s vital signs and assessing for signs of continued fluid loss.
The correct answer is (c). Dehydrated infants require immediate assessment of their hydration status – including vital signs, mucous membrane moisture, skin turgor, and urine output – to determine the appropriate intravenous or oral fluid replacement. Option (a) is dangerous as it bypasses critical assessment. Options (b) and (d) are inappropriate given the infant’s symptomatic dehydration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A laboring client in active labor states that the fetus is presenting in an occiput posterior position and reports severe back pain. The nurse should prioritize which intervention?
सही उत्तर: घ) Increase the rate of oxytocin administration
The client's complaint of severe back pain due to occiput posterior presentation is a common issue. Positioning the client on her side with knees drawn up minimizes pressure on the fetal head and relieves the pain by changing the angle of pressure.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When measuring the length of an infant using a non-stretchable tape, the nurse should:
सही उत्तर: ग) Measure from the largest part of the head to the heel
When measuring newborn length with a non-stretchable tape, it's crucial not to apply excessive force that could cause abdominal distension or pain. Using a flexible device is preferable for accurate and comfortable measurement.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pediatrician is examining a 6-month-old infant. The child presents with a flat facial profile, deep set eyes, a short nose, and a small, upturned mouth. Based on these findings, the pediatrician suspects which syndrome?
सही उत्तर: ग) Fetal Alcohol Syndrome
The characteristic facial features described – flat face, deep-set eyes, short nose, and small mouth – are highly suggestive of Fetal Alcohol Syndrome. Other syndromes listed have different diagnostic criteria or primary symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents to the clinic for her prenatal visit. The nurse notes that the woman consistently reports increased appetite, frequent urination, and fatigue. Which of these findings is MOST indicative of a positive pregnancy?
सही उत्तर: क) Elevated blood pressure only
Increased appetite, frequent urination, and fatigue are classic symptoms of early pregnancy due to hormonal changes. Elevated blood pressure, increased heart rate, or amenorrhea can occur in other conditions and are not specific indicators of pregnancy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn admitted to the NICU. The infant’s mother reports that she noticed the baby was “startled” several times during sleep. Which of the following reflexes is this MOST likely describing?
सही उत्तर: ख) Moro reflex
The Moro reflex (or startle reflex) is a normal involuntary movement characterized by abrupt movements of the arms and legs, often accompanied by crying. The sucking, grasping, and rooting reflexes are also common in newborns but don't typically involve sudden, jerky movements.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with cephalohematoma. Which finding differentiates this condition from caput succedaneum?
सही उत्तर: ख) Absence of bruising around the fontanelles
The key difference lies in the presence or absence of bruising. Caput succedaneum (option 1) involves scalp swelling without bruising, while cephalohematoma (option 2) is a collection of blood *under* the scalp that results in bruising.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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