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 child with tetralogy of Fallot becomes cyanotic and breathless during crying (a 'tet spell'). Which position should the nurse use?
सही उत्तर: क) Knee-chest position
Knee-chest position increases systemic vascular resistance, reducing right-to-left shunting and increasing pulmonary blood flow. Older children may squat for the same effect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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After cleft lip repair, which intervention protects the suture line?
सही उत्तर: घ) Use elbow restraints and position the infant on the back or side
Elbow restraints keep the hands away from the face; prone position would rub the lip on the bedding. Pacifiers and sucking strain the suture line.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which stool is characteristic of intussusception?
सही उत्तर: ग) Red currant-jelly stool
Mucus and blood produce currant-jelly stools, with a sausage-shaped mass and colicky pain. Ribbon-like stools suggest Hirschsprung disease.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which acid-base imbalance is expected in an infant with pyloric stenosis?
सही उत्तर: ख) Metabolic alkalosis
Repeated vomiting of gastric contents causes loss of hydrogen and chloride ions. Dehydration and hypokalemia often accompany it.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 4-week-old infant has projectile non-bilious vomiting after feeds and an olive-shaped mass in the upper abdomen. This suggests:
सही उत्तर: क) Pyloric stenosis
Hypertrophy of the pyloric muscle causes projectile vomiting. Loss of gastric acid leads to hypochloremic metabolic alkalosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which sweat chloride result is consistent with a diagnosis of cystic fibrosis?
सही उत्तर: घ) 60 mmol/L or higher
A sweat chloride of 60 mmol/L or more supports CF. Values below 30 mmol/L make CF unlikely in infants and children.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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How should pancreatic enzymes be given to a child with cystic fibrosis?
सही उत्तर: ग) With every meal and snack
Enzymes are needed to digest fat and protein in every meal and snack. Fat-soluble vitamins (A, D, E, K) are also supplemented.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Palivizumab is given to high-risk infants to prevent severe infection with:
सही उत्तर: ख) Respiratory syncytial virus (RSV)
Palivizumab is a monoclonal antibody against RSV for high-risk infants such as preterms. RSV is the main cause of bronchiolitis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A toddler has a barking, seal-like cough and inspiratory stridor that worsens at night. These findings are typical of:
सही उत्तर: क) Croup (laryngotracheobronchitis)
Croup is usually viral and causes subglottic swelling with barking cough. Bronchiolitis presents with wheezing in infants.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A child presents with high fever, drooling, muffled voice and sits leaning forward. Which action should the nurse avoid?
सही उत्तर: घ) Examining the throat with a tongue depressor
These signs suggest epiglottitis, and throat examination may trigger complete airway obstruction. The child should be kept calm and upright.
💬 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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