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 mother brings her 6-month-old infant to a clinic visit for routine checkup. During assessment, the nurse observes that the infant has sunken eyes and an enlarged fontanelle. The mother reports that the baby is not eating well. What is the MOST likely diagnosis?
सही उत्तर: ख) Kwashiorkor
The findings of sunken eyes, an enlarged fontanelle and poor appetite are characteristic of marasmus which is a severe form of malnutrition involving chronic starvation. Kwashiorkor involves protein deficiency while the other conditions do not typically present with these specific symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn infant who was born at 37 weeks gestation. The infant's skin has a bluish cast (cyanosis), respirations are rapid, and the mucous membranes are pale. The nurse observes that the baby’s hands and feet are cool to the touch. Which of the following is the MOST likely explanation for this finding?
सही उत्तर: ग) Meconium aspiration syndrome
The combination of cyanosis, rapid respirations, cool extremities and mucous membrane pallor strongly suggests RDS. This condition causes surfactant deficiency which leads to alveolar collapse during breathing; this impacts oxygen exchange. The other options could contribute to respiratory distress but don’t explain the whole clinical picture as effectively.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation reports a sudden onset of severe headache accompanied by visual disturbances and right upper quadrant abdominal pain. The nurse’s MOST important action is to:
सही उत्तर: ख) Notify the obstetrician immediately and initiate monitoring
The symptoms – severe headache, visual disturbances, and right upper quadrant pain – are strongly suggestive of pre-eclampsia. This is a potentially life-threatening condition requiring immediate obstetrician notification and close monitoring. The other options are supportive measures but do not address the acute nature of the presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client presents with regular uterine contractions, a fundus measurement of 8cm, and vaginal bleeding of approximately 50-100ml per hour. Based on these findings, which intervention should the nurse prioritize?
सही उत्तर: ग) Insert a Foley catheter to monitor urinary output
The client’s presentation indicates postpartum hemorrhage (PPH). Applying direct pressure is the immediate first-line intervention to control vaginal bleeding. While other options are important in managing PPH, they are not the *priority* action at this stage. Administering oxytocin or Pitocin could exacerbate the situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant’s vital signs are temperature 37.2°C, heart rate 140 bpm, respiratory rate 40 breaths/min and oxygen saturation 98%. The mother reports that the baby is fussy and difficult to settle. Which of the following actions is MOST appropriate for the nurse to take?
सही उत्तर: घ) Offer a warm bath to comfort the infant
The baby’s vital signs are within normal limits, but the fussiness suggests possible early distress. Elevated heart and respiratory rates combined with oxygen saturation slightly below 100% warrant further investigation and potential admission to the NICU for close monitoring and intervention – this is the most prudent immediate step. The other options are less critical interventions at this point.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A neonate presents with a bulging fontanelle, irritability, and poor feeding. The nurse’s priority assessment should be:
सही उत्तर: घ) Measuring bilirubin levels
The bulging fontanelle, irritability, and poor feeding are classic signs of neonatal jaundice (hyperbilirubinemia). Assessing for bilirubin levels is the priority to determine the severity and guide appropriate treatment like phototherapy or exchange transfusion.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 3-year-old child is experiencing anxiety related to an impending immunization. According to developmental theory, which of the following fears is MOST common at this age?
सही उत्तर: ग) Autonomic distress (e.g., screaming, crying)
At 3 years old, children primarily experience autonomic distress – characterized by behaviors like screaming, crying, and resistance – when faced with potentially frightening stimuli such as needles. Fear of abandonment or death is typically seen in older preschoolers; fear of strangers develops later.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings BEST differentiates true labor from pseudocervical effacement?
सही उत्तर: ख) Positive Bishop score
A positive Bishop score, indicating cervical change (effacement and dilation), is the defining characteristic that distinguishes true labor from false labor. While other options might be present in either scenario, it's the change in cervical characteristics that indicates ongoing labor progression.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant has greenish amniotic fluid surrounding the membranes at birth. Which of the following conditions is MOST likely?
सही उत्तर: घ) Kernig’s sign
The ‘greenish amniotic fluid’ indicates exposure to meconium in utero, which causes a greenish discoloration. This is known as the Green Triad and often signifies fetal distress. Meconium aspiration would be indicated by respiratory distress, cystic fibrosis typically involves elevated sweat chloride levels, and Kernig's sign is associated with meningitis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a newborn diagnosed with neonatal jaundice. Which assessment finding would warrant IMMEDIATE intervention?
सही उत्तर: ख) Total serum bilirubin level of 12 mg/dL
A total serum bilirubin level of 12 mg/dL (option 1) represents a critical threshold indicating significant hyperbilirubinemia requiring prompt treatment to prevent kernicterus. The other options represent expected findings at this stage, and are not immediately life-threatening.
💬 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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