मातृ र बाल नर्सिङ – Maternal & Child Nursing MCQ

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

71. A nurse is assessing a newborn infant who was born via vaginal delivery. The infant’s mother has been diagnosed with gestational diabetes. Which of the following findings would be MOST concerning to the nurse?

    कNormal birth weight (3.4 kg) खPresence of lanugo on the back गSigns of hypoglycemia, such as jitteriness and poor feeding घClear amniotic fluid
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

72. A pregnant woman at 36 weeks gestation presents to the clinic complaining of increasing vaginal leakage. She denies painful contractions. On examination, the cervix is 3 cm dilated and 70% effaced. Based on this assessment, what is the MOST appropriate initial nursing intervention?

    कAdminister oxytocin intravenously खEncourage rest and continued monitoring गInitiate fetal scalp stimulation घPrepare for immediate induction of labor
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

73. A nurse is caring for a newborn admitted with prematurity. The infant’s mother reports she noticed the baby has been ‘quiet’ and ‘floppy’. Which finding would be MOST concerning to the nurse regarding this infant’s condition?

    कBradycardia खIncreased capillary refill time गGrunting sounds घHypothermia
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

74. A newborn infant is exhibiting a yellow discoloration of the skin and eyes. The nurse knows this condition is referred to as jaundice. Which intervention should the nurse implement FIRST?

    कPlace the baby in a cool environment. खInitiate phototherapy with a special blue light. गAdminister intravenous fluids to increase urine output. घMonitor the infant’s vital signs closely.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

75. A 36-year-old woman presents to the clinic complaining of vaginal bleeding and mild abdominal pain at 28 weeks of gestation. Initial assessment reveals a blood pressure of 140/90 mmHg and proteinuria in her urine. What is the MOST immediate nursing intervention?

    कAdminister Rho(D) immune globulin immediately. खInitiate intravenous fluids and monitor maternal vital signs closely. गPrepare for possible preterm labor and administer tocolytics. घOrder a complete blood count and coagulation studies.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

76. A nurse is teaching a pregnant client about the importance of folic acid supplementation. Which of the following explanations is MOST accurate?

    क‘Folic acid helps build strong bones and teeth.’ ख‘Folic acid reduces the risk of neural tube defects in the developing fetus.’ ग‘Folic acid increases the mother’s energy levels during pregnancy.’ घ‘Folic acid prevents premature birth.’
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

77. A postpartum woman is concerned about milk supply for her newborn. Which statement by the nurse would be MOST helpful in addressing this concern?

    क‘Don’t worry too much; most mothers eventually figure it out.’ ख‘Frequent nursing or pumping, typically every 2-3 hours, can stimulate milk production.’ ग‘The baby’s appetite will naturally regulate itself over time.’ घ‘Avoid supplementing with formula to maintain your exclusive breastfeeding goal.’
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

78. A pregnant woman at 32 weeks gestation reports experiencing intermittent contractions, each lasting approximately 30 seconds and occurring every 10 minutes. Which of the following is the MOST appropriate initial nursing intervention?

    कAdminister oxygen to increase fetal oxygenation. खEncourage the patient to rest in a side-lying position. गAssess for signs of premature labor, including cervical dilation and effacement. घAdminister intravenous fluids for hydration.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

79. A preterm newborn (30 weeks gestation) is experiencing respiratory distress, characterized by rapid, shallow breathing and nasal flaring. Which physiological explanation best describes the cause of this distress?

    कIncreased alveolar surface area खHypoventilation due to surfactant deficiency गPulmonary edema secondary to infection घBronchospasm due to histamine release
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

80. A nurse is educating a mother about breastfeeding. Which statement best demonstrates the nurse's understanding of the importance of proper latch?

    क‘Ensure the baby takes large gulps of milk to maximize intake.’ ख‘The baby should open their mouth into an ‘A’ shape when latched onto the breast.’ ग‘Encourage the mother to pull the nipple away from the baby’s palate if the baby cries.’ घ‘Allow the baby to find their own position on the breast.’
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।