अन्तर्राष्ट्रिय नर्सिङ लाइसेन्स NCLEX-RN, DHA, HAAD र CBT तयारी
अन्तर्राष्ट्रिय नर्सिङ लाइसेन्स – NCLEX-RN, DHA, HAAD र CBT
NCLEX-RN / DHA / HAAD · NCLEX-RN / DHA / HAAD / CBT
२,०४४ प्रश्न उपलब्ध। मोड छान्नुहोस्:
अन्तर्राष्ट्रिय 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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What is the correct normal sequence of lochia after birth?
सही उत्तर: ख) Rubra, serosa, alba
Lochia progresses from red (rubra) to pinkish-brown (serosa) to yellowish-white (alba). A return to bright red bleeding after serosa should be reported.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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On the third postpartum day, where would the nurse expect to palpate the fundus of a client who had an uncomplicated vaginal birth?
सही उत्तर: क) About 3 cm (fingerbreadths) below the umbilicus
After rising to about the umbilicus in the first 12 hours, the fundus descends roughly 1 cm per day. It is usually no longer palpable abdominally by about 2 weeks.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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At about how many weeks of gestation is the uterine fundus normally palpable at the level of the umbilicus?
सही उत्तर: घ) 20 weeks
The fundus reaches the umbilicus at about 20 weeks; at 12 weeks it is just above the symphysis pubis. From about 20 to 36 weeks, fundal height in cm roughly equals weeks of gestation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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On assessment one hour after birth, the nurse finds a soft, boggy fundus. What is the nurse's first action?
सही उत्तर: ग) Massage the fundus until it becomes firm
Fundal massage stimulates the uterine muscle to contract and is the first nursing action for a boggy uterus. The provider is notified if the uterus does not stay firm or bleeding continues.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the most common cause of early postpartum hemorrhage?
सही उत्तर: ख) Uterine atony
Uterine atony (failure of the uterus to contract) accounts for most early postpartum hemorrhages. Retained fragments and lacerations are other causes but are less common.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which finding indicates that the placenta has separated from the uterine wall after birth of the baby?
सही उत्तर: क) A sudden gush of dark blood and lengthening of the umbilical cord
Signs of placental separation include a sudden gush of blood, lengthening of the cord and a uterus that becomes firm and globular. A soft, discoid uterus is the opposite of what is expected when separation occurs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client receiving a blood transfusion should have it infused with which IV fluid?
सही उत्तर: ग) 0.9% sodium chloride
Normal saline is isotonic and compatible with blood. Dextrose causes hemolysis and calcium in Lactated Ringer's can cause clotting.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which IV potassium administration practice is unsafe?
सही उत्तर: ख) Giving potassium chloride by IV push
IV push potassium can cause fatal cardiac arrest. It must always be diluted and infused slowly, ideally after confirming adequate urine output.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Betamethasone is given to a woman at risk of preterm birth mainly to:
सही उत्तर: क) Accelerate fetal lung maturity
Antenatal corticosteroids stimulate surfactant production and reduce neonatal respiratory distress syndrome. They do not act as tocolytics.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During an oxytocin infusion, which finding requires the nurse to stop the infusion?
सही उत्तर: घ) Contractions lasting more than 90 seconds or occurring more often than every 2 minutes
Uterine tachysystole reduces placental perfusion and can cause fetal distress. The infusion is stopped and the client positioned on her side.
💬 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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