NP4 SET 2 PREBOARDS Final Exam
with Guaranteed Pass Solutions 2026-
2027 Edition.
Nurse Jihyo comes into the maternal ward and assesses the fundus of a two-day post-partum
mother. Nurse Jihyo would be correct to report to the patient's primary healthcare provider
what finding?
*
1 punto
A. The client verbalizes afterpains
B. Nurse Jihyo palpates the fundus 2cm below the umbilicus
C. The client reports pain upon massaging the fundus
D. The uterus remains soft upon massaging - Answer D. The uterus remains soft upon
massaging - it should become firm to decrease risk for hemorrhage. Soft uterus can cause
excessive amount of bleeding.
Situation: Nurse Momo assists a primigravida mother who just gave birth 12 hours ago. Nurse
Evelynn puts in the effort to help the patient transition into motherhood.
As the patient takes hold of her newborn, nurse Momo would be correct to suggest which
position to ensure maternal and child bonding?
*
1 punto
A. She lies in bed and places the infant on her
B. She slowly rocks with her infant while sitting in a rocking chair
C. She gently burps the infant while holding the infant over her shoulder
D. She speaks and looks directly at the infant's face - Answer A. She lies in bed and places the
infant on her - position was asked
D. She speaks and looks directly at the infant's face
If the mother makes eye to eye contact with her infant, it indicative of effective maternal-child
bonding
Nurse Momo visits the patient 3 days after giving birth and notices that the patient is occupied
with taking care of the baby as she is "getting to know" the baby as much as possible. Nurse
Momo knows that according to Reva Rubin, the mother is in what phase of behavioral
adjustment?
*
,1 punto
A. Taking-in phase
B. Letting-in phase
C. Taking-hold phase
D. Letting-go phase - Answer C. Taking-hold phase - they have a stronger interest to take care
of the infant
Phase 1: Taking In - 1-3 days postpartum. Mother is still internalizing and dependent with the
caregiver. They become passive in taking care of the baby
Phase 2: Taking Hold - 3-9 days postpartum. Growing responsibility, strives to learn and become
independent.
Phase 3: Letting Go - 10days - 6 weeks postpartum. Can resume sexual activity after the
episiotomy has healed. If no suture, sexual activity resumes after pain subsides.
Nurse Momo has been suspecting post-partum blues since the patient verbalized a sense of
disappointment, periods of sadness, and agitation. Nurse Momo would be correct if she gave
which advice?
*
1 punto
A. Refer the patient to a psychiatrist
B. Comfort the patient and reassure her that this is normal among post-partum mothers
C. Allow these feelings to run its course as all of these will pass
D. Recommend consistent breastfeeding of the infant - Answer D. Recommend consistent
breastfeeding of the infant - counteracts the hormonal drop and stimulates maternal-child
bonding
The patient asks about ways to avoid post-partum blues when she returns home. Nurse Momo
would be correct to give the following advice, except?
*
1 punto
A. Recommend that she take some time everyday to do something for herself
B. Advise the patient to strive for perfection so that she won't feel bad about herself
C. Help the client build a healthy balance in sleep, exercise, and nutrition
D. Encourage the client to verbalize emotions to support person - Answer B. Advise the patient
to strive for perfection so that she won't feel bad about herself
As nurse Momo further assesses the patient's condition, nurse Momo would be most concerned
about which of the following statements as it would be indicative of post-partum psychosis?
*
,1 punto
A. "I've been extremely tired since giving birth"
B. "I wish my baby had a fairer complexion"
C. "The baby was heavier than I thought when I carried her"
D. "Motherhood is tiring; I'm glad I haven't had any children" - Answer D. "Motherhood is
tiring; I'm glad I haven't had any children" - already not in reality
Situation: Nurse Nayeon is caring for a woman who is 20 weeks AOG. The patient verbalizes
concerns about her diet, nutrition, and weight related to her pregnancy. Nurse Nayeon prepares
herself to correct any incorrect information about the client's nutritional beliefs.
The patient stated that she gained so much weight despite being 5 months pregnant and she
intends to reduce her food intake, specifically carbohydrates. Nurse Nayeon would correct the
patient's belief by stating:
*
1 punto
A. "You would be correct since restricting carbohydrates during pregnancy can help prevent
gestational diabetes and maternal obesity"
B. "You should eat the same number of calories you were eating before pregnancy"
C. "You've been gaining too much weight so you should eat less that 1500 calories per day"
D. "You should avoid restricting carbohydrates from your diet lower than the prescribed intake
as it can cause growth restriction t - Answer D. "You should avoid restricting carbohydrates
from your diet lower than the prescribed intake as it can cause growth restriction to the
developing fetus"
Carbs helps in the growth and development of brain
The patient was informed about the benefits of Folic acid prior to nurse Nayeon's visit. Which
statement by the patient would warrant correction from nurse Nayeon?
*
1 punto
A.Folic acid can mask the signs of pernicious anemia
B. Folic acid will help prevent megaloblastic anemia
C. Folic acid is essential in red blood cell formation
D. Folic acid is vital in the prevention of neural tube defects - Answer A.Folic acid can mask the
signs of pernicious anemia
Pernicious anemia is the adverse effect of folic acid
Nurse Nayeon, after providing health teaching, knows that which of the following statements
from the patient indicate correct understanding about iron supplementation?
*
, 1 punto
A. "Crushing the iron pills will reduce its metallic aftertaste"
B. "Taking the iron pills with a carbonated drink will increase its effect"
C. "It is recommended to take the iron pills with milk"s
D. "I can take orange juice with my iron pills" - Answer D. "I can take orange juice with my iron
pills"
With the client being in her 2nd trimester, Nurse Nayeon knows that the patient would need
calcium supplementation and would need which of the following to improve the intestinal
absorption of calcium?
*
1 punto
A. Fat-soluble vitamins
B. Proteins
C. Intrinsic factor
D. Minerals - Answer A. Fat-soluble vitamins - vit D
hat can nurse Nayeon ask to obtain the most accurate nutrition history from her pregnant
client?
*
1 punto
A. "How much protein do you eat on a daily basis?"
B. "Do you feel satisfied with your nutrition"
C. "Can you tell me what you ate over the past 24 hours?"
D. "What is the ideal nutrition for you?" - Answer C. "Can you tell me what you ate over the
past 24 hours?"
24 hour history reacall
Situation: Patient Ahri returns to the health clinic 14 days after giving birth and complains about
her breasts being red, swollen, and painful. Mastitis was suspected for patient Ahri.
Ahri states that she can't breastfeed for too long as it becomes to painful and feels "inadequate
and not a good mother" What is the priority nursing diagnosis for patient Ahri?
*
1 punto
A. Risk for impaired attachment
B. Risk for impaired parenting
C. Pain related to development of mastitis
with Guaranteed Pass Solutions 2026-
2027 Edition.
Nurse Jihyo comes into the maternal ward and assesses the fundus of a two-day post-partum
mother. Nurse Jihyo would be correct to report to the patient's primary healthcare provider
what finding?
*
1 punto
A. The client verbalizes afterpains
B. Nurse Jihyo palpates the fundus 2cm below the umbilicus
C. The client reports pain upon massaging the fundus
D. The uterus remains soft upon massaging - Answer D. The uterus remains soft upon
massaging - it should become firm to decrease risk for hemorrhage. Soft uterus can cause
excessive amount of bleeding.
Situation: Nurse Momo assists a primigravida mother who just gave birth 12 hours ago. Nurse
Evelynn puts in the effort to help the patient transition into motherhood.
As the patient takes hold of her newborn, nurse Momo would be correct to suggest which
position to ensure maternal and child bonding?
*
1 punto
A. She lies in bed and places the infant on her
B. She slowly rocks with her infant while sitting in a rocking chair
C. She gently burps the infant while holding the infant over her shoulder
D. She speaks and looks directly at the infant's face - Answer A. She lies in bed and places the
infant on her - position was asked
D. She speaks and looks directly at the infant's face
If the mother makes eye to eye contact with her infant, it indicative of effective maternal-child
bonding
Nurse Momo visits the patient 3 days after giving birth and notices that the patient is occupied
with taking care of the baby as she is "getting to know" the baby as much as possible. Nurse
Momo knows that according to Reva Rubin, the mother is in what phase of behavioral
adjustment?
*
,1 punto
A. Taking-in phase
B. Letting-in phase
C. Taking-hold phase
D. Letting-go phase - Answer C. Taking-hold phase - they have a stronger interest to take care
of the infant
Phase 1: Taking In - 1-3 days postpartum. Mother is still internalizing and dependent with the
caregiver. They become passive in taking care of the baby
Phase 2: Taking Hold - 3-9 days postpartum. Growing responsibility, strives to learn and become
independent.
Phase 3: Letting Go - 10days - 6 weeks postpartum. Can resume sexual activity after the
episiotomy has healed. If no suture, sexual activity resumes after pain subsides.
Nurse Momo has been suspecting post-partum blues since the patient verbalized a sense of
disappointment, periods of sadness, and agitation. Nurse Momo would be correct if she gave
which advice?
*
1 punto
A. Refer the patient to a psychiatrist
B. Comfort the patient and reassure her that this is normal among post-partum mothers
C. Allow these feelings to run its course as all of these will pass
D. Recommend consistent breastfeeding of the infant - Answer D. Recommend consistent
breastfeeding of the infant - counteracts the hormonal drop and stimulates maternal-child
bonding
The patient asks about ways to avoid post-partum blues when she returns home. Nurse Momo
would be correct to give the following advice, except?
*
1 punto
A. Recommend that she take some time everyday to do something for herself
B. Advise the patient to strive for perfection so that she won't feel bad about herself
C. Help the client build a healthy balance in sleep, exercise, and nutrition
D. Encourage the client to verbalize emotions to support person - Answer B. Advise the patient
to strive for perfection so that she won't feel bad about herself
As nurse Momo further assesses the patient's condition, nurse Momo would be most concerned
about which of the following statements as it would be indicative of post-partum psychosis?
*
,1 punto
A. "I've been extremely tired since giving birth"
B. "I wish my baby had a fairer complexion"
C. "The baby was heavier than I thought when I carried her"
D. "Motherhood is tiring; I'm glad I haven't had any children" - Answer D. "Motherhood is
tiring; I'm glad I haven't had any children" - already not in reality
Situation: Nurse Nayeon is caring for a woman who is 20 weeks AOG. The patient verbalizes
concerns about her diet, nutrition, and weight related to her pregnancy. Nurse Nayeon prepares
herself to correct any incorrect information about the client's nutritional beliefs.
The patient stated that she gained so much weight despite being 5 months pregnant and she
intends to reduce her food intake, specifically carbohydrates. Nurse Nayeon would correct the
patient's belief by stating:
*
1 punto
A. "You would be correct since restricting carbohydrates during pregnancy can help prevent
gestational diabetes and maternal obesity"
B. "You should eat the same number of calories you were eating before pregnancy"
C. "You've been gaining too much weight so you should eat less that 1500 calories per day"
D. "You should avoid restricting carbohydrates from your diet lower than the prescribed intake
as it can cause growth restriction t - Answer D. "You should avoid restricting carbohydrates
from your diet lower than the prescribed intake as it can cause growth restriction to the
developing fetus"
Carbs helps in the growth and development of brain
The patient was informed about the benefits of Folic acid prior to nurse Nayeon's visit. Which
statement by the patient would warrant correction from nurse Nayeon?
*
1 punto
A.Folic acid can mask the signs of pernicious anemia
B. Folic acid will help prevent megaloblastic anemia
C. Folic acid is essential in red blood cell formation
D. Folic acid is vital in the prevention of neural tube defects - Answer A.Folic acid can mask the
signs of pernicious anemia
Pernicious anemia is the adverse effect of folic acid
Nurse Nayeon, after providing health teaching, knows that which of the following statements
from the patient indicate correct understanding about iron supplementation?
*
, 1 punto
A. "Crushing the iron pills will reduce its metallic aftertaste"
B. "Taking the iron pills with a carbonated drink will increase its effect"
C. "It is recommended to take the iron pills with milk"s
D. "I can take orange juice with my iron pills" - Answer D. "I can take orange juice with my iron
pills"
With the client being in her 2nd trimester, Nurse Nayeon knows that the patient would need
calcium supplementation and would need which of the following to improve the intestinal
absorption of calcium?
*
1 punto
A. Fat-soluble vitamins
B. Proteins
C. Intrinsic factor
D. Minerals - Answer A. Fat-soluble vitamins - vit D
hat can nurse Nayeon ask to obtain the most accurate nutrition history from her pregnant
client?
*
1 punto
A. "How much protein do you eat on a daily basis?"
B. "Do you feel satisfied with your nutrition"
C. "Can you tell me what you ate over the past 24 hours?"
D. "What is the ideal nutrition for you?" - Answer C. "Can you tell me what you ate over the
past 24 hours?"
24 hour history reacall
Situation: Patient Ahri returns to the health clinic 14 days after giving birth and complains about
her breasts being red, swollen, and painful. Mastitis was suspected for patient Ahri.
Ahri states that she can't breastfeed for too long as it becomes to painful and feels "inadequate
and not a good mother" What is the priority nursing diagnosis for patient Ahri?
*
1 punto
A. Risk for impaired attachment
B. Risk for impaired parenting
C. Pain related to development of mastitis
