NLE NP2: Mother, Child, and Family Care Review

NLE NP2: Mother, Child, and Family Care Review

NP2 — Care of Mother, Child, and Family — is the NLE subtest most BSN candidates score highest on. The content is well-covered in BSN curricula (OB rotation 6-8 weeks, paediatrics 4-6 weeks), and the items skew toward concrete clinical scenarios that nurses encountered during clinicals.

This post is the topic-level plan that the NLE 2026 pillar guide hands off to.

What PRC actually asks

Approximate item distribution across the 100 NP2 items:

Antepartum care

Drill list:

Pregnancy physiology:

• Signs: presumptive (subjective), probable (objective), positive (definitive)
• Hormonal changes: hCG, estrogen, progesterone, hPL
• Cardiovascular changes: increased blood volume (40-50%), increased cardiac output, physiological anaemia
• Other systems: respiratory, renal, GI changes
• GTPAL system for parity (gravida, term, preterm, abortion, living)

Prenatal care:

• Visit schedule: monthly through 28 weeks, biweekly 28-36, weekly 36-delivery
• Naegele's rule: LMP - 3 months + 7 days + 1 year
• Routine labs: blood type, Rh, CBC, urinalysis, GBS at 35-37 weeks, 1-hour glucose at 24-28 weeks
• Prenatal vitamins: folic acid (400-800 mcg), iron
• Diet, exercise, danger signs

Common complications:

• Hyperemesis gravidarum
• Gestational diabetes
• Preeclampsia: classic triad (hypertension, proteinuria, oedema), severe features, magnesium sulfate (toxicity: respiratory depression, decreased reflexes — antidote calcium gluconate)
• Eclampsia: seizure prevention, magnesium
• Placenta previa: painless bright red bleeding, no vaginal exam
• Placental abruption: painful dark red bleeding, rigid abdomen
• Ectopic pregnancy: methotrexate vs surgical
• Spontaneous abortion: types (threatened, inevitable, incomplete, complete, missed)
• HELLP syndrome
• Rh incompatibility: RhoGAM at 28 weeks and within 72 hours postpartum

Intrapartum care

Drill list:

Labor stages:

• Stage 1 (latent + active + transition): cervical dilation 0-10 cm
• Stage 2: full dilation to delivery
• Stage 3: delivery to placental expulsion
• Stage 4: first 1-4 hours postpartum

Fetal monitoring:

• Fetal heart rate baseline: 110-160
• Variability: absent, minimal, moderate, marked
• Accelerations vs decelerations:

- Early decelerations: head compression, benign - Late decelerations: utero-placental insufficiency, concerning, position change + O2 + IV bolus - Variable decelerations: cord compression, position change first

Pain management:

• Non-pharmacological: positioning, breathing, hydrotherapy, doula support
• Pharmacological: opioids (concerns at delivery), epidural (contraindications, complications)

Complications:

• Preterm labor: tocolytics (magnesium, indomethacin, nifedipine), corticosteroids for fetal lung maturity
• Premature rupture of membranes
• Cord prolapse: emergency, knee-chest position, lift presenting part off cord, no cord manipulation
• Shoulder dystocia: McRoberts manoeuvre
• Postpartum hemorrhage: causes (4 Ts — tone, trauma, tissue, thrombin)
• Uterine rupture
• Amniotic fluid embolism

Postpartum care

Drill list:

Maternal recovery:

• Fundal assessment: should be midline, firm, descending 1 fingerbreadth/day
• Lochia: rubra (1-3 days), serosa (4-10 days), alba (10+ days). Foul-smelling = infection
• BUBBLE-HE assessment: Breasts, Uterus, Bladder, Bowel, Lochia, Episiotomy/Edema, Homan's, Emotional
• Postpartum complications: hemorrhage, infection (endometritis), DVT, thromboembolism, depression vs blues vs psychosis

Breastfeeding:

• Anatomy of let-down reflex
• Engorgement management
• Mastitis: continue breastfeeding, antibiotics, warm compresses
• Common medications safety in breastfeeding

Newborn care

Drill list:

Immediate post-delivery:

• APGAR score (HR, respiratory effort, muscle tone, reflex, colour) at 1 and 5 minutes
• Vitamin K injection (prevents hemorrhagic disease)
• Erythromycin eye prophylaxis
• Hepatitis B first dose
• Cord care
• Initial feeding within 1 hour

Newborn assessment:

• Vital signs ranges (HR 120-160, RR 30-60, T 36.5-37.5)
• Reflexes: moro, rooting, sucking, palmar grasp, plantar grasp, Babinski (positive in newborn), tonic neck, stepping
• Common variations: vernix, lanugo, milia, mongolian spots, stork bites, erythema toxicum
• Concerning findings: cyanosis, jaundice within 24h (pathological), poor feeding, lethargy

Common newborn conditions:

• Physiological vs pathological jaundice (bilirubin nomogram)
• Hypoglycemia (especially in IDM, SGA, LGA)
• Respiratory distress syndrome (premature infants)
• Meconium aspiration
• TORCH infections
• Congenital anomalies: cleft lip/palate, congenital heart defects, neural tube defects
• Phenylketonuria (PKU) screening

Paediatrics

Growth and development by age:

Erikson's stages applied:

• Trust vs Mistrust (0-1y)
• Autonomy vs Shame and Doubt (1-3y)
• Initiative vs Guilt (3-6y)
• Industry vs Inferiority (6-12y)
• Identity vs Role Confusion (12-18y)

Common paediatric conditions:

• Otitis media
• Bronchiolitis (RSV)
• Croup vs epiglottitis
• Asthma
• GERD in infants
• Pyloric stenosis (projectile vomiting, olive-shaped mass)
• Intussusception (red currant jelly stool)
• Hirschsprung's disease
• Sickle cell crisis
• Leukaemia
• Cystic fibrosis
• Type 1 diabetes onset

Immunisation schedule (Philippine EPI):

• Birth: BCG, Hep B
• 6 weeks: pentavalent, OPV, PCV, rotavirus
• 10 weeks: pentavalent, OPV, PCV, rotavirus
• 14 weeks: pentavalent, OPV, PCV, IPV
• 9 months: MCV1
• 12 months: MCV2, second dose

Paediatric emergencies

• Respiratory distress: signs (retractions, nasal flaring, grunting, accessory muscle use), management
• Dehydration: assessment (capillary refill, mucous membranes, fontanelle, urine output)
• Seizures: febrile seizure (most common), status epilepticus
• Burns: rule of nines (modified for children), fluid resuscitation
• Foreign body airway obstruction by age

Family planning

Drill list:

• Natural methods: calendar, BBT, cervical mucus, symptothermal
• Barrier methods: condoms, diaphragm, cervical cap
• Hormonal: combined OCPs, POPs, patches, ring, depot, implant
• IUD: copper (10y), levonorgestrel
• Permanent: vasectomy, tubal ligation
• Emergency contraception
• Contraindications: combined OCPs in HTN, smoking >35, history of DVT/stroke

A 4-week NP2 drilling plan

Realistic NP2 scores

Most BSN candidates land in the upper part of this range.

Where Super Tutor fits

Super Tutor's NLE NP2 track covers OB, paediatrics, and family planning. Free tier opens antepartum and family planning; the Focused plan (₱49/week, ₱249/month, ₱1,999/year) opens intrapartum, newborn, paediatrics, and the mock cycle.

What to read next

The NLE 2026 pillar guide anchors the full review. Other subtest plans: NP1 Med-Surg, NP4 Mental Health. The 60% floor trap guide is essential context.