CPN Exam
Weight at 6 months ______ birth weight. - CORRECT ANSWER-Double
Weight at 1 year ______ birth weight. - CORRECT ANSWER-Triples
BMI - Obese - CORRECT ANSWER-> 95%, 30 or more
BMI - Overweight - CORRECT ANSWER-85%-95%, 25-29.9
BMI - Healthy Weight - CORRECT ANSWER-5%-<85%, 18.6-24.9
BMI - Underweight - CORRECT ANSWER-<5%, <18.5
Average Birth Length - CORRECT ANSWER-20 Inches
First year rate of growth in inches. - CORRECT ANSWER-10 inches
Second year rate of growth in inches. - CORRECT ANSWER-5 inches
Each year from 3rd to puberty rate of growth in inches. - CORRECT
ANSWER-2.5 inches
Birth length _____ at 4 years? - CORRECT ANSWER-Doubles (so if 20 now 40
inches)
12 month old says how many words? - CORRECT ANSWER-5 words
18 month old says how many words? - CORRECT ANSWER-50 words
24 month old says how many words? - CORRECT ANSWER-400 words
How many word phrases? - CORRECT ANSWER-"Age to 1 more than my age =
sentences" Ex. 3 year old says 3-4 words per sentence.
,Contraindication for live vaccines. - CORRECT ANSWER-Immunosuppression -
including chemotherapy.
Live Vaccine are MMR, Varicella, Rotavirus, and Nasal Influenza.
What live vaccines do children with HIV still receive? - CORRECT
ANSWER-MMR and Varicella
Mild side effects of vaccines. - CORRECT ANSWER-Fever or soreness at the
injection site.
How to treat mild side effects of vaccines. - CORRECT ANSWER-Treat as it
occurs! Antipyretic and comfort measures as needed. DO NOT PREMEDICATE
(ATC Tylenol and Motrin)
Live Vaccine Side Effects - CORRECT ANSWER-Mimic the actual disease they
are designed to protect against. Occur 2-4 WEEKS after administration.
Live Varicella Vaccine Side Effects/Management - CORRECT ANSWER-Vaccine
induced rash - can be contagious, avoid immunocompromised people.
Live Rotavirus Vaccine Side Effects/Management - CORRECT ANSWER-Mild,
temporary diarrhea or vomiting, fussiness/irritability, cough/runny nose, fever,
loss of appetite. Wash hands with diaper changes as always - avoid contact with
immunocompromised people.
Contraindications for MMR. - CORRECT ANSWER-Immunocompromised, < 12
mo of age due to maternal antibodies. EXCEPTION = measles outbreak.
Normal Hemoglobin Levels - CORRECT ANSWER-11.5-14.5 g/dl
When to transfuse? - CORRECT ANSWER-Acute Anemia - less than 7.0-8.0
Chronic Anemia - less than 6.0
Normal Platelet Count - CORRECT ANSWER-150,000-400,000
Normal pH Range - CORRECT ANSWER-7.35-7.45
, Acidosis - pH - CORRECT ANSWER-pH < 7.35
Alkalosis -pH - CORRECT ANSWER-pH > 7.45
Normal Pediatric PaCO2 - CORRECT ANSWER-35-45 mmHg
Alkalosis - PaCO2 - CORRECT ANSWER-losing CO2 therefore < 35 (normal
35-45)
Acidosis - PaCO2 - CORRECT ANSWER-gaining CO2 therefore >45 (normal
35-45)
Normal Serum HCO3 - CORRECT ANSWER-22-26 mEq/L
Alkalosis - HCO3 - CORRECT ANSWER-gaining base therefore > 26 (normal
22-26)
Acidosis - HCO3 - CORRECT ANSWER-losing base therefore < 22 (normal
22-26)
Analyzing Acid-Base Imbalances - CORRECT ANSWER-The label that matches
the pH is the system responsible for the imbalance, also called the "source." CO2
- respiratory, HCO3 - metabolic
Causes of Respiratory Acidosis - CORRECT ANSWER-"gaining acid", etiology:
respiratory distress, arrest
Causes of Metabolic Acidosis - CORRECT ANSWER-"loss of base/acid buffer",
etiology: diarrhea, kidney failure (when kidneys don't work they don't make
buffer), diabetic ketoacidosis (body making acid)
Causes of Respiratory Alkalosis - CORRECT ANSWER-"loss of acid", etiology:
hyperventilation (anxiety)
Causes of Metabolic Alkalosis - CORRECT ANSWER-"gain base/acid buffer",
etiology: vomiting
Weight at 6 months ______ birth weight. - CORRECT ANSWER-Double
Weight at 1 year ______ birth weight. - CORRECT ANSWER-Triples
BMI - Obese - CORRECT ANSWER-> 95%, 30 or more
BMI - Overweight - CORRECT ANSWER-85%-95%, 25-29.9
BMI - Healthy Weight - CORRECT ANSWER-5%-<85%, 18.6-24.9
BMI - Underweight - CORRECT ANSWER-<5%, <18.5
Average Birth Length - CORRECT ANSWER-20 Inches
First year rate of growth in inches. - CORRECT ANSWER-10 inches
Second year rate of growth in inches. - CORRECT ANSWER-5 inches
Each year from 3rd to puberty rate of growth in inches. - CORRECT
ANSWER-2.5 inches
Birth length _____ at 4 years? - CORRECT ANSWER-Doubles (so if 20 now 40
inches)
12 month old says how many words? - CORRECT ANSWER-5 words
18 month old says how many words? - CORRECT ANSWER-50 words
24 month old says how many words? - CORRECT ANSWER-400 words
How many word phrases? - CORRECT ANSWER-"Age to 1 more than my age =
sentences" Ex. 3 year old says 3-4 words per sentence.
,Contraindication for live vaccines. - CORRECT ANSWER-Immunosuppression -
including chemotherapy.
Live Vaccine are MMR, Varicella, Rotavirus, and Nasal Influenza.
What live vaccines do children with HIV still receive? - CORRECT
ANSWER-MMR and Varicella
Mild side effects of vaccines. - CORRECT ANSWER-Fever or soreness at the
injection site.
How to treat mild side effects of vaccines. - CORRECT ANSWER-Treat as it
occurs! Antipyretic and comfort measures as needed. DO NOT PREMEDICATE
(ATC Tylenol and Motrin)
Live Vaccine Side Effects - CORRECT ANSWER-Mimic the actual disease they
are designed to protect against. Occur 2-4 WEEKS after administration.
Live Varicella Vaccine Side Effects/Management - CORRECT ANSWER-Vaccine
induced rash - can be contagious, avoid immunocompromised people.
Live Rotavirus Vaccine Side Effects/Management - CORRECT ANSWER-Mild,
temporary diarrhea or vomiting, fussiness/irritability, cough/runny nose, fever,
loss of appetite. Wash hands with diaper changes as always - avoid contact with
immunocompromised people.
Contraindications for MMR. - CORRECT ANSWER-Immunocompromised, < 12
mo of age due to maternal antibodies. EXCEPTION = measles outbreak.
Normal Hemoglobin Levels - CORRECT ANSWER-11.5-14.5 g/dl
When to transfuse? - CORRECT ANSWER-Acute Anemia - less than 7.0-8.0
Chronic Anemia - less than 6.0
Normal Platelet Count - CORRECT ANSWER-150,000-400,000
Normal pH Range - CORRECT ANSWER-7.35-7.45
, Acidosis - pH - CORRECT ANSWER-pH < 7.35
Alkalosis -pH - CORRECT ANSWER-pH > 7.45
Normal Pediatric PaCO2 - CORRECT ANSWER-35-45 mmHg
Alkalosis - PaCO2 - CORRECT ANSWER-losing CO2 therefore < 35 (normal
35-45)
Acidosis - PaCO2 - CORRECT ANSWER-gaining CO2 therefore >45 (normal
35-45)
Normal Serum HCO3 - CORRECT ANSWER-22-26 mEq/L
Alkalosis - HCO3 - CORRECT ANSWER-gaining base therefore > 26 (normal
22-26)
Acidosis - HCO3 - CORRECT ANSWER-losing base therefore < 22 (normal
22-26)
Analyzing Acid-Base Imbalances - CORRECT ANSWER-The label that matches
the pH is the system responsible for the imbalance, also called the "source." CO2
- respiratory, HCO3 - metabolic
Causes of Respiratory Acidosis - CORRECT ANSWER-"gaining acid", etiology:
respiratory distress, arrest
Causes of Metabolic Acidosis - CORRECT ANSWER-"loss of base/acid buffer",
etiology: diarrhea, kidney failure (when kidneys don't work they don't make
buffer), diabetic ketoacidosis (body making acid)
Causes of Respiratory Alkalosis - CORRECT ANSWER-"loss of acid", etiology:
hyperventilation (anxiety)
Causes of Metabolic Alkalosis - CORRECT ANSWER-"gain base/acid buffer",
etiology: vomiting
