PNCB CPN Exam 186 Correct Questions and
Answers.
Use of sterile saline for suctioning - > No longer used routinely as it removes normal flora,
but is still used for plugs or near-plugs
Evidenced Based Practice (EBP) - > answer to question can be found in literature ie is has
already been researched
QI - > making sure EBP is being following (monitoring)
research - > question without answer. answer to a question can not be found in literature
ie research has not yet been done. purpose is to produce new knowledge. RN job is to
identify clinical questions and collect data
State nurse practice act - > defines what you can and can not do (Scope of Practice).
HIPAA exceptions - > 3- danger to self, danger to others, actively being harmed
Consent - > informed decision to accept treatment or participate in research. Parents
consent for children <18 years old
Assent - > in RESEARCH ONLY- children 7 or older must give assent in adjunct to parents
consent in order to participate
Growth Chart measurements 0-36 months - > measure in length (laid down to measure)
Under 2 years old MUST lay down to measure
Growth Chart measurements 2-18 years - > measure height (stand up to measure)
Mental Age - > Should interact with patients based on mental age
Weight at 6 months - > double birth weight (minimum)
weight at One year - > triple birth weight (minimum)
,BMI 85% + - > overweight
BMI <85% - > Healthy Weight
BMI <5% - > underweight, cause for concern
Kids close to edge of healthy/overweight line - > focus on prevention
average birth length - > 20 inches
Length at 4 years - > roughly double birth length
avg growth in 1st year - > 10 inches
avg growth in 2nd year - > 5 inches
Falling off the growth curve - > RED FLAG!! drop from established growth % cure to a
lower % plot
Red Flags followup - > recheck measurements accuracy, plotting accuracy
notify MD, nutritionist
Patient-family edu
How many words can baby speak by end of 1st year - > 5
Baby Milestones: 2 months - > lifts head, posterior fontanel closes
baby milestones: 3 months - > raises head, notices hands
Baby milestones: 4 months - > rakes objects, begins to roll over (front to back)
Baby Milestones: 5-6 months - > rolls back to front, sits with support, pushes up to hands
and knees and rocks back and forth
, Baby Milestones: 8 months - > sits without support
Baby Milestones: 9 months - > pincer grasp, crawl
Baby Milestones: 12-15 months - > Walking
Infant reflexes present at birth - > (disappear by 4 months)
rooting, moro
parachute reflex - > emerges at 5-6 months. when slowly lowering infant face down,
extends arms to protect from falling
Toddler- Social/emotional - > Egocentric. separation anxiety, transitional objects provide
security. encourage parent presence
Toddler- Language/Cognition - > 12 months- 5 words
18 months- 50 words
24 months- 400 words, uses 2-3 word phrases
3 yrs old- 3-4 word sentences
4 yrs old- 4-5 word sentences
Anterior fontanel closes - > 12-18 months
potty training - > 2-3 years old- daytime dryness
3-5 years old- night time dryness
Preschool age- social emotional - > 3-5 years old. People pleaser
sharing, taking turns, follow rules
fears body integrity- bandages help allay fear of losing blood
parent is most influential
Preschool age- Language/cognition - > tells long stories
Answers.
Use of sterile saline for suctioning - > No longer used routinely as it removes normal flora,
but is still used for plugs or near-plugs
Evidenced Based Practice (EBP) - > answer to question can be found in literature ie is has
already been researched
QI - > making sure EBP is being following (monitoring)
research - > question without answer. answer to a question can not be found in literature
ie research has not yet been done. purpose is to produce new knowledge. RN job is to
identify clinical questions and collect data
State nurse practice act - > defines what you can and can not do (Scope of Practice).
HIPAA exceptions - > 3- danger to self, danger to others, actively being harmed
Consent - > informed decision to accept treatment or participate in research. Parents
consent for children <18 years old
Assent - > in RESEARCH ONLY- children 7 or older must give assent in adjunct to parents
consent in order to participate
Growth Chart measurements 0-36 months - > measure in length (laid down to measure)
Under 2 years old MUST lay down to measure
Growth Chart measurements 2-18 years - > measure height (stand up to measure)
Mental Age - > Should interact with patients based on mental age
Weight at 6 months - > double birth weight (minimum)
weight at One year - > triple birth weight (minimum)
,BMI 85% + - > overweight
BMI <85% - > Healthy Weight
BMI <5% - > underweight, cause for concern
Kids close to edge of healthy/overweight line - > focus on prevention
average birth length - > 20 inches
Length at 4 years - > roughly double birth length
avg growth in 1st year - > 10 inches
avg growth in 2nd year - > 5 inches
Falling off the growth curve - > RED FLAG!! drop from established growth % cure to a
lower % plot
Red Flags followup - > recheck measurements accuracy, plotting accuracy
notify MD, nutritionist
Patient-family edu
How many words can baby speak by end of 1st year - > 5
Baby Milestones: 2 months - > lifts head, posterior fontanel closes
baby milestones: 3 months - > raises head, notices hands
Baby milestones: 4 months - > rakes objects, begins to roll over (front to back)
Baby Milestones: 5-6 months - > rolls back to front, sits with support, pushes up to hands
and knees and rocks back and forth
, Baby Milestones: 8 months - > sits without support
Baby Milestones: 9 months - > pincer grasp, crawl
Baby Milestones: 12-15 months - > Walking
Infant reflexes present at birth - > (disappear by 4 months)
rooting, moro
parachute reflex - > emerges at 5-6 months. when slowly lowering infant face down,
extends arms to protect from falling
Toddler- Social/emotional - > Egocentric. separation anxiety, transitional objects provide
security. encourage parent presence
Toddler- Language/Cognition - > 12 months- 5 words
18 months- 50 words
24 months- 400 words, uses 2-3 word phrases
3 yrs old- 3-4 word sentences
4 yrs old- 4-5 word sentences
Anterior fontanel closes - > 12-18 months
potty training - > 2-3 years old- daytime dryness
3-5 years old- night time dryness
Preschool age- social emotional - > 3-5 years old. People pleaser
sharing, taking turns, follow rules
fears body integrity- bandages help allay fear of losing blood
parent is most influential
Preschool age- Language/cognition - > tells long stories
