CPN Exam Questions and Answers (Graded A+)

Weight at 6 months ______ birth weight. - ANSWER-Double Weight at 1 year ______ birth weight. - ANSWER-Triples BMI - Obese - ANSWER-> 95%, 30 or more BMI - Overweight - ANSWER-85%-95%, 25-29.9 BMI - Healthy Weight - ANSWER-5%-<85%, 18.6-24.9 BMI - Underweight - ANSWER-<5%, <18.5 Average Birth Length - ANSWER-20 Inches First year rate of growth in inches. - ANSWER-10 inches Second year rate of growth in inches. - ANSWER-5 inches Each year from 3rd to puberty rate of growth in inches. - ANSWER-2.5 inches Birth length _____ at 4 years? - ANSWER-Doubles (so if 20 now 40 inches) 12 month old says how many words? - ANSWER-5 words 18 month old says how many words? - ANSWER-50 words 24 month old says how many words? - ANSWER-400 words How many word phrases? - ANSWER-"Age to 1 more than my age = sentences" Ex. 3 year old says 3-4 words per sentence. Contraindication for live vaccines. - ANSWER-Immunosuppression - including chemotherapy. Live Vaccine are MMR, Varicella, Rotavirus, and Nasal Influenza. What live vaccines do children with HIV still receive? - ANSWER-MMR and Varicella Mild side effects of vaccines. - ANSWER-Fever or soreness at the injection site. How to treat mild side effects of vaccines. - ANSWER-Treat as it occurs! Antipyretic and comfort measures as needed. DO NOT PREMEDICATE (ATC Tylenol and Motrin) Live Vaccine Side Effects - ANSWER-Mimic the actual disease they are designed to protect against. Occur 2-4 WEEKS after administration. Live Varicella Vaccine Side Effects/Management - ANSWER-Vaccine induced rash - can be contagious, avoid immunocompromised people. Live Rotavirus Vaccine Side Effects/Management - 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. - ANSWER-Immunocompromised, < 12 mo of age due to maternal antibodies. EXCEPTION = measles outbreak. Normal Hemoglobin Levels - ANSWER-11.5-14.5 g/dl When to transfuse? - ANSWER-Acute Anemia - less than 7.0-8.0 Ch