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Questions and Answers
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Define anticipatory guidance in pediatric nursing.
Anticipatory guidance is proactive, developmentally appropriate education provided to children
and families to promote health, prevent illness and injury, and prepare for expected
developmental changes.
A 2-month-old infant sleeps prone because parents believe the baby sleeps better. What is the
best nursing teaching?
Infants should always be placed supine (on the back) for sleep to reduce the risk of Sudden
Infant Death Syndrome (SIDS). Side and prone positions are not recommended.
The recommendation for exclusive breastfeeding is approximately the first _____ months of
life.
6 months.
What is the primary purpose of newborn screening programs?
Early identification of congenital, metabolic, endocrine, genetic, and hematologic disorders so
treatment can begin before complications occur.
A toddler repeatedly places small objects in the mouth. Which injury-prevention teaching is
most important?
Keep small objects, coins, button batteries, magnets, and choking hazards out of reach due to
aspiration and choking risk.
Define resilience in pediatric health promotion.
Resilience is the ability of a child to adapt positively and recover from adversity, stress, trauma,
or challenging life events.
Soft bedding reduces infant sleep disturbances and is recommended.
False. Soft bedding, pillows, blankets, and bumper pads increase suffocation and SIDS risk
and should not be used.
Which developmental milestone is expected around 6 months of age?
Rolling over, sitting with support, transferring objects between hands, and responding to
familiar voices.
What community resource is appropriate for a child with suspected developmental delay?
Early Intervention Services for developmental assessment and therapeutic support.
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A school-age child experiences bullying at school. What is the nurse's priority health-promotion
intervention?
Assess emotional impact, promote communication with trusted adults, teach coping skills, and
connect family with school and mental health resources.
Define prematurity.
Birth before 37 completed weeks of gestation.
Why are premature infants considered a high-risk population?
They have increased risk for developmental delays, respiratory problems, feeding difficulties,
infection, and long-term health challenges.
Rear-facing car seats are recommended until at least age _____ or until maximum
manufacturer limits are reached.
2 years.
What is the purpose of growth charts?
To monitor growth patterns over time and identify nutritional, developmental, or health concerns
early.
A parent compares siblings and worries because one child is smaller. What is the best
response?
Evaluate individual growth trends over time rather than comparing siblings because genetics
and growth patterns vary.
Define herd immunity.
Community protection that occurs when enough individuals are immune to an infectious
disease, reducing transmission.
Which vitamin supplement is routinely recommended for exclusively breastfed infants?
Vitamin D supplementation.
A child in the 90th percentile for weight is automatically unhealthy. Why is this incorrect?
Percentiles must be interpreted with height, BMI, growth trend, family history, and overall health
rather than a single measurement.
What is the recommended age for introducing complementary solid foods?
Around 6 months when developmental readiness is present.
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1000 Flashcards Certified Pediatric Nurse (CPN) Examhttps://www.stuvia.com/user/edupac
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Define social determinants of health.
Conditions in which people are born, live, learn, work, and play that affect health outcomes.
Which factor most strongly influences childhood obesity risk?
Multifactorial influences including genetics, diet, physical activity, family habits, and
environment.
Dental visits should begin by age _____ year.
1
Why should juice intake be limited in children?
Excess juice contributes to dental caries, obesity risk, and poor nutritional balance.
A teenager reports spending 10 hours daily on social media. What health concern should be
assessed?
Sleep disturbance, depression, anxiety, cyberbullying, self-esteem issues, and social
functioning.
Define adolescent egocentrism.
A developmental phenomenon in which adolescents often believe others are highly focused on
them and their experiences.
What is the primary goal of immunizations?
To stimulate protective immunity and reduce disease occurrence and complications.
Mild illness with low-grade fever is an absolute contraindication to vaccination.
False. Mild illness generally is not a contraindication; vaccination can usually proceed.
Which anticipatory guidance is appropriate for toddlers?
Injury prevention, language development, toilet readiness education, and consistent discipline
strategies.
What is the leading cause of death among children older than 1 year in many countries?
Unintentional injuries.
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https://www.stuvia.com/user/edupac
https://www.stuvia.com/user/edupachttps://www.stuvia.com/usehttps://www.stuvia.com/user/
edupacr/edupac
Certified Pediatric Nurse
(CPN) Exam Practice
Questions and Answers
https://www.stuvia.com/user/edupac
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edupacser/edupac
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1000 Flashcards Certified Pediatric Nurse (CPN) Examhttps://www.stuvia.com/user/edupac
https://www.stuvia.com/user/edupac
Define anticipatory guidance in pediatric nursing.
Anticipatory guidance is proactive, developmentally appropriate education provided to children
and families to promote health, prevent illness and injury, and prepare for expected
developmental changes.
A 2-month-old infant sleeps prone because parents believe the baby sleeps better. What is the
best nursing teaching?
Infants should always be placed supine (on the back) for sleep to reduce the risk of Sudden
Infant Death Syndrome (SIDS). Side and prone positions are not recommended.
The recommendation for exclusive breastfeeding is approximately the first _____ months of
life.
6 months.
What is the primary purpose of newborn screening programs?
Early identification of congenital, metabolic, endocrine, genetic, and hematologic disorders so
treatment can begin before complications occur.
A toddler repeatedly places small objects in the mouth. Which injury-prevention teaching is
most important?
Keep small objects, coins, button batteries, magnets, and choking hazards out of reach due to
aspiration and choking risk.
Define resilience in pediatric health promotion.
Resilience is the ability of a child to adapt positively and recover from adversity, stress, trauma,
or challenging life events.
Soft bedding reduces infant sleep disturbances and is recommended.
False. Soft bedding, pillows, blankets, and bumper pads increase suffocation and SIDS risk
and should not be used.
Which developmental milestone is expected around 6 months of age?
Rolling over, sitting with support, transferring objects between hands, and responding to
familiar voices.
What community resource is appropriate for a child with suspected developmental delay?
Early Intervention Services for developmental assessment and therapeutic support.
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,https://www.stuvia.com/user/edupac
1000 Flashcards Certified Pediatric Nurse (CPN) Examhttps://www.stuvia.com/user/edupac
https://www.stuvia.com/user/edupac
A school-age child experiences bullying at school. What is the nurse's priority health-promotion
intervention?
Assess emotional impact, promote communication with trusted adults, teach coping skills, and
connect family with school and mental health resources.
Define prematurity.
Birth before 37 completed weeks of gestation.
Why are premature infants considered a high-risk population?
They have increased risk for developmental delays, respiratory problems, feeding difficulties,
infection, and long-term health challenges.
Rear-facing car seats are recommended until at least age _____ or until maximum
manufacturer limits are reached.
2 years.
What is the purpose of growth charts?
To monitor growth patterns over time and identify nutritional, developmental, or health concerns
early.
A parent compares siblings and worries because one child is smaller. What is the best
response?
Evaluate individual growth trends over time rather than comparing siblings because genetics
and growth patterns vary.
Define herd immunity.
Community protection that occurs when enough individuals are immune to an infectious
disease, reducing transmission.
Which vitamin supplement is routinely recommended for exclusively breastfed infants?
Vitamin D supplementation.
A child in the 90th percentile for weight is automatically unhealthy. Why is this incorrect?
Percentiles must be interpreted with height, BMI, growth trend, family history, and overall health
rather than a single measurement.
What is the recommended age for introducing complementary solid foods?
Around 6 months when developmental readiness is present.
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, https://www.stuvia.com/user/edupac
1000 Flashcards Certified Pediatric Nurse (CPN) Examhttps://www.stuvia.com/user/edupac
https://www.stuvia.com/user/edupac
Define social determinants of health.
Conditions in which people are born, live, learn, work, and play that affect health outcomes.
Which factor most strongly influences childhood obesity risk?
Multifactorial influences including genetics, diet, physical activity, family habits, and
environment.
Dental visits should begin by age _____ year.
1
Why should juice intake be limited in children?
Excess juice contributes to dental caries, obesity risk, and poor nutritional balance.
A teenager reports spending 10 hours daily on social media. What health concern should be
assessed?
Sleep disturbance, depression, anxiety, cyberbullying, self-esteem issues, and social
functioning.
Define adolescent egocentrism.
A developmental phenomenon in which adolescents often believe others are highly focused on
them and their experiences.
What is the primary goal of immunizations?
To stimulate protective immunity and reduce disease occurrence and complications.
Mild illness with low-grade fever is an absolute contraindication to vaccination.
False. Mild illness generally is not a contraindication; vaccination can usually proceed.
Which anticipatory guidance is appropriate for toddlers?
Injury prevention, language development, toilet readiness education, and consistent discipline
strategies.
What is the leading cause of death among children older than 1 year in many countries?
Unintentional injuries.
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