PNCB CPN Exam
1. Use of sterile saline for suctioning: No longer used routinely as it removes
normal flora, but is still used for plugs or near-plugs
2. Evidenced Based Practice (EBP): answer to question can be found in
literature ie is has already been researched
3. QI: making sure EBP is being following (monitoring)
4. 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
5. State nurse practice act: defines what you can and can not do (Scope of
Practice).
6. HIPAA exceptions: 3- danger to self, danger to others, actively being harmed
7. Consent: informed decision to accept treatment or participate in research.
Parents consent for children <18 years old
8. Assent: in RESEARCH ONLY- children 7 or older must give assent in adjunct
to parents consent in order to participate
9. Growth Chart measurements 0-36 months: measure in length (laid down to
measure) Under 2 years old MUST lay down to measure
10. Growth Chart measurements 2-18 years: measure height (stand up to
measure)
11. Mental Age: Should interact with patients based on mental age
12. Weight at 6 months: double birth weight (minimum)
13. weight at One year: triple birth weight (minimum)
14. BMI 85% +: overweight
15. BMI <85%: Healthy Weight
16. BMI <5%: underweight, cause for concern
17. Kids close to edge of healthy/overweight line: focus on prevention
18. average birth length: 20 inches
19. Length at 4 years: roughly double birth length
20. avg growth in 1st year: 10 inches
21. avg growth in 2nd year: 5 inches
, 22. Falling off the growth curve: RED FLAG!! drop from established growth %
cure to a lower % plot
23. Red Flags followup: recheck measurements accuracy, plotting accuracy
notify MD, nutritionist
Patient-family edu
24. How many words can baby speak by end of 1st year: 5
25. Baby Milestones: 2 months: lifts head, posterior fontanel closes
26. baby milestones: 3 months: raises head, notices hands
27. Baby milestones: 4 months: rakes objects, begins to roll over (front to back)
28 Baby Milestones: 5-6 months: rolls back to front, sits with support,
pushes up to hands and knees and rocks back and forth
29. Baby Milestones: 8 months: sits without support
30. Baby Milestones: 9 months: pincer grasp, crawl
31. Baby Milestones: 12-15 months: Walking
32. Infant reflexes present at birth: (disappear by 4 months) rooting, moro
33. parachute reflex: emerges at 5-6 months. when slowly lowering infant face
down, extends arms to protect from falling
34. Toddler- Social/emotional: Egocentric. separation anxiety, transitional
objects provide security. encourage parent presence
35. 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
36. Anterior fontanel closes: 12-18 months
37. potty training: 2-3 years old- daytime dryness
3-5 years old- night time dryness
38. 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
39. Preschool age- Language/cognition: tells long stories
40. Preschool- physical/motor: 3 yr- builds a tower > 6 blocks
4 yr- throws ball overhead
1. Use of sterile saline for suctioning: No longer used routinely as it removes
normal flora, but is still used for plugs or near-plugs
2. Evidenced Based Practice (EBP): answer to question can be found in
literature ie is has already been researched
3. QI: making sure EBP is being following (monitoring)
4. 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
5. State nurse practice act: defines what you can and can not do (Scope of
Practice).
6. HIPAA exceptions: 3- danger to self, danger to others, actively being harmed
7. Consent: informed decision to accept treatment or participate in research.
Parents consent for children <18 years old
8. Assent: in RESEARCH ONLY- children 7 or older must give assent in adjunct
to parents consent in order to participate
9. Growth Chart measurements 0-36 months: measure in length (laid down to
measure) Under 2 years old MUST lay down to measure
10. Growth Chart measurements 2-18 years: measure height (stand up to
measure)
11. Mental Age: Should interact with patients based on mental age
12. Weight at 6 months: double birth weight (minimum)
13. weight at One year: triple birth weight (minimum)
14. BMI 85% +: overweight
15. BMI <85%: Healthy Weight
16. BMI <5%: underweight, cause for concern
17. Kids close to edge of healthy/overweight line: focus on prevention
18. average birth length: 20 inches
19. Length at 4 years: roughly double birth length
20. avg growth in 1st year: 10 inches
21. avg growth in 2nd year: 5 inches
, 22. Falling off the growth curve: RED FLAG!! drop from established growth %
cure to a lower % plot
23. Red Flags followup: recheck measurements accuracy, plotting accuracy
notify MD, nutritionist
Patient-family edu
24. How many words can baby speak by end of 1st year: 5
25. Baby Milestones: 2 months: lifts head, posterior fontanel closes
26. baby milestones: 3 months: raises head, notices hands
27. Baby milestones: 4 months: rakes objects, begins to roll over (front to back)
28 Baby Milestones: 5-6 months: rolls back to front, sits with support,
pushes up to hands and knees and rocks back and forth
29. Baby Milestones: 8 months: sits without support
30. Baby Milestones: 9 months: pincer grasp, crawl
31. Baby Milestones: 12-15 months: Walking
32. Infant reflexes present at birth: (disappear by 4 months) rooting, moro
33. parachute reflex: emerges at 5-6 months. when slowly lowering infant face
down, extends arms to protect from falling
34. Toddler- Social/emotional: Egocentric. separation anxiety, transitional
objects provide security. encourage parent presence
35. 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
36. Anterior fontanel closes: 12-18 months
37. potty training: 2-3 years old- daytime dryness
3-5 years old- night time dryness
38. 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
39. Preschool age- Language/cognition: tells long stories
40. Preschool- physical/motor: 3 yr- builds a tower > 6 blocks
4 yr- throws ball overhead
