CPN

Question 1

What development pattern progresses from head to toe (top to bottom)?

Answer 1

Cephalocaudal

Question 2

What development pattern progresses from trunk to the tips of the extremities?

Answer 2

Proximodistal

Question 3

Years or months since birth date

Answer 3

Chronological age

Question 4

Level of cognitive function

Answer 4

Mental age

Question 5

Determined by x-ray of tarsals and carpals

Answer 5

Bone age

Question 6

Chronological age minus # of weeks born prematurely

Answer 6

Adjusted/corrected age

Question 7

If a 3 month old baby was born at 30 weeks gestation, what is their adjusted/corrected age?

Answer 7

2 weeks

Question 8

How many weeks is considered prematurity?

Answer 8

< 37 weeks post gestational age

Question 9

If a baby was born at 30 weeks gestation and is now 6 months old, what is their corrected age?

Answer 9

3.5 months (14 weeks) corrected age

Question 10

How do we measure children ages 0-36 months?

Answer 10

length

Question 11

How do we measure children ages 2-18 years?

Answer 11

height

Question 12

What goes through rapid growth in infants?

Answer 12

Heads

Question 13

What goes through rapid growth in toddlers?

Answer 13

Trunks

Question 14

What goes through rapid growth in school-age children?

Answer 14

Limbs

Question 15

What goes through rapid growth in teenagers?

Answer 15

Trunks

Question 16

What should a child’s weight be at 6 months?

Answer 16

Double their birth weight

Question 17

What should a child’s weight be at age 1?

Answer 17

Triple their birth weight

Question 18

What is a BMI of 30 or more?

Answer 18

Obese

Question 19

What is a BMI of 25-29.9?

Answer 19

Overweight

Question 20

What is a BMI of 18.6-24.9?

Answer 20

Healthy weight

Question 21

What is a BMI of or equal to 18.5?

Answer 21

Underweight

Question 22

What are the rates of growth in length at the 1st, 2nd, 3rd and 4th year of life?

Answer 22

1st year: 10 inches
2nd year: 5 inches
3rd year (until puberty): 2.5 inches
4th year: birth length should be doubled

Question 23

How tall is a 3 year old that was born at 20 inches?

Answer 23

20 + 10 + 5 + 2.5 = 37.5 inches

Question 24

When should a baby be able to clap hands and wave bye-bye?

Answer 24

10-12 months

Question 25

When should a baby be able to laugh?

Answer 25

4 months

Question 26

When should a baby be able to point, say mama and dada, say 5 words?

Answer 26

10-12 months

Question 27

When should a baby be able to lift their head and follow to midline? When does the posterior fontanel close?

Answer 27

2 months

Question 28

When should a baby be able to rake objects, grasp a rattle, and begin to roll over (from stomach to back)?

Answer 28

4 months

Question 29

When should a baby be able to roll from back to front, transfer objects, reaches, pushes up on knees and hands and rocks back and forth, sit with support?

Answer 29

5-6 months

Question 30

When does a baby develop the pincer grasp?

Answer 30

9 months

Question 31

When does a baby develop parachute reflex?

Answer 31

4 months

Question 32

Describe a toddler's social and emotional development at 1-2 years old?

Answer 32

Egocentric, reduced stranger anxiety with parent present, now develops separation anxiety but uses transitional object, has temper tantrums, lack of sharing, points to self/body parts

Question 33

How many words can a 12 month old say?

Answer 33

5

Question 34

How many words can an 18 month old say?

Answer 34

50

Question 35

How many words can a 24 month old say?

Answer 35

400

Question 36

How many words should a 24 month old be able to say in phrases?

Answer 36

2-3

Question 37

When does bladder function reach daytime dryness?

Answer 37

2-3 years

Question 38

When does bladder function reach nighttime dryness?

Answer 38

3-5 years

Question 39

What age does a child display body integrity and are people pleasers?

Answer 39

Preschool, 3-5 years

Question 40

How many words in phrases should preschool aged children be able to use?

Answer 40

3 years: 3-4 word phrases 4 years: 4-5 word phrases 5 years: 5-6 word phrases

Question 41

What age does a child ride a tricycle, dress self, use scissors, and build a tower of more than 6 blocks?

Answer 41

3 years

Question 42

________ grows faster than muscles

Answer 42

Bone

Question 43

What is precocious puberty in a female?

Answer 43

< 7 years of age in Caucasians, < 6 years in African Americans/Hispanics

Question 44

What is precocious puberty in a male?

Answer 44

< 9 years

Question 45

What happens to a females growth after she's started menstruating?

Answer 45

They will not grow any more than an inch

Question 46

Psychosocial development by ages

Answer 46

Infant - trust (are needs met) Toddler - autonomy (helping, doing) Preschooler - initiative School age - achievement Adolescence - identity development

Question 47

Cognitive development by age

Answer 47

Infant - interaction Toddler - egocentric Preschooler - non-logical School age - logical Adolescent - abstract

Question 48

What age are children "magical thinkers"?

Answer 48

Believing their thoughts make things happen

Question 49

What is cultural competence?

Answer 49

The process of understanding and respecting the cultural values and practices of clients

Question 50

What is cultural congruence?

Answer 50

Practice of applying evidence-based nursing that is in agreement with preferred cultural values, beliefs and practices of the healthcare consumer

Question 51

What ages should the Wong Baker Faces pain scale be used?

Answer 51

4-8 years

Question 52

What age is appropriate for a numeric pain scale?

Answer 52

8 years and older

Question 53

Vitamin D supplementation is given to which babies?

Answer 53

Breast fed and bottle fed infants within a few days after birth

Question 54

Multi vitamins with iron starts at what age?

Answer 54

4 months until solids for BREAST FED INFANTS ONLY

Question 55

Milk intake

Answer 55

breastmilk - exclusively for the 1st 4 months formula - 20-30 ounces 4-6 months whole milk - 1-2 years (whole milk fat needed for brain development, 24 oz or less to prevent iron deficiency anemia) lower fat content milk - >2years

Question 56

When do we transition to table food?

Answer 56

4-12 months

Question 57

When does the first tooth appear?

Answer 57

around 6 months

Question 58

When do children lose their first primary tooth?

Answer 58

6 years

Question 59

What are examples of safe infant sleep environments?

Answer 59

back to sleep, firm, tight sheets, bare crib breastfeeding pacifier use no positioning devices routine immunizations sleep in own crib in parents room for 12 mos

Question 60

How to prevent SIDs?

Answer 60

Pacifier use Sleep in own crib in parents room for first year

Question 61

What to avoid to prevent arsenic poisoning?

Answer 61

Rice Cereal

Question 62

HEEADSSS stands for

Answer 62

Home Education Employment Activities Drugs Sexuality Suicide Safety (assess for violence and access to firearms)

Question 63

Gun safety principles

Answer 63

Lock It Up

Question 64

#1 mortality cause

Answer 64

Motor vehicle accidents

Question 65

Refer to _________ which defines "scope of practice" within each state

Answer 65

State Nurse Practice Act

Question 66

What are structured multi-disciplinary tools used to operationalize evidence-based healthcare recommendations into clinical processes of care, provides a step-by-step in delivery

Answer 66

Clinical Pathways

Question 67

What are a set of 3-5 evidence-based practices performed collectively and reliably to improve the quality of care. i.e "CLABSI"

Answer 67

Care Bundles

Question 68

What is shared governance?

Answer 68

How issues are discussed using an administrative model that provides an active role for all staff nurses in decision-making and policy formation.

Question 69

ANA's definition of a healthy nurse

Answer 69

Physical Activity Nutrition Quality of life Rest Safety

Question 70

What are adverse childhood experiences (ACES)?

Answer 70

Traumatic experiences that occur before age 18, are remembered in adulthood, and have an impact on health and well-being outcomes

Question 71

A factitious disorder imposed on another is called _____

Answer 71

Munchausen Syndrome by Proxy

Question 72

2nd leading cause of death in adolescents

Answer 72

Suicide

Question 72

Recurrent, persistent inappropriate and excessive worry lasting at least 4 weeks is _____

Answer 72

anxiety disorder

Question 73

Dysregulation of neurotransmitters, esp catecholamines dopamine and norepinephrine in the prefrontal cortex

Answer 73

Attention-Deficit/Hyperactivity Disorder (ADHD)

Question 74

ADHD behaviors must be present in

Answer 74

2 or more settings for more than 6 months and present before age 12

Question 75

what are two types of ADHD?

Answer 75

Hyperactive and Inattentive

Question 76

What medication is given to a child with ADHD?

Answer 76

Psycho-stimulants (Adderall, Ritalin)

Question 77

What is caused by exposure to opiate or other drugs in utero?

Answer 77

Neonatal Abstinence Syndrome