Maybe you have hopes of working in long term care. Or maybe you see yourself working in home care or palliative care. Maybe you don’t really like kids.
Unfortunately the CPNRE doesn’t care.
Whether you like it or not, the CPNRE tests your understanding of the basic principles of caring for people of all ages. At least 15% of the questions involve people under 18.
It’s better to see the CPNRE the way it is rather than seeing it the way you want it to be. Especially if newborns and infants aren’t your thing.
If you give yourself enough time and attention to know the important things about different ages, and you’re willing to stick with studying when it gets hard (and it will), you’ll have a better chance of passing.
Here are the most common newborn and infant scenarios you should prepare for:
- Newborn jaundice
- You should understand how jaundice may be prevented, the signs and symptoms of jaundice and initial nursing management once jaundice is identified (usually this means notifying a physician or nurse practitioner).
- APGAR scores
- Be able to determine an APGAR score based on newborn assessment findings and know what APGAR stands for.
- You should be able to identify the signs that breastfeeding is going well – or not and the basics of helping mothers who want to breastfeed.
- Vital signs
- Know the normal vital sign parameters in newborns and infants under 12 months.
- Be able to identify abnormal vital signs and initial nursing management. For example, you should know what to do when a newborn’s temperature is higher or lower than normal.
- Major developmental milestones
- You should be able to recognize the age at which significant milestones usually occur and identify when to report developmental concerns for infants from birth to 1 year of age.
- Nutrition and hydration
- Identify signs and symptoms of fluid volume deficit or overload in newborns and infants.
- Know the basics of introducing solid foods to infants. For example, what age to introduce solids and what signs suggest an infant is ready to start eating solids.
- Assessment considerations
- Many infants develop a fear of strangers in the first year of life. Many will resist physical exams and interventions. So you should be able to identify how to assess and care for infants in ways that are the least upsetting. For example, when it’s appropriate, infants should be assessed while sitting on their caregivers lap as opposed to laying on an exam table by themselves.
More to come
We’re working on some more CPNRE question scenarios and strategies for answering questions … so stay tuned.
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