PNC(C) case studies
PNC(C) · Put your knowledge to work in context.
The Certified Pediatric Nurse (PNC(C)) credential, often called CPN, is a professional certification for registered nurses who care for infants, children, and adolescents. It is intended for nurses with pediatric clinical experience who want to validate their specialized knowledge beyond general RN licensure. The PNC(C) case studies are 5 cases and about 3,512 words.
1Newborn With Borderline Hyperbilirubinemia at Discharge
A 3-day-old exclusively breastfed infant, born at 38 weeks by vacuum-assisted vaginal delivery, weighs 2.95 kg, down 9% from a birth weight of 3.24 kg. Total serum bilirubin drawn 2 hours ago is 13.8 mg/dL; the infant's mother reports the baby nurses about 8 minutes per feed, 6 to 7 times daily, and has 2 wet diapers in the last 12 hours.
733 words, about 4 min2Postoperative Day One After Hip Fracture Repair in an Older Adult
An 84-year-old woman with hypertension, type 2 diabetes, and mild baseline cognitive impairment is postoperative day 1 after surgical repair of a right femoral neck fracture under spinal anesthesia. Current orders: hydromorphone 0.5 mg IV every 3 hours as needed for pain, enoxaparin 40 mg subcutaneously daily, insulin glargine 12 units nightly with correction sliding scale, and oxygen at 2 L by nasal cannula.
715 words, about 4 min3Titrating Oxygen and Positioning in a Child With Asthma Exacerbation
A 9-year-old boy weighing 30 kg is brought to the emergency department with a 2-day history of cough and wheeze that worsened overnight. He has a known history of asthma, uses an albuterol inhaler at home, and has had two prior emergency visits in the past year but no intensive care admissions.
728 words, about 4 min4Refusal of a Blood Transfusion in a Patient With Postpartum Hemorrhage
A 29-year-old woman, 6 hours postpartum after a spontaneous vaginal delivery, is bleeding heavily. Estimated blood loss is now 1,400 mL and ongoing.
672 words, about 3 min5Medication Reconciliation After a Fall in a Patient on Multiple Antihypertensives
A 76-year-old man is admitted after a mechanical fall at home with no loss of consciousness and no fracture on imaging. He lives alone and manages his own medications.
664 words, about 3 min