This is two horizontal repeats and the pattern looks better if you use it in multiples of two. Nupps: I did the nupp where you knit into the stitch, yo, knit into the stitch again, yo, etc., until 7 loops. In the next row I knit the first of the 7 stitches, transferred it back to the left needle, then psso the 6 remaining loops, one at a time (and careful not to pull too hard on any of the loops), then transferred that first of the seven back to the right needle and continued on.
Shown with a cast-on count of 20 stitches.