NICU Exam Questions and Answers, Exams of Nursing

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NICU Certification Exam Questions with Answers neurologic wiring develops in what trimester - Correct answer 3rd purpose of music therapy in the NICU - Correct answer to enhance medical treatment and give the earliest possible intervention, help the brain develop T/F: Babies (even twins) sharing a bed (co-bedding) is an infection issue but some hospitals still do this - Correct answer TRUE T/F: Many preterm babies complete their entire 3rd trimester in the NICU - Correct answer TRUE gross motor coordination takes ______________ to learn - Correct answer repetition hearing function is developed at around _________ - Correct answer 29 gestational weeks T/F: The majority of LBW infants will require special education services - Correct answer TRUE how many NICU levels are there? - Correct answer 4 APGAR stands for - Correct answer Appearance Pulse Grimace Activity/Tone Respiration a normal APGAR score is - Correct answer 8-10 points the APGAR assessment is done when? - Correct answer 1 minute after birth and then 5 minutes later (10 mins after that if necessary) what is an APGAR? - Correct answer an acronym for five categories of infant behavior and physiology assessed at birth to ascertain the need for immediate life-sustaining assistance the average birth weight for a full-term infant is between - Correct answer 7-8lbs the earliest gestational age at birth for which survival is likely (50%) is at how many weeks? - Correct answer 24 at 24 weeks, an infant will usually weight around ______ lb - Correct answer 1 lb the average weight of a pre-term infant at discharge time is about _______lbs - Correct answer 4.5lbs T/F: Male infants weigh more than females but are neurologically more immature - Correct answer TRUE examples of noninvasive equipment used to monitor the infant's physiological status - Correct answer heart monitor (cardiorespiratory), pulse oximeter, & temperature probe the pulse oximeter measures..... - Correct answer blood oxygen saturation (the amount of oxygen in the red blood cells) the pulse oximeter alarm will go off when..... - Correct answer oxygen saturation falls BELOW 87% or consistently stays ABOVE 95% Intravenous Lines (aka IV) are inserted into the infant to....... - Correct answer deliver life sustaining fluids (TPN and lipids) and medications Arterial blood gas tests are..... - Correct answer essential for maintaining a balance between oxygen and carbon dioxide levels in the blood and also pH levels T/F: Eye exams will be given at several points during treatment and some infants leave the NICU already wearing corrective lenses - Correct answer TRUE T/F: Some drugs critical to the infant's survival are ototoxic and place the infant at high risk for hearing loss - Correct answer TRUE TPN stands for? - Correct answer total parenteral nutrition (sugar, vitamins, minerals, & proteins) At what age does a coordinated suck-swallow-breathe response typically develop? - Correct answer 34 gestational weeks an infants behavior states include..... - Correct answer Quiet Sleep, Active Sleep, Quiet Alert, Active Alert Respiratory distress syndrome (RDS) also known as hyaline membrane disease (HMD) - Correct answer most common disorder of neonates in the first hours of life, infant will be placed on a ventilator and administered surfactant Bronchopulmonary dysplasia (BPD) - Correct answer a condition of pressure induced damage to the lungs and results in long term breathing difficulties that may require supplemental oxygen upon discharge Anencephaly - Correct answer a genetic anomaly that can be detected early in the pregnancy, not survivable because large portions of the brain are missing and the brainstem is malformed Anoxia - Correct answer lack of oxygen at-risk infant means the child may have.... - Correct answer developmental issues that may have a significant future impact BAER - Correct answer test performed to diagnose nervous system abnormalities and hearing losses BID, bid, BD, or bd is an abbreviation that means.... - Correct answer twice daily T/F: At this age there is no difference between live and recorded music. - Correct answer TRUE With premature infants, you can do music therapy for up to _______________ hours if there are no signs of overstimulation - Correct answer 4 hours T/F: Music and touch is better than just music listening - Correct answer TRUE It is important to help babies learn _____________ touch because most touching the hospital are negative experiences - Correct answer positive Around what ages can we begin to use PAL? - Correct answer 33-34 weeks T/F: It is important to get daily nurse approval before working with an infant - Correct answer TRUE Goal of PAL intervention - Correct answer facilitate non-nutritive and nutritive sucking endurance and effectiveness Why is PAL so effective? - Correct answer Babies learn to suck on average in 2-5mins, they have a steady suck (non-stressful), and it does not cause their heart rate to drop T/F: Female infants generally leave the hospital sooner than males - Correct answer TRUE Goal of Neurologic Enhancement with Music and Multimodal Stimulation - Correct answer Facilitation of neurological growth and development Infant disengagement cues may include.... - Correct answer hiccups, grimace, clenched eyes, eyes averted, tongue protrusion, finger splay, halt hand, struggling movement, yawn Goal of infant stimulation - Correct answer facilitate infant alertness and response to people and the environment Goal of parent counseling - Correct answer facilitate parents' comfort and relationship with their infant, his/her condition, and NICU staff & procedures