Download NICU Exam Questions and Answers: Neonatal Therapy and Developmental Care and more Exams Nursing in PDF only on Docsity! NICU-Neonatal Therapy Exam Questions with Answers Level 1 Nursery Classification - Correct answer Health newborns and stable late- preterm infants Level 2 Nursery Classification - Correct answer Infants born less than 32 weeks with a birth weight of 1500 grams or more Level 3 Nursery Classification - Correct answer extremely high risk infants/critical care Level 4 Nursery Classification - Correct answers same as previous level, do surgery on site Causes of Prematurity - Correct answer Preterm labor, preterm premature rupture of membranes, pre-eclampsia (HBP), infections, abruption, placenta prevail (placenta is low in uterus), twins, drug use, and poor prenatal care Survival rate for 22 weeks - Correct answer Less than 20% Primary diagnoses in NICU - Correct answer Premature, feeding difficulties, heart defects, require ECMO (oxygenation), Down syndrome, arthrogryposis, gastroschisis, brachial plexus injury, twins, neonatal abstinence, and genetic anomalies Secondary diagnoses in NICU - Correct answer Respiratory distress, persistent pulmonary hypertension, heart defects, clinical sepsis (bacteria in blood stream), hyper bilirubin, apnea, anemia, feeding intolerance, retinopathy, hypoglycemia, and hyperparathyroidism Developmental Care - Correct answer Individualized approach; promotes maximal potential of development; based on infant's behavior interpretation; promotes and maximizes neurosensory integration; decreases long-term neurodevelopment complications Mismatch of intrauterine and extra uterine environments - Correct answer Tactile (constant input vs. invasive), vestibular (mom's movements vs. lack of diurnal cycles and gravity), auditory, visual, and thermal (consistent vs. variations in temperature) Examples of Developmental Care - Correct answer Skin to skin contact, noise reduction, protection from light, promote parent interaction, support during procedures, positioning, and appropriate play for age Stressed Autonomic System - Correct answer Rapid breathing, mottled skin, gagging, spitting up, hiccups, tremors, startles, sneezes/coughs, yawns, and seizures Stable Autonomic System - Correct answer Regular respiration rate, pink color, stable viscera, no signs of motor stress Stressed Motor System - Correct answer Gape face, low tone, UE/LE extensions, saluting, finger splays, frantic movements, limpness, hypertonic, arching, and fisting Stressed State System - Correct answer whimpering, crying, staring, gaze aversion, eye floating, dull look, hyper alert, and panicked look Convection - Correct answer Heat loss to air Conduction - Correct answer Heat loss from body contact Radiation - Correct answer Heat loss to objects High risk for heat loss - Correct answer Thin skin, lack of brown fat, brain inability to thermo regulate, positioning, and procedures Prevent heat loss - Correct answer Kangaroo care, isolate/incubator, warmer, positioning, z-flow, swaddling, and hats/clothing What is considered nurturing touch (not invasive like most) - Correct answer Kangaroo care, deep touch, being held by parent, and maybe massage High risk for hearing loss - Correct answer Exposed to low and high frequency noises without buffer of mom's body NICU noise level - Correct answer 50-90 decibels Positioning for Term Infant - Correct answer intrauterine space produces a flexed posture which enhances early motor control; last trimester promotes development of neural connections that lead normal motor and sensory development Positioning for Preterm Infant - Correct answer Flat posture with abducted limbs that are externally rotated and extended, decreased motor control, and potential neural pathways weaken due to lack of repetitive input from intrauterine space What can incorrect positioning lead to? - Correct answer Atypical movement patterns, developmental delays, head flattening, increased stress level, decreased physiological stability, decreased tolerance for caregiving, restlessness, poor sleep patterns, and decreased growth and weight gain
