NICU Quiz Test Questions with Correct Answers

NICU Quiz Test Questions with Correct Answers Has the US preterm birth rate been increasing or decreasing the past 4 years? - Answer-Decreasing 2006: 12.8% born before 37 weeks gestation 2010: 12% What percent of live births account for infants born less than 32 weeks gestation? - Answer-1% What is the leading cause of infant mortality and morbidity? - Answer-Preterm birth What percent of neonatal deaths result after preterm birth? - Answer-70% The likelihood of infants dying within the first year has increased or decreased from 2009 to 2010? And by how much? - Answer-Decreased - 6.4/1000 to 6.1/1000 Preterm survival is directly related to... - Answer-Birth weight Neonates less than how many grams at birth have the lowest chance for survival? - Answer-1000 g What often heralds medical or technical events and causes sustained arousal, exerting a physical toll on the infant? - Answer-Tactile input Do preterm infants respond positively or negatively to touch? Why? - Answer-Negatively - unable to make sense of life sustaining efforts How often were preterm infants found to be disturbed? What was the the mean duration of undisturbed rest? - Answer-Average of 132x per day 4-10 minutes Considering preterm infant disturbed/undisturbed rest, how often does the 28-32 week fetus sleep in the uterine environment? - Answer-80% of the time What can hinder or damage brain development in preterm infants? - AnswerUnexpected environmental stresses When does substantial maturation occur? - Answer-Between 24-40 weeks gestation NICU Designations - Level I: Basic Care - Answer-Evaluate and provide postnatal care to infants 35-37 weeks gestation, stabilize infants 35 weeks gestation until transfer NICU Designations - Level II: Specialty Care - Answer-IIA: Provides care for moderately ill infants 32 weeks gestation IIB: Provides mechanical ventilation for brief periods NICU Designations - Level III: Subspecialty Care - Answer-IIIA: Provides care for infants 28 weeks, performs minor surgical procedures IIIB: Provides care for infants 28 weeks gestation, provides advanced respiratory support (high frequency ventilation); advanced imaging, pediatric surgical specialists, access to pediatric medical subspecialists IIIC: Provides extracorporeal membrane oxygenations (ECMO) and complex cardiac surgery with cardiopulmonary bypass What noise level does the American Academy of Pediatrics recommend not exceeding? What noise level is recommended only 10% of the time? What is the maximum recommended noise level? - Answer-45 db 50 db 65 db How can an incubator annoy or startle a neonate? - Answer-Sound levels within the incubator may cause reverberations What synergistic relationship exists that may be linked to hearing loss? - AnswerExcessive, persistent noise and ototoxic drugs such as gentamicin What tests are typically done in every nursery before a neonate is discharged? Why? - Answer-Auditory evoked potential tests To establish risk for hearing loss What does ambient lighting typically consist of? - Answer-Daylight and artificial fluorescent lights What does the American Academy of Pediatrics recommend in respect to light for infants? - Answer-Minimum light intensity of 100 foot candles at the infant's level for adequate visualization by staff What is the lighting recommendation for neonates with immature visual processing? - Answer-60 foot candles (646 lux) Without diurnal rhythmicity of light in the NICU, what may be hindered? - AnswerDevelopment of normal biologic rhythms Name the theoretical frameworks for approaching the high risk infant. - AnswerInternational Classification of Functioning Dynamic Systems Theory Synactive Model of Infant Behavior Hope - Empowerment Model Family Centered Care Developmental Care Dynamic Systems: - Answer-Presence of multiple interacting structural and physiological subsystems within infant - behaviors Development is influenced by the dynamic interaction between the infant and environment