Neonatal Intensive Care Unit -NICU Exam 1 2024

Neonatal Intensive Care Unit -NICU Exam 1 2024 NICU Levels - ANSWER Because NICU's are so costly and such specialized treatment facilities they are categorized by level of care and region Level 1 NICU Level II NICU Level III NICU Level 1V NICU Level I NICU: - ANSWER Able to identify at risk pregnancies and neonates; able to provide emergency care for complications; small community hospitals Level II NICU: - ANSWER Usually in urban areas; able to manage most maternal and neonatal complications; transitional care nursery; in-house anesthesia; ventilation; neonatal monitoring; 24-hour blood gas; radiography / ultrasonography, nutritional and respiratory therapy Examples: Central Maine Medical Center, Lewiston, Maine Maine General, Augusta, Maine Level III NICU: - ANSWER Full range of maternal and neonatal care; able to care for the most complex neonatal conditions; neonatologist on staff; pediatric surgeon on staff; geneticist, radiologist, anesthesiologists, and epidemiologist on staff Example s: Maine Medical Center, Portland, Maine Eastern Maine Medical Center, Bangor, Maine Level IV NICU: - ANSWER Similar to level III but can provide on-site surgical repair for serious birth defects; also provide training to lower level NICUs Examples: Mass General Hospital, Boston, MA Gestational age: - ANSWER Gestational age: the total number of weeks the infant spent in utero before birth Chronological age: - ANSWER Chronological age: the number of weeks / months / years since infant's birth Corrected Age: - ANSWER Corrected age: the age the infant would be had she been born at term Example: 27 weeks GA; 40 - 27 = 13 weeks premature; this number is subtracted from the chronological age to get the corrected age. An infant turning 12 months old would have the corrected age of 9 months (12 months - 13 weeks) Gestational vs. Corrected Age - ANSWER Under-correction: normal; infants would present as delayed if their age was left uncorrected Over-correction: abnormal infants would score in the normal range if the assessment was done prior to first birthday, particularly for infants born less than 33 weeks. Correct vs. do not correct: the decision should be based on the purpose of the assessment & instrument used When the purpose if to detect a developmental delay then use the uncorrected age. When the assessment is used to measure progress use corrected age and follow the procedures of the assessment