What is the NICU? - correct answers neonatal intensive care unit
What is a neonatal developmental specialist in the NICU? - correct answers
-"Neonatal therapist"
-The work collaboratively to provide safe, effective, and evidence-based
services to at-risk infants and their families in the NICU
An important aspect of the occupational therapist role in the NICU is to
_______ and assess the infant's ___________ _________________ and
___________________ _______________________ and to help in
identifying the infant's thresholds for sensory aspects of the NICU care,
including positioning, handling, interaction, and feeding - correct answers
observe;
sensory responsiveness;
neurobehavioral performance
In a multidisciplinary model in the NICU, the role of the physical therapist is
typically what? - correct answers address positioning, orthopedic or
neuromotor-related conditions, as well as neurodevelopment
In a multidisciplinary model in the NICU, the role of the speech pathologist is
what? - correct answers feeding and/or swallowing issues
In a multidisciplinary model in the NICU, the role of the occupational therapist
is what? - correct answers focus on the infant's sensory experience, including
modifying caregiving practices and the infant's environment to optimize energy
conservation and participation in age-appropriate activity interactions
,How many levels of the NICU are there? - correct answers 4
Level 1 NICU - correct answers Basic newborn care;
Nursery for full term babies
Level II NICU - correct answers Advanced newborn care;
Babies greater than 32 weeks who are recovering from more serious
conditions (birth weight less than 1500g)
Level III NICU - correct answers Subspecialty newborn care;
Babies less than 32 weeks;
Offer prompt and readily available access to a full range of pediatric medical
subspecialties;
Offer full range of respiratory support and perform advanced imaging
Level IV NICU - correct answers Highest level of neonatal care;
Provide surgical repair of complex congenital or acquired conditions
The AAP recommends that every Level I, II and IV NICU employ/have access
to what? - correct answers An occupational or physical therapist with neonatal
experience
Does AOTA have a specialization/certification for NICU? - correct answers No
(NANN- National Association of Neonatal Nurses is used to become a
certified neonatal therapist [CNT])
, What are the 5 essential knowledge areas for the NICU therapist? - correct
answers -Fetal and newborn brain development
-Medical Conditions of premature and newborn neonates/maternal
-Preterm and full-term infant development and behaviors
-Ecology of the NICU
-Family Systems
Fetal and newborn brain development - correct answers -A baby's brain at 35
weeks weights only 2/3 of what it will weigh at 39-40 weeks
-Critical periods of development need protection
What are some maternal health conditions that influence a baby to be
preterm? - correct answers -gestational age at birth (GA)
-Birthweight (BW)
-Fetal growth
-Intrauterine growth restriction (IGR)
-Pregnancy Induced Hypertension
-Placental Abruption
-Multiple babies
-Pre-eclampsia/Eclampsia
-Incompetent cervix
What are some complications of preterm birth? - correct answers -Immature
lung development which require positive pressure support. (These infants are
likely to have related cardiopulmonary comprise as a side effect)
-prolong supplemental oxygen can disrupt the maturation of the retinas of the
eyes