Question 1

What is the level of nursery housed in a community hospital where most of the deliveries are from normal pregnancies and thus the newborns have few complications?&#10;A) Level I&#10;B) Level II&#10;C) Level III&#10;D) Level IV

Accepted Answer

Level I nurseries are typically housed in community hospitals where most deliveries are from normal pregnancies and the newborns have few complications. They provide basic newborn care, but do not have the resources to care for critically ill newborns or perform major surgeries.

Question 2

At what age does the suck-swallow reflex emerge?&#10;A) 10-12 weeks gestation&#10;B) 28-30 weeks gestation&#10;C) 33-35 weeks gestation&#10;D) At birth

Accepted Answer

The suck-swallow reflex begins to emerge around 28-30 weeks gestation, which is crucial for the baby's ability to feed effectively after birth.

Question 3

Which approach best describes how occupational therapists help neonates in today's neonatal intensive care unit (NICU)?&#10;A) Provide minimal stimulation to all infants so as not to overwhelm the immature nervous system&#10;B) Provide sensory stimulation to all neonates to compensate for perceived deprivation&#10;C) Provide individualized, relationship-based, family-centered developmental care to neonates&#10;D) Change the environment for all neonates so they can handle the stimuli better

Accepted Answer

Occupational therapists in today's NICU approach neonatal care with an individualized, family-centered approach. This approach focuses on a neonate's developmental needs and provides support and education to families during their NICU stay. This approach is based on the understanding that every neonate's journey is different, and the caregiver's approach should be tailored accordingly. Providing minimal stimulation or compensating for perceived deprivation is not an effective approach for all neonates. Changing the environment may help some neonates, but it does not address individual developmental and familial needs.

Question 4

As a new team member to the NICU, the occupational therapy practitioner should begin her first day by doing what?&#10;A) Asserting herself to be the expert&#10;B) Establishing trust relationships with other team members&#10;C) Remaining quiet and careful not to get in the way&#10;D) Correcting other team members

Accepted Answer

It is important for a new team member to establish trust and positive working relationships with other team members in the NICU. This will facilitate effective collaboration and teamwork, and ultimately improve patient outcomes. Asserting oneself as an expert or correcting others without first building rapport may be perceived as disrespectful and hinder effective communication and collaboration. Remaining quiet and careful not to get in the way may also be perceived negatively as lack of engagement and effort in contributing to the team.

Question 5

Sierra was born at 30 weeks gestation and weighed 8 pounds 2 ounces. Into which category does this place her?&#10;A) Large for gestational age&#10;B) Very low birth weight&#10;C) Low birth weight&#10;D) Appropriate for gestational age

Accepted Answer

Sierra's weight of 8 pounds 2 ounces at 30 weeks gestation is significantly higher than the average for that gestational age, placing her in the "Large for gestational age" category. Typically, babies born at 30 weeks weigh much less, making Sierra's weight unusually high for her gestational age.

Question 6

What is the best type of auditory stimulation for a young neonate?&#10;A) Parent voices&#10;B) Recorded opera&#10;C) Sound of the ocean&#10;D) None

Accepted Answer

Parent voices are the best type of auditory stimulation for a young neonate because they recognize their parents' voices early on and respond positively to them. It can also help with bonding and attachment between the parents and the baby. Other types of music or sounds may be too overwhelming or unfamiliar for the baby at this stage.

Question 7

Which behavior is not a sign of stress in premature infants? A) Finger splaying B) Hiccup C) Gaze aversion D) Sucking

Accepted Answer

Sucking is actually a self-soothing behavior that can help premature infants regulate their stress levels. Finger splaying, hiccupping, and gaze aversion are all signs of stress in premature infants.

Question 8

Which statement is true concerning light and the neonate?&#10;A) Regular lighting in the NICU is not harmful to premature infants&#10;B) Lights in the NICU should remain off at all times as infants cannot protect themselves from the light&#10;C) All neonates benefit from lights turned on during the day and off at night&#10;D) Baseline levels of light are recommended for infants younger than 28 weeks gestation

Accepted Answer

Baseline levels of light are recommended for infants younger than 28 weeks gestation to protect their developing eyes and support their circadian rhythms.

Question 9

Which NICU intervention is recommended for infants beginning at 31 or 32 weeks? A) Exposure to mother's scent B) Daily infant massage C) Avoid direct light exposure D) Gentle touch

Accepted Answer

The answer of Which NICU intervention is recommended for infants...

Question 10

What does pca stand for in the following sentence: Cody is a 39 wk pca wm born at 25 WBD, 24 WBE by SVD.&#10;A) Premature corrected age&#10;B) Postconceptual age&#10;C) Premature chronological adjustment&#10;D) Postcalculated age

Accepted Answer

In this context, PCA stands for postconceptual age, which is the age calculated from the date of conception, rather than the date of birth. This is useful in assessing developmental milestones and growth in premature infants, who may have been born before their due date.

Question 11

Gavin was born at 30 weeks gestation with Apgar scores of 3 (1 minute) and 9 (5 minutes). What do these scores indicate?&#10;A) The health care professional was not very reliable in scoring Gavin&#10;B) Gavin is at risk for serious complications due to low scores&#10;C) Gavin experienced some birth distress and is still having trouble&#10;D) Gavin progressed quickly, which is a good indicator

Accepted Answer

The answer of Gavin was born at 30 weeks gestation...

Question 12

Which NICU intervention is recommended for infants younger, between 23 and 31 weeks? A) Skin-to-skin care B) Cycled lighting C) More visual stimulation D) Gentle touch

Accepted Answer

The answer of Which NICU intervention is recommended for infants...

Question 13

Harry was born at 28 weeks gestation on May 2, 2009; what is his corrected age on September 1, 2009?&#10;A) 3 weeks&#10;B) 1 month&#10;C) 3 months&#10;D) 4 months

Accepted Answer

The answer of Harry was born at 28 weeks gestation...

Question 14

Ben was born at 30 weeks gestation on March 16, 2009; what is his chronological age on July 1, 2009?&#10;A) 1 month&#10;B) 3 months&#10;C) 3.5 months&#10;D) 4.5 months

Accepted Answer

The answer of Ben was born at 30 weeks gestation...

Question 15

What is the recommendation for visual stimulation for an infant at or past term?&#10;A) Reduce or avoid competing visual stimuli&#10;B) Protect eyes from direct light exposure&#10;C) Provide visual stimuli when infant is awake&#10;D) Provide extended periods of low light

Accepted Answer

The answer of What is the recommendation for visual stimulation...

Deck 22: Neonatal Intensive Care Unit