Deck 3: Care of the Post Nicu Graduate

Question 1

Apnea can be associated with immature regulation of breathing and may complicate the course of the recuperating preterm infant until the time of discharge

Answer 1

True

Question 2

Gastroesophageal reflux disease (GERD) in the recuperating neonate can often be effectively managed with small-volume, frequent feedings and postprandial positioning that optimizes stomach emptying.

Answer 2

True

Question 3

When pharmacologic agents are used to manage GERD that is unresponsive to conservative measures such as feeding or position changes, one desirable clinical effect is increased gastric emptying to limit the volume of potential refluxate.

Answer 3

True

Question 4

Hearing screening is recommended for all infants but additionally indicated for the infant who has been hospitalized in the neonatal intensive care unit (NICU) because:

A) The rate of hearing loss in post-NICU graduates is 1.5%
B) Early intervention can contribute to improved outcomes
C) Preterm infants comprise 11% of all births

Question 5

Due to increased vulnerability to infection, at-risk post-NICU infants can benefit from respiratory syncytial virus (RSV) infection prophylaxis during peak transmission seasons

Question 6

NICU and post-NICU infants and their families are at risk for a type of posttraumatic stress disorder due to the cumulative impact of anxiety and uncertainty about the child's outcome.

Question 7

Approximately how many preterm infants are born annually in the United States:

A) 11%, including all infants born less than 37 weeks completed gestational age
B) Three-quarters of infant births
C) 11%, in addition to those born between 34 and 37 weeks completed gestational age

Question 8

Joshua was born @ 27 weeks gestation and weighed 1,020 grams. He is now 39 weeks postmenstrual age and approaching discharge with an active diagnosis of bronchopulmonary dysplasia (BPD). In addition to ongoing pulmonary vulnerability, he remains at substantial risk for:

A) Postnatal growth failure
B) Respiratory distress syndrome (RDS)
C) Germinal matrix and intraventricular hemorrhage

Question 9

Until the recuperating premature infant completes the 50th week of postmenstrual age, the Fenton growth chart is currently recommended for growth assessment/documentation.

Question 10

When making a determination of size for a newborn in the NICU, which is correct?:

A) Very, very low birth weight (VVLBW) for those < 1,000 grams birth weight
B) Low birth weight (LBW) for those < 2,500 grams birth weight
C) Very low birth weight (VLBW) for those born < 27 weeks gestational age