Assignments for lesson "Lesson 1 - Almost Home: The role of OT in the NICU"

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Almost Home - The Role of OT in the NICU QUIZ This quiz has 18 questions, multiple choice. Be sure to watch the full video before answering the questions. 1. Which period of Fetal development during pregnancy is deﬁned as a time-sensitive, irreversible point for the maturation and development of Neural structures? (Objective 1) Last week of the 2nd Trimester. Last 6 weeks of the 1st Trimester Last 6 weeks of the 2nd Trimester Last 6 weeks of the 3rd Trimester 2. List 2 developmental milestones that occur during the 2nd and 3rd trimesters. (Objective 1) Rapid weight gain, lungs develop. Limbs are uncoordinated, eye remained closed. Rapid weight loss, lungs develop. Eyes Partially opened, lung under-developed. 3. List 3 respiratory complications encountered by premature babies in the NICU? (Objective 7) Bronchopulmonary Dysplasia, Respiratory Distress Syndrome and Ventricular Septal Defect. Respiratory Distress Syndrome, Bronchopulmonary Dysplasia, Meconium Aspiration Syndrome. Respiratory Distress Syndrome, Hypoxic Ischemic Encephalopathy, Meconium Aspiration Syndrome. Hypoxic Ischemic Encephalopathy, Respiratory Distress Syndrome, Bronchopulmonary Dysplasia. 4. Which of the following are core measures of neuroprotective care #2 partnering with families? (Objective 2) Teach the team to read the infant’s cues. NICU team takes time to talk to the infant. NICU team promotes bonding and attachment All of the above. 5. Beeping alarms, bright lights and unstable temperature are all factors of what type(s) of environment for a developing fetus? (Objective 6) Intro- uterine environment Extra- uterine environment Both Intro-uterine and Extra-uterine Endo Uterine environment. 6. If a Therapist encourages the NICU team to wait until premature infant is awake to perform everyday tasks i.e. changing the diaper, feeding and other procedures, whenever possible. The therapist is addressing which core measure of the Neuroprotective Care model? (Objective 2) Core measure # 2 Partnering with families Core measure # 5 Minimizing Stress and Pain Core measure # 4 Safeguarding Sleep Core measure # 7 Optimizing Nutrition 7. Which of the following is true when adapting the environment in the NICU? (Objective 6) No adaptations are necessary, as the infant with eventually adapt to the new setting. Try our best to simulate an environment as close to the intro-uterine environment and modulate all types of sensory input experienced by the premature infant in our care. Create a loud, busy environment so they can get used to all the sensory input as soon as possible and be discharged from the NICU. Position the baby in abduction and extension as this simulates the intra-uterine setting. 8. The parent of a NICU infant is insisting that their baby be bathed more frequently. What is considered the BEST practice for a therapist to consider in this situation? (Objective 2) Explain to the parent that frequent bathing is not recommended as it has the potential to expose and damage their baby’s skin; and educate them on the importance of protecting the infant’s skin at this stage. Explain to the parent that you will adhere to their wishes and bath the infant on a daily basis, despite the recommendations and standards set in the Neuroprotective care model. Continue with the current schedule of bathing and tell the parents they can bath their child a frequently as they want when they are transitioned home. Refuse their request without explanation. 9. When are Sucrose and Skin to Skin to Skin contact strategies typically used in the NICU? (Objective 5) Pain Management Parent bonding During painful procedures a and c 10. Which of the following statements is FALSE about stress in the NICU? (Objective 4) The impact of chronic stress leads to decreased maturation of grep and white matter. Stress leads to limited neural connectivity in the brain in premature babies. Stress speeds up the maturation process and increases overall brain development in premature infants. Studies indicate that stress leads to decreased growth and development in premature infants. 11. What are the components of the Synactive theory? (Objective 5) Autonomic, Motoric, Behavioral, Attention to interaction, Self-stimulation Autonomic, Motoric, Sensory, Attention to interaction, Self-regulation. Automatic, Behavioral, Attention to interaction, Self-regulation and Physiologic. Autonomic, Motoric, Behavioral, Attention to interaction, Self-regulation. 12. Baby Sally in the NICU has no medical complications, however she does encounter some painful procedures during the day, so the NICU team always makes themselves available to assist and provide comfort during these procedures. What type of stress is Baby Sally likely to encounter? (Objective 4) Separation Stress Positive stress Toxic Stress Tolerable stress 13. Which of the following are important considerations for Developmental Positioning in the NICU? (Objective 8) Facilitates flexion and midline orientation. Facilitate extension and midline orientation. Promote gravity supported muscle activity. Encourage fast rapid movements and frogged legs posture. 14. Which of the following are true statements about a containment hold in the NICU? (Objective 8) The incubator in the NICU serves as the container in a containment hold. Imitates the womb but does not have a positive influence on neuro-motor and neurosensory maturation. It increases the infant’s feeling of security and self- control while decreasing stress. b and c 15. What are some common mistakes noted when positioning an infant in the NICU? (Objective 3) Hands are often positioned close to face and at midline Believing that use of a positioning aid means the infant is effectively positioned. Providing insufficient boundaries so that the infant is not supported adequately. b and c 16. During lateral positioning what are some important considerations? (Objective 3) Avoid placing the roll between the infant’s legs. Promote flexion in midline for knees and hips. Alternate left and right lateral positions with position changes. All of the above. 17. List 3 critical aspects of fetal maturation occurring during the last trimester of Fetal Development. Rapid weight gain, lungs develop. Limbs are uncoordinated, eye remained closed. Rapid weight loss, lungs develop. Eyes Partially opened, lung under-developed. Loading … Question 1 of 17 Be sure to mark this lesson as complete.	None yet.	None yet.

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