Chapter 21

Question 1

Sierra was born at 30 weeks gestation and weighed 8 pounds 2 ounces. Into which category does this place her?

Answer 1

Large for gestational age

Question 2

Which behavior is not a sign of stress in premature infants?

Answer 2

Sucking

Question 3

As a new team member to the NICU, the occupational therapy practitioner should begin their first day by doing what?

Answer 3

Establishing trust relationships with other team members

Question 4

What is the best type of auditory stimulation for a young neonate?

Answer 4

Parent voices

Question 5

What is the level of nursery housed in a community hospital in which most of the deliveries are from normal pregnancies and thus the newborns have few complications?

Answer 5

Level I

Question 6

14. Ben was born at 30 weeks gestation on April 16, 2009; what is his chronological age on August 1, 2009?

Answer 6

4 months

Question 7

13. Translate the following statement: Cody is a 39 wk pca wm born at 25 WBD, 24 WBE by SVD?

Answer 7

Cody is a 39 weeks postconceptional age

Question 8

4. What are the main differences between the four levels of nurseries?

Answer 8

Level I: A hospital nursery that is able to provide neonatal resuscitation and postnatal care of healthy newborn infants and stable late-preterm infants born at 35 to 37 week’s gestation.
Level II: This is hospital special care nursery provides care to infants born at or less than 32 weeks’ gestation with birth weight < 1500G who have physiologic immaturity issues that are expected to resolve rapidly with continued maturation.
Level III: Hospital stay for extremely high risk newborn infants and those with critical illness, including infants born extremely preterm.
Level IV: These units have the capabilities of a level II NICU and are located in institutions that can provide on-site surgical repair of serious congenital or acquired malformations.

Question 9

Level I

Answer 9

Routines newborn care

Question 10

Level II

Answer 10

Intermediate Care

Question 11

Level III

Answer 11

Neonatal intensive care

Question 12

Level IV

Answer 12

Newly added subcategory. Same as level II with outreach and education to other NICU’s.

Question 13

What is the recommendation for visual stimulation for an infant at or past term?

Answer 13

Provide visual stimuli when the infant is awake

Question 14

Which NICU intervention is recommended for younger infants, between 23 and 31 weeks?

Answer 14

Gentle touch

Question 15

Which statement is true concerning light and the neonate?

Answer 15

Baseline levels of light are recommended for infants younger than 28 week gestation.