day five ppt Flashcards

1
Q

fluorescent light exposure can lead to

A

chromosomal dx
disruption of diurnal rhythms
over stiulation leading to physiological distress

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2
Q

pre 30 w infants are unable to do what with the eyes?

A

close eyelids tightly or filter light properply

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3
Q

noise increases?

A

arousal and can increase physiological ditres

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4
Q

auditory processing development is most active when?

A

3rd trimester

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5
Q

you want to avoid unnecessary _____

A

touching for infants

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6
Q

swaddling does what

A

provides infant deep pressure and simulation of womb positioning through the wrapping of a blanket around the baby

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7
Q

kangaroo care?

A

involves skin to skin contact with parents - which is better for non ventilated infants
yields increased feeding time, reduction of stress and improved attachment

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8
Q

which care is better for non-ventilated infants?

A

kangaroo care

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9
Q

containment def?

A

the use of material or humans to provide physical boundaries for the infant

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10
Q

infant massage includes?

A

parents provide gentle tactile stimulation or prolonged placement of the hands WITH the infant

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11
Q

when is infant massage best?

A

32wks PCA

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12
Q

what education method would you use for parents in the NICU?

A

Vygotsky’s scaffolding method to train family

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13
Q

what would you train the family to do?

A
detect baby stress 
reduce sensory stim
perform calming techniques 
position the baby therapeutically 
providing feeding instruction and support
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14
Q

you should perform evaluation based on

A

infants sleep cycle

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15
Q

name two frequent errors by NICU therapist/

A

overinterpretation and mistaking immaturity for pathology

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16
Q

should you perform reflex testing on early preemies?

A

NOOOOOOO

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17
Q

therapeutic positioning in infants?

A

without positioning infant present with W posturing of arms, frog like posturing g of legs, and asymmetrical head position

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18
Q

what is the typical muscle tone for the preemie?

A

hypotonia

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19
Q

without proper positioning what happens to baby

A

typically head positioning gets funky = torticollis

20
Q

plageoctomy def:

A

abnorm head shape in infants resulting for externally enforced molding surfaces - prolonged positioning of head towards one direction

21
Q

tracheostomy def:

A

flattening of the back of the head due to prolonged supine position

22
Q

what position do you want to increase?

A

flexion

23
Q

two goals to maintain in infants?

A

temperature and weight

24
Q

frames of reference used in NICU?

A
  1. biomechanical
  2. sensory processing
  3. sensory integration
  4. coping
  5. NDT
25
Q

discharge plans for the NICU?

A

early intervention or medically based pediatric services and follow up - NICU clinic

26
Q

goal for breathing?

A

breathe independently or that caregiver be independent with vent care

27
Q

feeding goals?

A

feed well by bottle or breast feeding or be independent with tube placement and feedings

28
Q

radiant warmer

A

open bed with open heat source

29
Q

incubator

A

clear, plastic heated box that encloses the mattress and infant

30
Q

open crib

A

bassient style bed, no external heat source provided; infant is dressed In clothe and swaddled in blankets

31
Q

bag and mask ventilation

A

bag attached to face mask is rhythmically squeezed to deliver positive pressure and oxygen

32
Q

continuous positive airway pressure:

A

CPAP
- steady stream of pressurized air given through endotracheal tube, nasopharyngeal tube, nasal prongs, or small nasal mask

33
Q

mechanical ventilation

A

machine controls or assists breathing by mechanically inflating the lungs, increasing alveolar ventilation, and improving gas exchange

34
Q

extracorporeal membrane oxygenation ECMO:

A

sophisticated life support system uses modified heart lung bypass to provide nearly total lung rest and minimize barotraumas (lung damage from prolonged ventilation)

35
Q

vapotherm

A

respiratory therapy device attached to a nasal cannula that allows very high nasal flows warmed by moist air

36
Q

oxygen hood

A

plastic hood that provides a flow of warm, humid oxygen placed over infant’s heart

37
Q

nasal cannula

A

humidified oxygen delivered by flexible NC with small prongs that fit into the nares

38
Q

intrauterine environment: TACTILE

A

constant proprioceptive input; smooth comfortable boundaries

39
Q

intrauterine VESTIBULAR:

A

maternal movements, dinural cycle, amniotic fluid creates gentle oscillating environment, flexed posture

40
Q

intrauterine AUDITORY:

A

biological sounds muffed environmental sounds

41
Q

intrauterine VISUAL:

A

dark occasional red dim spectrum light

42
Q

intrauterine THERMAL:

A

constant warmth consistent temperature

43
Q

extrauterine TACTILE:

A

pain and invasive; dry cool air, medical touching, some social touching

44
Q

extrauterine VESTIBULAR:

A

flat posture, rapid position changes, influences of gravity restraints due to equipment

45
Q

extrauterine AUDITORY :

A

loud no contingent, mechanical frequent harsh intermittent impulse noise

46
Q

extrauterine VISUAL

A

bright lights, eyes unprotected; often no diurnal rhythm

47
Q

extrauterine THERMAL:

A

environmental temperature variations, high risk of neonatal heat loss from thin skin and lack of subcutaneous fat