Developmentally Supportive Care

Question 1

Autonomic signs of stress include ….?

Answer 1

changes in color, heart rate, and respiratory patterns, as well as visceral changes such as gagging, hiccups, vomiting, and stooling

Question 2

Motor signs of stress include …?

Answer 2

facial grimacing, gaping mouth, twitching, hyperextension of limbs, finger splaying, back arching, flailing, and generalized hypertonia or hypotonia.

Question 3

State alterations suggesting stress include …..?

Answer 3

rapid state transitions, diffuse sleep states, irritability, and lethargy.

Question 4

Changes in attention or interaction, exhibited by……?

Answer 4

closing or blinking eyes, gaze aversion, frowning, and hyperalert or panicky facial presentation, represent signs of stress in preterm infants.

Question 5

Developmentally supportive activities of daily living (ADL) include…?

Answer 5

The activities include dressing and undressing, diaper change, sponging, massage, skin care, non-nutritive sucking (NNS), and feeding. Involving and encouraging parents and extended family members to actively participate during caregiving activities fosters bonding between them and their infant

Question 6

The American Academy of Pediatrics (AAP) recommends that NICU sound levels should not exceed an hourly equivalent sound level of …?

Answer 6

45 dB

Question 7

The AAP guidelines for perinatal care recommend adjustable ambient light levels from……?

Answer 7

10 to 600 lux (1 to 60 foot-candles) in infant areas