Week 9 - OT in the NICU Flashcards

1
Q

name 3 treatment approaches guiding the work of the OT in the NICU.

A
  1. NIDCAP (newborn individualized developmental care assessment program)
  2. sensory integration
  3. NDT
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2
Q

describe the requirements of definition of preterm.

A

definition of the preterm is by gestational week and not by weight at birth.

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3
Q

what is the definition of a preterm baby?

A

born before 37 weeks GA

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4
Q

what % of all babies born are premature?

A

10%-12%

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5
Q

preterm babies can survive at how many weeks?

A

24 weeks

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6
Q

there is more chance of lack of ____ in all systems, the younger the preterm is.

A

maturity

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7
Q

describe 2 common positions for preterm babies.

A
  • extension

- abduction

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8
Q

describe the preterm brain.

A

develops in extra uterine settings at a time when their brains are growing more rapidly than at any other time in their life span.

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9
Q

how is EI adjusted for preterm babies?

A

according to developmental state and week of the preterm.

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10
Q

preterms are at high risk to develop what 3 things?

A
  • developmental delays
  • problems with sensory processing
  • learning disabilities
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11
Q

name 10 intervention domains of the OT in the NICU.

A
  1. positioning and handling
  2. organizing the environment
  3. splints
  4. neuro-behavioral observation
  5. sensory regulation and processing
  6. balancing sleep awake cycles
  7. reduction of pain
  8. oral function
  9. staff guidance and training
  10. parent guidance
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12
Q

maintaining postures that promote and encourage normal development.

A

positioning and handling

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13
Q

adjustment and regulation of stimuli that the baby is exposed to and reducing the environmental stress.

A

organizing the environment

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14
Q

adjusting aids (hand)

A

splints

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15
Q

detecting and reducing stress signs and behaviors

A

neuro-behavioral observation

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16
Q

adjustment and regulation of stimuli with guidance to prepare the infant to self regulate.

A

sensory regulation and processing

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17
Q

reducing light and sound stimuli

A

balancing sleep awake cycles

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18
Q

during procedures using 4 hand techniques

A

reduction of pain

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19
Q

encouraging skills such as non-nutritive sucking and stimuli for feeding

A

oral function

20
Q

working side by side with the multidisciplinary staff helping them learn to decipher the behavioral signs the baby is showing us

A

staff guidance and training

21
Q

helping and guiding the parents in ADL activities helping with “skin to skin” care, holding, nesting, etc., plus guidance towards discharge from NICU.

A

parent guidance

22
Q

what is the base position for normal motor developing and bilateral movement (nesting) that we want to promote?

A

adduction/flexion posture

23
Q

what are behaviors called in the neuro-behavioral observation assessment?

A

approach-withdrawal reactions

24
Q

hand to mouth

A

approach

25
Q

airplane

A

withdrawal

26
Q

hand to face

A

approach

27
Q

arching

A

withdrawal

28
Q

smile

A

approach

29
Q

grimace

A

withdrawal

30
Q

mouthing

A

approach

31
Q

yawning

A

withdrawal

32
Q

ooh face

A

approach

33
Q

frown

A

withdrawal

34
Q

looking

A

approach

35
Q

looking

A

approach

36
Q

averting

A

withdrawal

37
Q

grasp

A

approach

38
Q

finger splaying

A

withdrawal

39
Q

what is the optimal stage we want to introduce stimuli?

A

quiet alert

40
Q

describe the quiet alert stage.

A
  • enables processing information

- baby is open for interaction and we can give tactile, visual, auditory, movement stimuli, etc.

41
Q

___ ___ btwn the stages is a sign of normal neurological maturity and integration.

A

smooth transition

42
Q

what is a painful procedure in the NICU?

A

heel prick

43
Q

describe how the OT can decrease pain during painful procedures.

A
  • calming the preemie
  • positioning
  • creating a non stress environment (swaddling, non-nutritive sucking, calming tactile stimuli, 4 hands treatment)
44
Q

noise in the NICU should not exceed how many decibels?

A

45 decibels

45
Q

t/f - auditory deficiencies are more common in preemies than term babies.

A

true