day five ppt

Question 1

fluorescent light exposure can lead to

Answer 1

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

Question 2

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

Answer 2

close eyelids tightly or filter light properply

Question 3

noise increases?

Answer 3

arousal and can increase physiological ditres

Question 4

auditory processing development is most active when?

Answer 4

3rd trimester

Question 5

you want to avoid unnecessary _____

Answer 5

touching for infants

Question 6

swaddling does what

Answer 6

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

Question 7

kangaroo care?

Answer 7

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

Question 8

which care is better for non-ventilated infants?

Answer 8

kangaroo care

Question 9

containment def?

Answer 9

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

Question 10

infant massage includes?

Answer 10

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

Question 11

when is infant massage best?

Answer 11

32wks PCA

Question 12

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

Answer 12

Vygotsky’s scaffolding method to train family

Question 13

what would you train the family to do?

Answer 13

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

Question 14

you should perform evaluation based on

Answer 14

infants sleep cycle

Question 15

name two frequent errors by NICU therapist/

Answer 15

overinterpretation and mistaking immaturity for pathology

Question 16

should you perform reflex testing on early preemies?

Answer 16

NOOOOOOO

Question 17

therapeutic positioning in infants?

Answer 17

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

Question 18

what is the typical muscle tone for the preemie?

Answer 18

hypotonia

Question 19

without proper positioning what happens to baby

Answer 19

typically head positioning gets funky = torticollis

Question 20

plageoctomy def:

Answer 20

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

Question 21

tracheostomy def:

Answer 21

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

Question 22

what position do you want to increase?

Answer 22

flexion

Question 23

two goals to maintain in infants?

Answer 23

temperature and weight

Question 24

frames of reference used in NICU?

Answer 24

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

Question 25

discharge plans for the NICU?

Answer 25

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

Question 26

goal for breathing?

Answer 26

breathe independently or that caregiver be independent with vent care

Question 27

feeding goals?

Answer 27

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

Question 28

radiant warmer

Answer 28

open bed with open heat source

Question 29

incubator

Answer 29

clear, plastic heated box that encloses the mattress and infant

Question 30

open crib

Answer 30

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

Question 31

bag and mask ventilation

Answer 31

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

Question 32

continuous positive airway pressure:

Answer 32

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

Question 33

mechanical ventilation

Answer 33

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

Question 34

extracorporeal membrane oxygenation ECMO:

Answer 34

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

Question 35

vapotherm

Answer 35

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

Question 36

oxygen hood

Answer 36

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

Question 37

nasal cannula

Answer 37

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

Question 38

intrauterine environment: TACTILE

Answer 38

constant proprioceptive input; smooth comfortable boundaries

Question 39

intrauterine VESTIBULAR:

Answer 39

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

Question 40

intrauterine AUDITORY:

Answer 40

biological sounds muffed environmental sounds

Question 41

intrauterine VISUAL:

Answer 41

dark occasional red dim spectrum light

Question 42

intrauterine THERMAL:

Answer 42

constant warmth consistent temperature

Question 43

extrauterine TACTILE:

Answer 43

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

Question 44

extrauterine VESTIBULAR:

Answer 44

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

Question 45

extrauterine AUDITORY :

Answer 45

loud no contingent, mechanical frequent harsh intermittent impulse noise

Question 46

extrauterine VISUAL

Answer 46

bright lights, eyes unprotected; often no diurnal rhythm

Question 47

extrauterine THERMAL:

Answer 47

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