Question 1

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

Accepted Answer

A)  Level I 
B)  Level II 
C)  Level III 
D)  Level IV 
A)  Level I 
B)  Level II 
C)  Level III 
D)  Level IV A

Question 2

Which NICU intervention is recommended for infants beginning at 31 or 32 weeks?

Accepted Answer

A)  Exposure to mother's scent 
B)  Daily infant massage 
C)  Avoid direct light exposure 
D)  Gentle touch 
A)  Exposure to mother's scent 
B)  Daily infant massage 
C)  Avoid direct light exposure 
D)  Gentle touch B

Question 3

Harry was born at 28 weeks gestation on May 2, 2009; what is his corrected age on September 1, 2009?

Accepted Answer

A)  3 weeks 
B)  1 month 
C)  3 months 
D)  4 months 
A)  3 weeks 
B)  1 month 
C)  3 months 
D)  4 months B

Question 4

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

Accepted Answer

A)  Finger splaying 
B)  Hiccup 
C)  Gaze aversion 
D)  Sucking 
A)  Finger splaying 
B)  Hiccup 
C)  Gaze aversion 
D)  Sucking

Question 5

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

Accepted Answer

A)  Large for gestational age 
B)  Very low birth weight 
C)  Low birth weight 
D)  Appropriate for gestational age 
A)  Large for gestational age 
B)  Very low birth weight 
C)  Low birth weight 
D)  Appropriate for gestational age

Question 6

Ben was born at 30 weeks gestation on March 16, 2009; what is his chronological age on July 1, 2009?

Accepted Answer

A)  1 month 
B)  3 months 
C)  3.5 months 
D)  4.5 months 
A)  1 month 
B)  3 months 
C)  3.5 months 
D)  4.5 months

Question 7

Which approach best describes how occupational therapists help neonates in today's neonatal intensive care unit (NICU)?

Accepted Answer

A)  Provide minimal stimulation to all infants so as not to overwhelm the immature nervous system 
B)  Provide sensory stimulation to all neonates to compensate for perceived deprivation 
C)  Provide individualized, relationship-based, family-centered developmental care to neonates 
D)  Change the environment for all neonates so they can handle the stimuli better 
A)  Provide minimal stimulation to all infants so as not to overwhelm the immature nervous system 
B)  Provide sensory stimulation to all neonates to compensate for perceived deprivation 
C)  Provide individualized, relationship-based, family-centered developmental care to neonates 
D)  Change the environment for all neonates so they can handle the stimuli better

Question 8

At what age does the suck-swallow reflex emerge?

Accepted Answer

A)  10-12 weeks gestation 
B)  28-30 weeks gestation 
C)  33-35 weeks gestation 
D)  At birth 
A)  10-12 weeks gestation 
B)  28-30 weeks gestation 
C)  33-35 weeks gestation 
D)  At birth

Question 9

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

Accepted Answer

A)  Parent voices 
B)  Recorded opera 
C)  Sound of the ocean 
D)  None 
A)  Parent voices 
B)  Recorded opera 
C)  Sound of the ocean 
D)  None

Question 10

What does pca stand for in the following sentence: Cody is a 39 wk pca wm born at 25 WBD, 24 WBE by SVD.

Accepted Answer

A)  Premature corrected age 
B)  Postconceptual age 
C)  Premature chronological adjustment 
D)  Postcalculated age 
A)  Premature corrected age 
B)  Postconceptual age 
C)  Premature chronological adjustment 
D)  Postcalculated age

Question 11

Which statement is true concerning light and the neonate?

Accepted Answer

A)  Regular lighting in the NICU is not harmful to premature infants 
B)  Lights in the NICU should remain off at all times as infants cannot protect themselves from the light 
C)  All neonates benefit from lights turned on during the day and off at night 
D)  Baseline levels of light are recommended for infants younger than 28 weeks gestation 
A)  Regular lighting in the NICU is not harmful to premature infants 
B)  Lights in the NICU should remain off at all times as infants cannot protect themselves from the light 
C)  All neonates benefit from lights turned on during the day and off at night 
D)  Baseline levels of light are recommended for infants younger than 28 weeks gestation

Question 12

Gavin was born at 30 weeks gestation with Apgar scores of 3 (1 minute) and 9 (5 minutes). What do these scores indicate?

Accepted Answer

A)  The health care professional was not very reliable in scoring Gavin 
B)  Gavin is at risk for serious complications due to low scores 
C)  Gavin experienced some birth distress and is still having trouble 
D)  Gavin progressed quickly, which is a good indicator 
A)  The health care professional was not very reliable in scoring Gavin 
B)  Gavin is at risk for serious complications due to low scores 
C)  Gavin experienced some birth distress and is still having trouble 
D)  Gavin progressed quickly, which is a good indicator

Question 13

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

Accepted Answer

A)  Asserting herself to be the expert 
B)  Establishing trust relationships with other team members 
C)  Remaining quiet and careful not to get in the way 
D)  Correcting other team members 
A)  Asserting herself to be the expert 
B)  Establishing trust relationships with other team members 
C)  Remaining quiet and careful not to get in the way 
D)  Correcting other team members

Question 14

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

Accepted Answer

A)  Reduce or avoid competing visual stimuli 
B)  Protect eyes from direct light exposure 
C)  Provide visual stimuli when infant is awake 
D)  Provide extended periods of low light 
A)  Reduce or avoid competing visual stimuli 
B)  Protect eyes from direct light exposure 
C)  Provide visual stimuli when infant is awake 
D)  Provide extended periods of low light

Question 15

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

Accepted Answer

A)  Skin-to-skin care 
B)  Cycled lighting 
C)  More visual stimulation 
D)  Gentle touch 
A)  Skin-to-skin care 
B)  Cycled lighting 
C)  More visual stimulation 
D)  Gentle touch

Exam 22: Neonatal Intensive Care Unit

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

Which NICU intervention is recommended for infants beginning at 31 or 32 weeks?

Harry was born at 28 weeks gestation on May 2, 2009; what is his corrected age on September 1, 2009?

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

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

Ben was born at 30 weeks gestation on March 16, 2009; what is his chronological age on July 1, 2009?

Which approach best describes how occupational therapists help neonates in today's neonatal intensive care unit (NICU)?

At what age does the suck-swallow reflex emerge?

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

What does pca stand for in the following sentence: Cody is a 39 wk pca wm born at 25 WBD, 24 WBE by SVD.

Which statement is true concerning light and the neonate?

Gavin was born at 30 weeks gestation with Apgar scores of 3 (1 minute) and 9 (5 minutes). What do these scores indicate?

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

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

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

An Overview of Occupational Therapy for Children

Foundations for Occupational Therapy Practice With Children

Development of Childhood Occupations

In Transition to Adulthood: the Occupations and Performance Skills of Adolescents

Working With Families

Common Conditions That Influence Childrens Participation

Purposes, Processes, and Methods of Evaluation

Use of Standardized Tests in Pediatric Practice

Application of Motor Controlmotor Learning to Practice

Evaluation and Interventions to Develop Hand Skills

Sensory Integration

Visual Perception

Psychosocial Issues Affecting Social Participation

Interventions and Strategies for Challenging Behaviors

Feeding Intervention

Activities of Daily Living

Instrumental Activities of Daily Living and Community Participation

Play

Prewriting and Handwriting Skills

Influencing Participation Through Assistive Technology

Mobility

Early Intervention

School-Based Occupational Therapy

Services for Children With Visual or Hearing Impairments

Hospital and Pediatric Rehabilitation Services

Transition Services: From School to Adult Life

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