A CE supplement supported by an educational grant from Drager
* Read all the articles in the supplement (pS1 to S26).
* Take the test, recording your answer in the test answers sections (Section B) of the CE enrollment form. Each question has only one correct answer.
* Complete registration information (Section A) and course evaluations (Section C).
* Mail completed test with registration fee to: Broad Data Systems Inc., 74 Brick Blvd, Bldg 4, Suite 206, Brick, NJ 08723.
* Within 4-6 weeks after your CE enrollment form is received, you will receive a certificate of earned contact hours and answer key. If you fail, you have the option of taking the test again at no additional cost.
* A passing score for this test is 11 correct answers.
* Need CE STAT? Visit www.nursingcenter.com/CE for immediate results, other CE activities, and your personalized CE planner tool.
* No Internet access? Call 800-787-8985 for other rush service options.
* Questions? Contact Lippincott Williams & Wilkins: 800-787-8985
Registration Deadline: October 31, 2015
LWW, publisher of Advances in Neonatal Care, will award 4.0 contact hours for this continuing nursing education activity.
LWW is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CED 11749 for 4.0 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia (50-1223) and Florida (50-1223). Your certificate is valid in all states.
Disclosure Statement: The authors and CE planners have disclosed that they have no relationships related to this supplement. LWW's peer review process has determined this article to be objective and free of commercial bias.
This supplement has been approved by the National Association for Neonatal Nurses Certification Board for Category B credit toward recertification as an NNP.
Payment and Discounts:
The online version of this continuing education activity is free of charge to NANN members and nonmembers thanks to an educational grant from Drager. There is a reduced processing fee of $5.95 for mailed enrollment forms.
CE TEST QUESTIONS
GENERAL PURPOSE: To provide professional nurses with an understanding of interventions including neurodevelopmental supportive care that can minimize neurosensory and neurobehavioral deficits preterm and other critically ill neonates.
TARGET AUDIENCE: Neonatal care registered professional nurses, advanced practice nurses, as well as other health professions who care for high-risk infants in the neonatal intensive care unit (NICU).
LEARNING OBJECTIVES: After completing this supplement, the learner should be able to:
1. Identify the factors that can negatively and positively affect preterm infant neurological and behavioral development in the intensive care unit setting.
2. Define neurodevelopmental supportive care.
3. Identify strategies for implementing neurodevelopmental supportive care interventions in the NICU.
A Model of Neurodevelopmental Risk and Protection for Preterm Infants
Which of the following factors can lead to periventricular leukomalacia in preterm infants?
a. Necrotizing enterocolitis
b. Retinopathy of prematurity
c. Intraventricular hemorrhage
d. Bronchopulmonary dysplasia
When compared to full-term infants, preterm infants have a higher incidence of
b. bipolar disorders.
c. anxiety/social phobia disorders.
d. attention-deficit/hyperactivity disorder.
On what cues are undifferentiated neural systems critically dependent to activate and support the maturation of neural connections for the preterm infant?
a. Biochemical cues
b. Environmental cues
c. Hormonal cues
d. Respiratory cues
For the preterm newborn, nutritive sucking is important for oral feeding skills and achievement of
a. parental bonding.
b. hunger sensitivity.
c. caregiver sensitivity.
d. developmental milestones.
Early intervention strategies seek to take advantage of neural plasticity, which is most sensitive at
a. 1 week to 6 weeks after term age.
b. 2 to 15 months after term age.
c. 24 months to 36 months after term age.
d. 4 to 5 years after term age.
Relationships Between Environmental Stressors and Stress Biobehavioral Responses of Preterm Infants in NICU
After adjustment for environmental stressor effects, the respiratory rate of female infants as compared to males in the NICU was
a. significantly lower.
b. significantly higher.
c. not significant difference.
d. not able to be compared.
Which of the following showed a significantly negative relationship associated with environmental NICU stressors according to study findings?
a. Heart rate
b. Hand to mouth
c. Salute behavior
d. Oxygen saturation
The odds ratio of behaviors such as sucking, yawning, and finger splaying increased in preterm infants in the NICU with higher levels of
a. nutritional intake.
b. parent interaction.
c. environmental stress.
d. supplemental oxygen.
Which change, if any, was found in the balanced muscular tone of the preterm infant in the NICU with a level 5 environmental stress situation?
a. It decreased
b. It increased
c. It did not change
d. It initially increased, but later decreased
Self-regulatory behaviors that were positively related to environmental stress in the NICU included all of the following except
b. holding on.
c. sitting on air.
d. hand to mouth.
Understanding Neurodevelopmental Outcomes of Prematurity: Education Priorities for NICU Parents
The risk of neurodevelopmental problems is proportional with
a. maternal age at conception.
b. maternal age at birth.
c. maternal weight.
d. gestational age and birth weight.
Premature infants show more developmental problems as which increases?
b. Physical growth
c. Communication skills
d. Complexity of tasks
Focusing on which of the following is one way to provide consistent and understandable information to parents of preemies?
a. Developmental milestones
b. Neurodevelopmental changes
c. The concept of self-regulation
d. The concept of self-maturation
Supportive neurodevelopment care includes
a. kangaroo care.
b. nutritive sucking.
c. increased sensory stimulation.
d. constant care.
Premature infants are less able to begin to learn the self-regulation components that are rooted in early
a. environmental stimulation.
b. emotional activity.
c. human social interactions.
d. attentive abilities.