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Transition From Hospital to Home for Parents of Preterm Infants

The Journal of Perinatal & Neonatal Nursing: January/March 2012 - Volume 26 - Issue 1 - p 88–89
doi: 10.1097/JPN.0b013e318248b20c
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Back to Top | Article Outline


General Purpose: To provide registered professional nurses with an understanding of the transition from hospital to home and the challenges parents of preterm infants experience after discharge from a neonatal intensive care unit (NICU).

Learning Objectives: After reading this article and taking this test, you should be able to:

  1. Identify issues related to the transition from hospital to home for parents of preterm infants.
  2. Describe features of the Kenner Transition Model and the Transition Questionnaire.
  1. Compared with term infants, late preterm infants readmit to the hospital during the first year of life
    1. twice as often.
    2. 3 times as often.
    3. 4 times as often.
    4. 5 times as often.
  2. How did the authors define the transition for parents of preterm infants after hospital discharge?
    1. flexible
    2. linear
    3. time-bound
    4. cyclical
  3. In the Kenner Transition Model, transition in parents is seen as a(n)
    1. product of change.
    2. adaptation to change.
    3. process of change.
    4. anticipation of change.
  4. The grief category of the Kenner Transition Model is defined as
    1. an interaction with the infant that is impaired by the infant's illness.
    2. loss of the “ideal” infant.
    3. the parents' inability to socialize after the infant is born sick.
    4. the need for support from health care professionals.
  5. Which category influences all other categories of parental concerns in the Kenner Transition Model?
    1. Parent-child development
    2. Stress and coping
    3. Social interaction
    4. Informational needs
  6. The authors note that stress and coping influence
    1. social interaction.
    2. learning about infant development.
    3. grief.
    4. obtaining caregiving information.
  7. An advantage of the Kenner Transition Model is that it
    1. addresses the outcomes of transition.
    2. has a graphic depiction of the model available.
    3. has the Transition Questionnaire.
    4. includes the concept of professional support need.
  8. The Transition Questionnaire was pilot tested on mothers of infants
    1. born preterm and term.
    2. 32 to 37 weeks of gestation.
    3. discharged from level I, II, and III NICUs.
    4. ≥ 1250-g birth weight.
  9. Which statement is true regarding the Transition Questionnaire?
    1. It has excellent reliability and validity.
    2. It aims to look at the perceptions of parents while their infants are in the NICU.
    3. It consists of 20 multiple-choice questions.
    4. It aims to measure mothers' views after their infants are discharged from a NICU.
  10. The second section of the Transition Questionnaire reviews
    1. available support for mothers.
    2. concerns after discharge.
    3. demographic information.
    4. concerns during the NICU stay.
  11. The dimensions of the Transition Questionnaire are
    1. social interaction (4 items).
    2. grief (5 items).
    3. information needs (7 items).
    4. parent-child role development (9 items).
  12. The time to complete the tool is approximately
    1. 5 to 10 minutes.
    2. 15 to 25 minutes.
    3. 30 to 45 minutes.
    4. 50 to 60 minutes.
  13. Research by Makaryus et al. (2005) indicates that less than half of adult patients after discharge
    1. follow their prescribed treatments.
    2. will be readmitted in the following 30 days.
    3. are able to list their diagnoses.
    4. return to their health care provider for follow-up.
  14. Information about which of the following was lacking from 92% of discharge summaries in the study by Kripalani et al (2007)?
    1. patient or family counseling
    2. discharge medications
    3. hospital treatment
    4. support services needed
  15. Interventions in Naylor's Transitional Care Model include all of the following except
    1. an in-hospital visit by an advanced practice nurse.
    2. telephone follow-up.
    3. online support services.
    4. a visit by an advanced practice nurse after discharge.
  16. What did the Transitional Care Model by Brooten et al (1986) result in?
    1. improved follow-up care of discharged high-risk infants
    2. earlier discharge of high-risk and preterm infants
    3. greater expense from earlier discharges of preterm infants
    4. improved care coordination of preterm infants after discharge
  17. The 1999 Institute of Medicine report, “To Err Is Human,” called for all of the following competency areas except
    1. evidence-based medicine.
    2. quality improvement.
    3. information technology.
    4. cost-effectiveness.
  18. The follow-up care for newborns and their families placed in what quartile of the national priorities for comparative effectiveness research?
    1. first
    2. second
    3. third
    4. fourth


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