Acuity Tools for the Antepartum and Neonatal Intensive Care Units : MCN: The American Journal of Maternal/Child Nursing

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Acuity Tools for the Antepartum and Neonatal Intensive Care Units

MCN, The American Journal of Maternal/Child Nursing 48(1):p E1, January/February 2023. | DOI: 10.1097/NMC.0000000000000884
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INSTRUCTIONS Acuity Tools for the Antepartum and Neonatal Intensive Care Units

TEST INSTRUCTIONS

  • Read the article. The test for this nursing continuing professional development (NCPD) activity is to be taken online at www.nursing center.com/CE/MCN. Tests can no longer be mailed or faxed.
  • You'll need to create an account (it's free!) and log in to access My Planner before taking online tests. Your planner will keep track of all your Lippincott Professional Development online NCPD activities for you.
  • There's only one correct answer for each question. A passing score for this test is 7 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.
  • For questions, contact Lippincott Professional Development: 1-800-787-8985.
  • Registration deadline is December 5, 2025.

PROVIDER ACCREDITATION

Lippincott Professional Development will award 2.5 contact hours for this nursing continuing professional development activity.

Lippincott Professional Development is accredited as a provider of nursing continuing professional development 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 CEP 11749 for 2.5 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, New Mexico, West Virginia, South Carolina, and Florida, CE Broker #50-1223. Your certificate is valid in all states.

Payment: The registration fee for this test is $24.95.

NCPD TEST QUESTIONS

Learning Outcome:

Seventy-five percent of participants will demonstrate knowledge of a study evaluating content validity and interrater reliability for acuity tools developed for the antepartum and neonatal intensive care unit patient populations by achieving a minimum score of 70% on the outcomes-based posttest.

Learning Objectives:

After completing this continuing professional development activity, the participant will apply knowledge gained to:

  1. Recognize the background information and planning process the authors used when developing acuity tools for antepartum and neonatal intensive care units.
  2. Select the results of the evaluation of content validity and interrater reliability for the acuity tools developed for the antepartum and neonatal intensive care units.
  3. Use an acuity tool to determine the acuity and staffing ratios for specific patients.
  1. Finding no antepartum-specific acuity tools, the authors noted that while tools for other nursing units were helpful, they
    1. do not account for any changes in patients' acuity over the course of hospitalization.
    2. depend primarily on subjective assessment parameters in determining patients' acuity.
    3. do not include the individual categories of maternity patients that are part of antepartum care.
  2. The authors found two specific tools for predicting neonatal morbidity and mortality, but noted that they do not address
    1. acuity for nurse staffing.
    2. laboratory test results.
    3. birth weight.
  3. The team that met to identify the major categories of clinical care and conditions that would define patient care needs to develop the antepartum acuity tool included
    1. an anesthesiologist
    2. a nurse informaticist.
    3. a resident physician.
  4. To assure general applicability of the neonatal intensive care unit acuity tool, the authors
    1. established two weeks of serial rating sessions across shifts.
    2. assembled a department-wide multidisciplinary task force.
    3. included expert panel members from across the United States.
  5. Of the 20 categories the authors evaluated for content validity of the antepartum acuity tool they developed, how many items were retained for the final content validity?
    1. 12
    2. 15
    3. 18
  6. For the antepartum acuity tool, the authors found excellent interrater reliability
    1. among the nurse raters.
    2. among two nurses and the charge nurse.
    3. between the charge nurse and the director.
  7. The resulting neonatal intensive care unit acuity tool was reevaluated by twelve experts, resulting in moderate
    1. interrater reliability between the two nurses.
    2. average universal agreement scores across all items.
    3. average of proportional relevance scores across all experts.
  8. Using the neonatal intensive care unit acuity tool, determine the staffing ratio for patients who have a peripheral saline lock, are on room air, require one to two oral medications in 12 hours, require intervention for bradycardia or apnea every 2 to 3 hours, receive almost all feeding by gavage, and require phototherapy.
    1. 1:3-4 ratio (Continuing Care)
    2. 1:2-3 ratio (Intermediate Care)
    3. 1:2 with low or medium as second patient (Intensive Care)
  9. Using the neonatal intensive care unit acuity tool, determine the staffing ratio for patients who have frequent episodes of apnea and bradycardia requiring stimulation, have seizures requiring continuous monitoring, have neonatal abstinence scores above 12, require three to five IV medications in 12 hours, have umbilical lines, and receive oxygen via high-flow nasal cannula at 4 liters per minute.
    1. 1:3-4 ratio (Continuing Care)
    2. 1:2-3 ratio (Intermediate Care)
    3. 1:2 with low or medium as second patient (Intensive Care)
  10. Nurses and charge nurses reported a level of satisfaction with the new acuity process as
    1. acceptable.
    2. moderate.
    3. high.
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