Developmental Support

Chapter 9 Developmental Support




1. A nurse is teaching a mother to feed her preterm baby by keeping the nipple in the infant’s mouth and regularly tilting the bottle slightly to stop the flow of pumped mother’s milk. This method of shortened sucking bursts that lets the infant pause, swallow, and breathe is referred to as:


A. paced feeding.

B. synactive feeding.

C. infant-led feeding.

D. interactive feeding.

2. Repetitive noxious stimuli to the mouth such as suctioning can result in which developmental disorder?


A. Oral aversion

B. Feeding strike

C. Feeding opposition

D. Feeding intolerance

3. Which is true of noise exposure for premature infants in NICUs?


A. A safe range to decrease physiologic stress is 100 to 110 dB.

B. The human voice does not generally exceed the recommended decibel level.

C. Noise levels higher than 50 dB are associated with autonomic instability.

D. Being inside an incubator sufficiently protects the infant from excessive decibel levels.

4. Effects and benefits of kangaroo (skin-on-skin) care have been reported with as few as 10 minutes of kangaroo care. Which statement best describes the research findings on kangaroo care?


A. Kangaroo care has positive effects on breast-feeding, sleep, and infection rates.

B. Kangaroo care dose is best described as one sleep cycle—approximately 2 hours.

C. Kangaroo care increases anxiety in parents due to worry about monitoring of their baby.

D. Kangaroo care is embraced uniformly by all staff members, and there are no barriers to its use.

5. Contraindications to kangaroo care include:


A. paternal hair on chest.

B. mechanical ventilation.

C. maternal preeclampsia requiring magnesium sulfate therapy.

D. infection of the skin of the chest of the kangaroo care provider.

6. Repeated exposure to painful stimuli has short- and long-term consequences. Which explanation best describes pain exposure in neonates?


A. There are no appropriate pain assessment tools for preterm infants.

B. Short-term effects of pain exposure include increases in oxygenation and heart rate.

C. Long-term effects of pain exposure include increased somatic complaints and structural changes in the brain.

D. The use of sucrose to reduce painful responses is mostly anecdotal and without supporting evidence.

7. Maturational hypotonia can lead to acquired positioning malformations in preterm infants, which include abnormal head molding, hip adduction and external rotation, and:


A. arching posture.

B. fixed neck flexion.

C. wrist and ankle torsion.

D. scapular abduction and shoulder extension.

8. Best practices for a developmentally supportive NICU environment include:


A. windows that allow daylight in, use of auditory alarms, and cue-based nursing care.

B. continuous fluorescent lighting, placement of pagers on vibrate mode, and provision of nonnutritive sucking.

C. day-night cycling of light, avoidance of overhead paging, and rigid timing of nursing care.

D. use of a procedure light, use of acoustical tile, and assessment of stress signals when providing nursing care.
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Jul 11, 2016 | Posted by in NURSING | Comments Off on Developmental Support

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