QUESTIONS WITH ANSWERS GRADED A+
Optimal 21st century nicu care is: - - developmentally supportive
- family focused
- culturally sensitive
- evidence based
What are the 4 levels of newborn intensive care? - i - basic neonatal care
Ii - specialty neonatal care
Iii - subspecialty neonatal care
Iv - subspecialty + ecmo
Level 1 nursery - - well-baby nursery
- require minimal observation/care
- in small community hospitals
- provides isolettes, phototherapy, & circumcision
Level 2 nursery - - specialty
-intermediate care
- provides iv meds, tube feedings, o2 support
- has neonatologists & neonatal np's
- in regional or community hospitals
, Level 3 nursery - - subspecialty
- provides highly specialized services for sickest & most fragile
- has neonatologists, nnp's, trained rn's, & fellows
- provides complex med'l interventions, adv. Diagnostic tests, surgery, respiratory support
Level 4 nursery - - level 3 nursery capabilities + ecmo to allow for surgical repair of complex cardiac
abnormalities
Dynamic systems theory - - behaviors emerge through interaction of subsystems (body structure,
physiology, & behavior)
- no hierarchy
- homeostasis & reorganization continually occurs
- intrinsic & extrinsic factors affect development
Neuronal group selection theory - - by edelman
- 3 basic tenets
- networks in brain are selected by evolution, the environment, & behavior
- based on environment + genetics (development & experiential selection)
- genetics play a major role!
First tenet of ngst - developmental selection
Neurons branch into diff directions forming circuits
Connections in brain are strengthened by movements