NPS NPS Family-Centered Care and Ethics

Question 1

Which approach is central to family-centered care in the NICU?

Accepted Answer

Treating parents as partners in care and decision-making

Answer

Limiting parental visits to preserve quiet healing time

Answer

Restricting information to reduce parental anxiety

Answer

Delegating family communication to social workers only

Question 2

Kangaroo care (skin-to-skin contact) in the NICU has been shown to have which evidence-based benefit?

Accepted Answer

Improved temperature regulation, breastfeeding rates, and neurodevelopmental outcomes

Answer

Increased risk of infection from parental skin flora

Answer

Delayed parental bonding due to equipment access difficulties

Answer

Increased oxygen requirements due to handling stress

Question 3

When parents of a 23-week neonate refuse resuscitation, which ethical principle is the clinician primarily obligated to respect?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Non-maleficence

Answer

Justice

Question 4

A neonatologist believes continued intensive care for a 24-week neonate is futile. The parents disagree. What is the most appropriate next step?

Accepted Answer

Convene an ethics committee consultation to facilitate discussion

Answer

Withdraw care based on the physician's medical judgment alone

Answer

Transfer the patient to another institution immediately

Answer

Continue all interventions without further discussion

Question 5

Which developmental care practice in the NICU is designed to reduce sensory overstimulation in preterm neonates?

Accepted Answer

Clustering of care activities to allow consolidated rest periods

Answer

Continuous bright fluorescent lighting for monitoring

Answer

Frequent position changes every 30 minutes

Answer

Routine use of auditory stimulation for brain development

Question 6

In the context of neonatal palliative care, what does the term 'comfort care' primarily involve?

Accepted Answer

Focusing care on relief of pain and discomfort while withdrawing life-sustaining interventions

Answer

Discontinuation of all monitoring and parental visitation

Answer

Mandatory discontinuation of nutrition and hydration

Answer

Transferring the neonate to hospice outside the hospital