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

Family-centered care positions parents as essential partners in their infant's care team, promoting parental presence, education, and shared decision-making.

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

Kangaroo care improves thermoregulation, promotes breastfeeding, reduces apnea episodes, enhances parent-infant bonding, and improves long-term neurodevelopmental outcomes.

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

Parental autonomy — the right of parents to make medical decisions for their child — must be respected within ethical and legal boundaries, including decisions at the limits of viability.

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

Ethics committee consultation provides a structured, multidisciplinary forum to facilitate communication, explore values, and find consensus when clinicians and families disagree about care goals.

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

Clustering cares (grouping assessments, procedures, and feeding into defined periods) reduces the number of sleep interruptions and promotes neurodevelopmental recovery.

NPS - Neonatal Pediatric Specialist Practice Test

NPS - Neonatal Pediatric Specialist Practice Test

NPS NPS Family-Centered Care and Ethics