Developmental Care Flashcards
7 cards from real RNC-NIC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Developmental Care flashcards as text
A neonatal nurse is educating a new NICU nurse about prone positioning in preterm infants. Which statement BEST reflects current evidence?
Answer: Prone positioning in monitored NICU settings can improve oxygenation and comfort but requires transition to supine before discharge
Prone positioning in continuously monitored NICU environments can improve oxygenation and comfort, but infants must be transitioned to supine sleeping before discharge to reduce SIDS risk at home.
Which intervention is MOST appropriate to support pain management within a developmental care framework for a preterm infant requiring a heel stick?
Answer: Use non-pharmacologic measures such as sucrose, NNS, and containment
Non-pharmacologic measures including oral sucrose, non-nutritive sucking, and facilitated tucking/containment are evidence-based first-line pain management strategies for minor procedures in preterm infants.
A 27-week infant is receiving phototherapy. Which modification BEST supports developmental care principles during this treatment?
Answer: Eye shields, minimal handling, and scheduled brief breaks for kangaroo care when possible
Applying eye shields, minimizing unnecessary handling, and allowing kangaroo care breaks when medically appropriate integrates phototherapy with developmental care priorities.
When performing oral care with colostrum for a ventilated preterm neonate, the PRIMARY developmental benefit is:
Answer: Reducing the risk of necrotizing enterocolitis and providing oral immune protection
Colostrum oral care delivers immunologic factors directly to the oral mucosa and oropharynx, providing immune protection and reducing NEC risk while offering gentle oral sensory stimulation.
A 31-week infant is being transitioned from gavage to oral feeding. Which sign indicates the infant is READY to attempt nipple feeding?
Answer: Rooting, mouthing, and sustained alertness at feeding time
Behavioral readiness cues including rooting, mouthing, and sustained alertness at feeding time indicate neurologic readiness for oral feeding attempts.
Which of the following NICU practices is INCONSISTENT with developmental care principles?
Answer: Performing all care procedures regardless of the infant's current sleep state
Performing care procedures without regard to the infant's sleep-wake state disrupts rest cycles and is inconsistent with developmentally supportive care principles.
A developmental care specialist recommends 'facilitated tucking' during a painful procedure. This technique involves:
Answer: Gently holding the infant's flexed extremities in midline containment during the procedure
Facilitated tucking involves the nurse or parent gently holding the infant's flexed arms and legs in a midline position during procedures, providing proprioceptive comfort and reducing pain response.