RNC-NIC Developmental Care 3

Question 1

In the NIDCAP (Newborn Individualized Developmental Care and Assessment Program) framework, care is guided primarily by:

Accepted Answer

Observation of the individual infant's behavioral cues and responses

Answer

NIDCAP centers care on systematic observation of each infant's unique behavioral cues to individualize interventions and minimize stress.

Question 2

A 32-week neonate is showing signs of autonomic instability during a diaper change, including color changes and oxygen desaturation. The PRIORITY nursing action is:

Accepted Answer

Pause the procedure and provide containment and comfort measures

Answer

Pausing the procedure and providing containment allows the infant's autonomic system to stabilize before care continues, preventing further physiologic stress.

Question 3

Which of the following BEST describes the concept of 'environmental modification' in neonatal developmental care?

Accepted Answer

Adjusting NICU sensory inputs (light, sound, handling) to support neurodevelopment

Answer

Environmental modification involves adjusting sensory inputs such as lighting, noise levels, and handling patterns to create a womb-like environment that supports neurodevelopment.

Question 4

A parent expresses concern that holding their critically ill 25-week infant will cause harm. The nurse's BEST response incorporates which evidence-based principle?

Accepted Answer

Appropriate holding, including skin-to-skin, is safe and beneficial when the infant is stable

Answer

Evidence supports that skin-to-skin and appropriate holding of stable preterm infants improves outcomes including temperature regulation, weight gain, and parent-infant bonding.

Question 5

Noise levels in the NICU are recommended to be kept below what decibel level to support developmental care goals?

Accepted Answer

45 dB

Answer

The AAP recommends NICU sound levels be maintained below 45 dB to prevent auditory stress and support healthy neurodevelopmental outcomes in preterm infants.

(RNC-NIC) Registered Nurse Certified in Neonatal Intensive Care Practice Test

(RNC-NIC) Registered Nurse Certified in Neonatal Intensive Care Practice Test

RNC-NIC Developmental Care 3