RNC-NIC Developmental Care 4

Question 1

A neonatal nurse is educating a new NICU nurse about prone positioning in preterm infants. Which statement BEST reflects current evidence?

Accepted Answer

Prone positioning in monitored NICU settings can improve oxygenation and comfort but requires transition to supine before discharge

Answer

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.

Question 2

Which intervention is MOST appropriate to support pain management within a developmental care framework for a preterm infant requiring a heel stick?

Accepted Answer

Use non-pharmacologic measures such as sucrose, NNS, and containment

Answer

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.

Question 3

A 27-week infant is receiving phototherapy. Which modification BEST supports developmental care principles during this treatment?

Accepted Answer

Eye shields, minimal handling, and scheduled brief breaks for kangaroo care when possible

Answer

Applying eye shields, minimizing unnecessary handling, and allowing kangaroo care breaks when medically appropriate integrates phototherapy with developmental care priorities.

Question 4

When performing oral care with colostrum for a ventilated preterm neonate, the PRIMARY developmental benefit is:

Accepted Answer

Reducing the risk of necrotizing enterocolitis and providing oral immune protection

Answer

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.

Question 5

A 31-week infant is being transitioned from gavage to oral feeding. Which sign indicates the infant is READY to attempt nipple feeding?

Accepted Answer

Rooting, mouthing, and sustained alertness at feeding time

Answer

Behavioral readiness cues including rooting, mouthing, and sustained alertness at feeding time indicate neurologic readiness for oral feeding attempts.

(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 4