The theory underlying simulation is:

the theory of deliberate practice.

provides 2 or more distinct outcomes (ROP and Death)

Which of the following is true regarding genetic factors are associated with IUGR?

60% due to fetal environmental contributions.

Healthcare simulation grew out of:

The space and aviation industries

According to the American Academy of Pediatrics any facility that provides newborn care should:

Follow at risk NB for min. 3-7 days for signs of withdrawal

The main concepts addressed in simulation are:

communication, competency, teamwork

The best approach to prevent NAS is to prevent intra-uterine drug exposure (IUDE) by:

Prevention of unintended pregnancies

What is the main finding of the oxygen targeted studies that is most concerning?

Low oxygen targets were associated with increased mortality.

What is one of the important lessons we learned from the oxygen target trials?

It is hard to maintain specific O2 Sat range in premature NN

What is one of the main flaws in the studies of what oxygen target we should use?

Programming of the pulse oximeter software

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NICU Updates - WPB

20 termsStudBud Administration

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Questions 20

Answers

1
Would you like to develop new strategies for clinical care of high risk neonates?
Yes
No
2
The theory underlying simulation is:
the theory of healthcare stress induction.
the theory of innovation.
the theory of everything.
the theory of deliberate practice.
3
A composite outcome:
an outcome that is not reliable
provides more information than a single health outcome
It is an outcome that is not reliable
provides 2 or more distinct outcomes (ROP and Death)
4
Which has higher levels of immunoglobulins, preterm breast milk or term breastmilk?
Preterm breast milk
Equal levels
Term breastmilk
5
Percent of heart defects resulting in either perinatal demise or require surgical intervention:
75%
20%
50%
90%
6
Which of the following is true regarding genetic factors are associated with IUGR?
75% of fetuses with trisomy 13 or trisomy 18 have URGR.
Paternal genes have a primary influence on birth weight.
65% of total birth weight is related to genetic factors.
60% due to fetal environmental contributions.
7
Healthcare simulation grew out of:
The space and aviation industries
The medical equipment industry
The movie and television industries
The medical education industry
8
Fetal echo at 18-22 weeks gestation includes:
All of the above
Complete imaging study of the heart and CV system
95% accurate detection of CHD and defines the prognosis
Growth parameters and peripheral doppler studies
9
According to the National Institute on Drug Abuse addiction is:
Decreasing in women of childbearing age
The number one cause of accidental death in the US
1 and 3
A chronic relapsing disease
10
According to the American Academy of Pediatrics any facility that provides newborn care should:
Follow at risk NB for min. 3-7 days for signs of withdrawal
Evaluate the need to have screening protocols in place
Base screening on positive drug screen at time of delivery
Initiate screening protocol on all newborns
11
Increased expansion and access to medication assisted therapies (MATs) will decrease NAS rates
This statement is true.
This statement is false.
12
The main concepts addressed in simulation are:
talent, teamwork, testing
creativity, checklists, patient outcome
competency, performance anxiety, creativity
communication, competency, teamwork
13
The best approach to prevent NAS is to prevent intra-uterine drug exposure (IUDE) by:
Detoxification of women during pregnancy
Liberal use of MATs (buprenorphine or methadone)
Prevention of unintended pregnancies
Threaten legal action for substance use during pregnancy
14
What is the main finding of the oxygen targeted studies that is most concerning?
High oxygen targets were associated with less ROP.
Low oxygen targets were associated with increased mortality.
High oxygen targets were associated with better outcomes.
Low oxygen targets were associated with more NEC.
15
Benefits of feeding colostrum and 100% human milk include:
There is no demonstrated benefit.
Increased bacteria translocation from gut lumen to mucosa.
Inhibition of healthy gut microflora.
Stimulates gut microflora.
16
The rates of NAS are overestimated, it is easily treated, there are no long term consequences.
This statement is true.
This statement is false
17
Use of exclusive human milk diet in premature infants has been shown to:
decrease the incidence of medical and surgical NEC
All of the above
be related to decreased ROP, PDA & ventilator dependence
Shorten NICU stays
18
Which has higher levels of glucose and lactose, preterm breast milk or term breastmilk?
Preterm breast milk
Equal
Term breast milk
19
What is one of the important lessons we learned from the oxygen target trials?
Oxygen targets are easy to achieve
Oxygen is not a toxic drug so we can use as much as we like
It is hard to maintain specific O2 Sat range in premature NN
Low oxygen saturations are not a problem
20
What is one of the main flaws in the studies of what oxygen target we should use?
Reaction to an out of target O2 saturation was well defined
The clinical investigators were not adequately blinded
Programming of the pulse oximeter software
Too few patients were studied

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