Exam (elaborations)
Neonatal Intensive Care Unit -NICU Exam 1 2024
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Neonatal Intensive Care Unit -NICU Exam 1 2024...
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Neonatal Intensive Care Unit -NICU Exam 1 2024 NICU Levels - ANSWER Because NICU's are so costly and such specialized treatment facilities they are categorized by level of care and region Level 1 NICU Level II NICU Level III NICU Level 1V NICU Level I NICU: - ANSWER Able to identify at risk pregnancies and neonates; able to provide emergency care for complications; small community hospitals Level II NICU: - ANSWER Usually in urban areas; able to manage most maternal and neonatal complications; transitional care nursery; in-house anesthesia; ventilation; neonatal monitoring; 24-hour blood gas; radiography / ultrasonography, nutritional and respiratory therapy Examples: Central Maine Medical Center, Lewiston, Maine Maine General, Augusta, Maine Level III NICU: - ANSWER Full range of maternal and neonatal care; able to care for the most complex neonatal conditions; neonatologist on staff; pediatric surgeon on staff; geneticist, radiologist, anesthesiologists, and epidemiologist on staff Example s: Maine Medical Center, Portland, Maine Eastern Maine Medical Center, Bangor, Maine Level IV NICU: - ANSWER Similar to level III but can provide on-site surgical repair for serious birth defects; also provide training to lower level NICUs Examples: Mass General Hospital, Boston, MA Gestational age: - ANSWER Gestational age: the total number of weeks the infant spent in utero before birth Chronological age: - ANSWER Chronological age: the number of weeks / months / years since infant's birth Corrected Age: - ANSWER Corrected age: the age the infant would be had she been born at term Example: 27 weeks GA; 40 - 27 = 13 weeks premature; this number is subtracted from the chronological age to get the corrected age. An infant turning 12 months old would have the corrected age of 9 months (12 months - 13 weeks) Gestational vs. Corrected Age - ANSWER Under-correction: normal; infants would present as delayed if their age was left uncorrected Over-correction: abnormal infants would score in the normal range if the assessment was done prior to first birthday, particularly for infants born less than 33 weeks. Correct vs. do not correct: the decision should be based on the purpose of the assessment & instrument used When the purpose if to detect a developmental delay then use the uncorrected age. When the assessment is used to measure progress use corrected age and follow the procedures of the assessmentThe benefits of buying summaries with Stuvia:
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