WebQuest

Supporting Neurodevelopment in the NICU Through Kangaroo Care

Kangaroo Care Post-Test

A post-test on the content of this unit of instruction on supporting neurodevelopment in the NICU through Kangaroo Care.

Question #1

Your patient's mother just had a C-section and has not been able to hold her infant in the past 24 hours since giving birth. She is tearful and wants to hold her 29 week old infant. What intervention should you suggest?

a) Tell the mom to hold the infant's hand through the isolette port holes to bond with her baby.

b) Suggest kangaroo care because it promotes bonding, it allows the mother to hold her infant and regulate the infant's temperature while outside of the isolette.

c) Do nothing. Get the mother a box of tissues and reassure her that everything will be alright.

d) Put clothes on the infant and suggest the mother provide kangaroo care.

e) Tell the mother that she cannot hold her baby because the infant is premature.

Question #2

Your patient is engaging in skin to skin care with her mother. You enter her room and notice that her head is flexed and one of her feet is hanging out from beneath the blanket covering her back. You identify this to be what kind of positioning?

a) Proper positioning, you should let your patient continue to kangaroo uninterrupted.

b) Proper positioning, this would be incorrect only if the infant's neck was hyperextended.

c) Incorrect, but you should not interrupt the kangaroo care session.

d) Improper positioning, you should assist the mother in repositioning the baby into the safer proper position.

e) All of the above responses are correct.

Question #3

Only mothers can provide kangaroo care. Is this statement true or false?

a) False, fathers and other immediate relatives are appropriate to provide kangaroo care.

b) True, only mothers are allowed to provide kangaroo care.

c) True, fathers are unsafe for kangaroo care.

d) False, fathers can kangaroo infants as long as the infant has a onesie on.

e) It is uncertain if mothers are only allowed to provide kangroo care.

Question #4

All are benefits of kangaroo care EXCEPT, which of the following?

a) Temperature regulation

b) Parental-infant bonding

c) Neurodevelopmental support

d) Increased respiratory support

e) All of the above are correct

Question #5

There is no improper way to position an infant during kangaroo care, as long as they only have a diaper on and are held against their parent's chest. Is this statement true or false?

a) False, there is a proper position for kangaroo care.

b) False, their is a proper position but it includes the baby being held against their parent's abdomen.

c) True, there is no proper position for kangaroo care.

d) False, the baby should have a onesie on for this statement to be true.

e) False, the proper way also includes the fact that mothers can only provide skin to skin care.

Question #6

Your patient is on nasal CPAP and his mother is asking to kangaroo her 29 week old son. What should you do?

a) Tell the mother that she can hold her infant because respiratory does not disqualify an infant from participating in skin to skin care.

b) Tell the mother that her son is too premature to tolerate kangaroo care.

c) Make sure the infant as all clothes removed, except his diaper. Assist in the transfer and positioning of the infant for safe, effective kangaroo care.

d) Tell the mother that she will not be able to hold her son until he is weaned off of NCPAP.

e) A and C are correct

Question #7

Why should the neonate that is participating in skin to skin care be positioned with their chin slightly raised?

a) To ensure that their small airway is kept open.

b) This position is supportive of their musculoskeletal development

c) To facilitate parental-infant bonding.

d) This is just a suggestion, neck position does not matter.

e) All of the above are correct responses.

Question #8

All are false statements about kangaroo care, EXCEPT which of the following?

a) The infant will have increased decelerations in their heart rate.

b) The infant will require increased respiratory support.

c) The infant will have improved temperature regulation.

d) Siblings are not allowed to provide skin to skin.

e) All of the above.

Question #9

Your patient's father would like to know what the benefits of kangaroo care are before he decides whether or not he will provide this intervention for his son. Which would be the best response?

a) There are no real benefits to kangaroo care.

b) Kangaroo care has several benefits, some of which include temperature stability, improved self regulation, and decreased sensitivity to painful stimuli.

c) There is only one benefit of skin to skin care, and that is bonding with your son.

d) Father's cannot provide kangaroo care, so it is not necessary to learn about it.

e) The main benefit of this intervention is temperature regulation.

Question #10

You are providing care for a teen mother and her infant. You notice that she is hesitant to interact and provide care for her baby. Why would kangaroo care be an appropriate intervention for this young mother?

a) Kangaroo care will help her cope with being a teen parent.

b) Kangroo care is an effective way to incorporate the mother in providing care for her infant and build confidence in her maternal ability.

c) This would not be an appropriate intervention for this mother since she is hesitent to bond with her infant.

d) Kangaroo care promotes parent-infant bonding.

e) Both B and D are true.

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