Diagnosis Deduction
Clinical Decision
Intervention
Plan
Wild Card
100
This diagnosis is characterized by an ischemic event initiated by hypoxia/hypoxemia precipitated by premature placental abruption (among other events).
What is hypoxic ischemic encephalopathy (HIE)
100
The appropriate course of action when Pt you've scheduled for Tx in NICU has just completed a bolus feed.
What is wait 30 min before treating?
100
Demonstrate swaddling
100
Best plan for PT Tx for: PT referred for PT eval, born two days ago at 24 weeks. During PT eval, vitals very unstable with limited handling (hands on baby).
What is postpone Tx until medically stable.
100
Name of procedure involving instrumentation/rodding of the spine in cases of idiopathic or NM scoliosis.
What is spinal fusion.
200
This diagnosis is characterized by rupture of structurally weak blood vessels in a gelatinous primitive structure in the brain.
What is Germinal Matrix Hemorrhage?
200
Best course of action when Pt you are scheduled to Tx in NICU has just been weaned from Mechanical Ventilation to CPAP.
What is postpone treatment at least 24 hours to determine medical stability.
200
Demonstrate facilitation of hands-to-mouth
200
Best POC rec's for infant 30 wks PMA demonstrating delayed GM milestones and decreased antigravity movements.
What is PT Tx 30 min 3-4x/wk.
200
Adventitious breath sounds indicating loose sputum in the airways.
What are crackles?
300
This grade of intraventricular hemorrhage is characterized by dilation of the lateral ventricles without apparent bleed into brain tissue surrounding the ventricles.
What is Grade III?
300
Best course of action when Pt you are scheduled to see for CPT has not yet received breathing treatments.
What is postpone treatments at least 20 min after breathing Tx and coordinate with RT.
300
Demo facilitation of trunk flexion
300
Best POC for Pt who has been seeing PT in NICU setting, just transferred to transitional care nursery (step-down from NICU) and anticipates D/C in 1-2 weeks.
What is continue PT Tx 3-4x/week with emphasis on parent/caregiver education.
300
A primitive reflex characterized by involuntary repeated DF/PF, typically integrated by 6 mos old.
What is clonus.
400
This Dx is caused by ischemia of LE motor tracts in the brain.
What is spastic diplegia?
400
Best course of action when Pt you are scheduled to Tx in NICU is just beginning nurse assessment.
What is assist RN in providing developmentally supportive care during assessment.
400
Demo facilitation of cervical flexion
400
Recommendations for follow-up for infant s/p delivery at 24 weeks, now D/Cing home.
What is f/u at SICC.
400
A medical intervention designed to slow cell metabolism in infants with HIE.
What is whole body cooling?
500
This Dx is caused by ischemia of LE and UE motor tracts in the brain.
What is spastic quadriplegia?
500
Best course of action when Pt you are scheduled to see demonstrates protruding anterior fontaneele, decreased activity level, neck flexor hypotonia, and increased tone in extremities.
What is immediately alert medical team.
500
Demo facilitation of head control
500
Best POC for Pt s/p delivery at 24 weeks old seen at SICC and delays noted.
What is referral to early intervention/CDSA.
500
Diagnosis often treated by cauterizing cerebellar tonsils to reduce pressure in ventricles.
What is Chiari decompression surgery?
M
e
n
u