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* Read the article. The test for this CE activity is to be taken online at


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* There is only one correct answer for each question.


* A passing score for this test is 13 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.


* If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.


* For questions, contact Lippincott Williams & Wilkins: 1-800-787-8985.



Registration Deadline: March 31, 2019


Provider Accreditation:


Lippincott Williams & Wilkins, publisher of Journal of Perinatal Nursing, will award 1.0 contact hours for this continuing nursing education activity.


Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.


This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia Board of Nursing, #50-1223, Florida Board of Nursing, #50-1223, and Georgia Board of Nursing, CE Broker #50-1223. Your certificate is valid in all states.


Disclosure Statement:


The authors and planners have disclosed that they have no financial relationships related to this article.




* The registration fee for this test is $12.95.




General Purpose Statement: To identify strategies that support the well-being of neonatal staff enabling them to nurture families.


Learning Objectives/Outcomes: After completing this educational activity, you should be able to:


1. Describe the impact of stress on healthcare professionals who provide care for preterm infants and families.


2. Identify 5 key strategies for supporting staff well-being while delivering care to preterm infants and families in the neonatal intensive care unit (NICU).



1. What term does the author use to describe the effort expended to control emotions, present a competent image, be warm, attentive, and sensitive, and deal serenely with challenging behavior?


a. professional emotional response


b. suppression of emotions


c. emotional labor


2. Dissociation from the emotional care of a preterm infant and family is associated with a


a. loss of empathy.


b. bolstered professional image.


c. reduction in family stress.


3. As described in the article, compassion fatigue brought about by intense caretaking experiences can lead to


a. interprofessional cooperation.


b. poor safety culture.


c. improved communication.


4. To describe the importance of looking after one's self and achieving a good work-life balance, Welsh, in the 1999 study, used the term


a. practical nurturing.


b. good intentions.


c. responsible selfishness.


5. The study in Italy found that burnout was most common among neonatologists who


a. were most experienced.


b. were not married.


c. had children.


6. The Accelerated Recovery Program is a structured approach to self-maintenance that


a. encourages staff to identify triggers.


b. provides time off for eligible caretakers.


c. encompasses continuing education and stress reduction.


7. The acceptance of parents as an integral part of the care team is determined by the


a. hospital hierarchy.


b. prevailing unit culture.


c. patient demographics.


8. In their 2014 study, Finlayson et al observed that when parents observed power struggles and inconsistencies within a healthcare team, they coped by


a. avoiding anxiety-producing caretaking tasks.


b. aligning with preferred staff and avoiding others.


c. mounting anxious surveillance of their baby.


9. Dunbar's rule for effective working relationships says the mean group size of a cohesive community would be


a. 250.


b. 150.


c. 50.


10. Bright lights and high-pitched sounds in the NICU


a. contribute to caretaker fatigue and increased errors.


b. increase infant stress but are conducive to caretaker workflow.


c. do not affect neonates as negatively as was once believed.


11. The best intervention to address patient space without windows is to


a. maintain bright artificial light at least 12 hours per day.


b. provide artwork and furniture with nature themes.


c. play recordings of the sounds of nature in patient care areas.


12. Advantages of single-room unit design are partially dependent upon


a. the gestational age of the infant.


b. social and professional relationships between staff.


c. whether or not parents inhabit the room with the infant.


13. Evidence supports which teaching modality as best for improving practice?


a. coaching


b. classroom teaching


c. e-learning


14. Outcomes of programs such as the Close Collaboration with Parents Programme include


a. improving the physical environment.


b. changing healthcare professionals from caretakers to facilitators.


c. reducing infant length of stay.


15. For parents who are highly stressed, the best type of educational communication is usually


a. detailed verbal instructions.


b. technical information including medical definitions.


c. easy reading with pictorial information.


16. Which of the following is an effective method of reflecting together?


a. interprofessional clinical rounds


b. sharing stories


c. seeking counseling


17. Kraemer, in the 2006 study, described how fragmentation of care and emotional detachment


a. should be addressed through disciplinary action.


b. is always avoidable with effective leadership.


c. may be used as self-protective mechanisms.


18. Parents with low reflective function are more likely to


a. objectively identify and respond to their babies' needs.


b. blame caretakers for their own errors.


c. misinterpret their babies' behavior.