Sample interview questions: Can you explain your knowledge of neonatal necrotizing enterocolitis (NEC) and preventive measures?
Sample answer:
Neonatal necrotizing enterocolitis (NEC) is a condition that primarily affects premature infants, particularly those in the neonatal intensive care unit (NICU). It is a serious gastrointestinal disease characterized by inflammation and damage to the lining of the intestines, leading to tissue death and potentially life-threatening complications.
As a NICU nurse with expertise in neonatal care, my knowledge of NEC is extensive. I understand that the exact cause of NEC is still not fully understood, but several risk factors have been identified. These include prematurity, formula feeding, a compromised immune system, and intestinal ischemia (reduced blood flow to the intestines).
In terms of preventive measures, there are several strategies that can be employed in the NICU to reduce the risk of NEC. These measures include:
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Human milk feeding: Breast milk, specifically mother’s own milk, is considered the best nutrition for premature infants. It contains essential nutrients and antibodies that help protect the baby’s gut and reduce the risk of NEC. When mother’s milk is unavailable, pasteurized donor human milk is a suitable alternative.
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Gradual introduction of enteral feeds: Premature infants are typically started on small volumes of enteral feeds (breast milk or formula) and gradually increased over time. This helps the baby’s immature digestive system adapt to feeding and reduces the risk of overwhelming the intestines.
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Strict infection control practices: Infection can contribute to the development of NEC, so maintaining a clean and sterile envi… Read full answer
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