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Neonatal Pain Management — RACP Paediatrics MCQ

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EasyNeonatologyNeonatal Pain ManagementRACP Paediatrics

A term neonate undergoing a painful procedure in the NICU (heel prick). What non-pharmacological pain management intervention is evidence-based?

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Correct answer: A — Oral sucrose 24% given 2 minutes before the procedure, combined with non-nutritive sucking and swaddling

Non-pharmacological pain management for minor neonatal procedures: oral sucrose (24% solution, 0.1-0.5 mL on the tongue 2 min before), non-nutritive sucking (pacifier), swaddling/facilitated tucking, and breastfeeding (if available). These are evidence-based and reduce pain scores. Pharmacological analgesia is added for more painful procedures.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Neonatal Pain Management