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Neonatal Pain Assessment Tools — RACP Paediatrics MCQ

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ModerateNeonatologyNeonatal Pain Assessment ToolsRACP Paediatrics

A preterm infant at 24 weeks gestation requires pain assessment. Which validated pain assessment tool is used for neonates?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: EFLACC (Face, Legs, Activity, Cry, Consolability) or PIPP-R (Premature Infant Pain Profile – Revised)

PIPP-R is specifically validated for preterm and term neonates, incorporating gestational age, behavioural state, and physiological parameters. FLACC is validated for infants and young children. These tools guide both pharmacological and non-pharmacological pain management in the NICU.

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