so with keeping this thread going lets go into the environment and handling of the neonate and things to support development. here is a few questions to answer (which should be interesting to see the different responses based on the experience of nurses here)! 1. what type of handling aids in myelinization by increasing hypothalamic activity? with the increase of hypothalamic activity which hormone is also produced by this type of handling? while at the same time in preterm infants this type of handling suggests that it also increases increased levels of insulin. **hint this should not be used in acutely ill preterm infants and should be confined to preterm growers. 2. in the nicu environment we all know noise is a big issue. can someone list at 3-5 cardiorespiratory changes that occur with loud noise, how the baby will react to the loud noise, an interesting thing i found was that an increase in cerebral blood flow from loud noise causes an increased risk for ________________ ______________ (two words). *we know it disturbs sleep wake cycle so we can leave that out* hopefully these are some good interesting questions (and not too easy). about me: i am currently in my preceptorship during my nursing program and placed in the nicu (which i love and want to be here my whole nursing career)!