A 6-year-old male presents with acute respiratory distress. In the first three months babies pay most attention to faces. Question Type: General Knowledge Greenstick fractures occur in infants and children because: their bones bend more easily than an adult's. Do you agree? You respond to a skate park where a 10-year-old male fell from his skateboard and struck his head on the A. depress the gag reflex. A. Answer: A product because it may: 50. B. mental status, heart rate, and systolic blood pressure. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: 3 83. A tight, whistling or musical sound heard with each breath may indicate that the air passages may be smaller, making it more difficult to breathe. D. caused by the inability of the body to cool itself. D. activity, respiratory quality, and level of consciousness. and clinging to her mother. B. crying and anxiety. 80. Page: 1185. Febrile seizures are MOST common in children between: When administering oxygen to a frightened child, it would be MOST appropriate to: place oxygen tubing through a hole in a paper cup. Signs of infection include an increase in VS, poor feeding, vomiting, pupil dilation, decreased LOC, and . C. have a parent restrain the child as you give oxygen. Page: 1167, 40. 6. You are dispatched to a residence for a child with respiratory distress. D. bradycardia. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. 4 C. skin condition, respiratory rate, and level of alertness. C. femoral C. skin condition 68. C. usually present within the first 10 minutes of ingestion. Arch Dis Child 25(123): 242-253. A. sexual activity C. carefully examine the genitalia for signs of injury. He is responsive to painful stimuli only and has a large hematoma to the back of his head. Answer: B After determining that an infant or child has strong central pulses, you should: After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: immediate transport is indicated for a child when he or she: has a history suggestive of a serious illness. The goal of vasoconstriction is to prioritize oxygen and nutrient supply to the most important organs - the vital organs. 42. A. B. monitor her airway and give oxygen. C. second-degree burns covering more than 10% of the body surface. The secondary assessment of a sick or injured child: Question Type: General Knowledge The anti-inflammatory action of corticosteroids reduces laryngeal mucosal edema and decreases the need for salvage nebulized epinephrine. She is receiving high-flow oxygen via a non-rebreathing mask. C. consistency in the method of injury reported by the caregiver You should suspect: The signs and symptoms of poisoning in children: Page: 1176. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: 22. Page: 1155, 15. B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more albuterol. C. have a parent restrain the child as you give oxygen. B. occur after a week of a febrile illness. D. gather critical data by performing a rapid hands-on assessment of the child. Effective methods for providing pain relief to a child with an extremity injury include: Which of the following statements regarding a pediatric patient's anatomy is correct? Burns in children are commonly caused by all of the following, EXCEPT: C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, She further tells you that her daughter has no history of seizures, but has had a recent ear infection. rate is 120 beats/min. C. vomiting and diarrhea. Which of the following statements regarding a 3-month-old infant is correct? Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: By 3 months old, your baby may respond to these sounds with excitement. Question Type: General Knowledge A child may begin to show signs of separation anxiety as early as: 4. C. his or her vital signs are stable. D. result in a soft-tissue injury. Death caused by shaken baby syndrome is usually the result of: With regard to the legal implications of child abuse: EMTs must report all suspected cases of child abuse. Answer: D C. a congenital cardiovascular defect. After determining that an infant or child has strong central pulses, you should: A. requesting a paramedic ambulance to insert an advanced airway device. A. proportionately larger and situated more anteriorly. A. discourage the family from observing. When a child experiences a blunt injury to the abdomen: Cardiac arrest in the pediatric population is MOST commonly the result of: When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. When caring for a female child who has possibly been sexually abused, you should: If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority? B. ensure that the airway is patent and clear of obstructions. Question Type: General Knowledge If appropriate dosing for children and infants is included with age ranges as needed. Question Type: Critical Thinking 15% D. suspect that the child has meningitis and transport at once. Children are less likely than adults to be struck by a car. Her skin is pink and dry, and her heart rate is 120 beats/min. C. neonatal period. You should: A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. A. cherry-red spots or a purplish rash. B. The MOST appropriate treatment for this child includes: administering blow-by oxygen and transporting the child with her mother. C. hypothermia and an irregular pulse. Page: 1185. C. retractions. D. fracture of the cervical spine. Answer: B 5% Page: 1176, 57. demonstratedinpreterminfants; CBFvelocity normalisedalongwithPo2in terminfants.5 Extremely low birthweight infants can be treated appropriatelywithroomairor30-40% oxygen in the delivery room.6 Routine use of 80-100%oxygenduringtheinitial stabilisation at birth, as often recommended,7 may there-fore produce hyperoxaemia in some infants. A. the car seat is visibly damaged. B. dehydration from vomiting and diarrhea. You should: following questions would be of LEAST pertinence? Question Type: General Knowledge Page: 1160. B. D. lower in the abdominal cavity, where the muscles are not as strong. A. cyanosis. B. child abuse. B. allow the family to observe if they wish. Answer: C The distance is automatically calculated from the travel time of this pulse. A. cyanosis. Submersion injuries in the adolescent age group are MOST commonly associated with: Signs of a severe airway obstruction in an infant or child include: Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the You should: The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. B. A mixture of sperm and fluids is called _____. C. insert a nasopharyngeal or oropharyngeal airway adjunct. 17. A. chills. C. 12, 4 B. weak distal pulses. B. back Page: 1182. D. lethal cardiac rhythm disturbances. A. requesting a paramedic ambulance to insert an advanced airway device. Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: A 6-month-old male presents with 2 days of vomiting and diarrhea. He is conscious, but his You are dispatched to a residence for a child with respiratory distress. B. tightly secure the oxygen mask straps to the face. Page: 1192. partial paralysis. C. sunken fontanelles. A. shins Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A) sunken fontanelles. Signs of vasoconstriction in the infant or child include: A) warm, dry skin. 53. A. Certain cases of SIDS are predictable and therefore preventable. A child's head is less frequently injured than an adult's. How could you check to see if this is true (without any scraping)? The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal Where no specific pediatric dose is given, the implication is that this drug is not commonly used or indicated in that age group. B. awareness to place, pink and dry skin, and consistent eye contact. D. 6, Answer: A C. They are usually not well tolerated in children with a gag reflex. Page: 1155. D. 70, Which of the following inquiries should you make in private when obtaining a SAMPLE history from an This acute mediastinitis from esophageal rupture. Critical burns in children include: His pulse is slow and bounding. Page: 1184, 77. Have you noticed any signs or symptoms? Which of the following statements regarding pediatric trauma is correct? Question Type: General Knowledge A. result in tachycardia. correct? B. falls from a height greater than 5. As you approach the child, you note D. buttocks, Answer: A Answer: A Question Type: General Knowledge 24. Answer: B Page: 1170. Which of the following statements regarding a pediatric patient's anatomy is correct? pain control management is essential. C. geriatrics The components of the PAT are: D) altered mental status. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: A. cherry-red spots or a purplish rash. and determine that it is slow and irregular. Question Type: General Knowledge D. poisonings or ingestion. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: C. restlessness. With which age group should you talk to the child, not just the parent, while taking the medical history? D. 98 mm Hg. B. allow you to rapidly and visually form a general impression of the child. C. a rapid heart rate. C. palpate the abdomen for rise and fall. most cases of SIDS occur in infants younger than 6 months. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full spinal precautions, and transport. There is acute shortness of breath with pleuritic pain to the lateral side of the chest wall with physical signs of pneumothorax- hyper-resonance with absent breath sounds. Which of the following is NOT a known risk factor of SIDS? 35. In a normal adult, greater than 30% to 40% of blood volume loss significantly increases the risk of shock. 33. 56. D. give oxygen and transport at once. B. internal blood loss. After using the PAT to form your general impression of a sick or injured child, you should: Question Type: General Knowledge A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the posterior fontanelle is typically closed by _____ months of age. More importantly, the effect of vasoconstriction on central temperature in pediatric patients remains unknown. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: intercostal muscles are not well developed, blood vessels near the skin are constricted. they are: Question Type: General Knowledge Answer: C C. a congenital cardiovascular defect. B. positioning, ice packs, and emotional support. Cardiac arrest in the pediatric population is MOST commonly the result of: B. the flexible ribs can be compressed without breaking. The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the Or your baby may quiet to listen to your voice. 74. C. putting a baby to sleep on his or her back You should: It happens when smooth muscles in blood vessel walls tighten. 6, 12 Signs of severe dehydration in an infant include all of the following, EXCEPT: C. a rapid heart rate. Write a test program that displays m(i) for i = 1, 2, . B. visualize the child's airway. C. administering blow-by oxygen and transporting the child with her mother. C. their bones bend more easily than an adult's. A. observe the chest for rise and fall. Page: 1182, 71. B. D. epiglottitis. Page: 1158. Answer: C D. retracting the intercostal muscles. He is conscious, but his level of activity is decreased. Answer: A The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in B. burns to the hands or feet that involve a glove distribution When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence? She further tells you that her daughter has no history of seizures, but has had a recent ear infection. Pale skin in a child indicates that the: The patient, an 18-month-old female, Question Type: Critical Thinking A. encourage the child to urinate and take a shower. 82. C. immobilized on a long backboard. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: When you arrive, you determine that the infant is apneic and pulseless. C. hyperthermia. Answer: C C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. 82 mm Hg D. hyperglycemia. Answer: D C. insert it until the flange rests on the teeth. C. belly breathing. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. B. asthma. All of the following are normal findings in an infant or child, EXCEPT: The triggers for vasoconstriction are fluid loss (blood, urine, stomach contents, sweat, fluid evaporation due to severe burns), hypothermia, and hypernatremia (too much sodium in the blood). 10. B. respiratory or circulatory failure. C. electrolyte imbalances. They can usually identify painful areas when questioned. 99. As a 1-month-old, babies start to know familiar sounds and may show it by turning the head. B. dehydration from vomiting and diarrhea. Page: 1177. B. moist oral mucosa. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based After your partner stabilizes his head and opens his airway, you assess his breathing B. toddler period. Answer: B B. encourage him to cough, give oxygen as tolerated, and transport. B. slowed level of activity. The child is conscious, Answer: B B. scalding water in a bathtub. Burns in children are commonly caused by all of the following, EXCEPT: partialt-hickness burns covering more than 20% of the body surface. If a nasopharyngeal airway is too long, it may: B. asthma. Answer: B B. tachypnea. B. not rule out compensated shock. Study Resources. A. allow the mother to drive her daughter to the hospital. Page: 1180, 64. Children with N meningitides would MOST likely present with: D. Blanching of the nares after insertion indicates correct placement. C. a rapid heart rate. obviously frightened, and is coughing forcefully. C. palpate the abdomen for rise and fall. Question Type: General Knowledge A. is a rapid head-to-toe exam to detect life threats. C. severe infection. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. 79. 27. Page: 1166, 39. A. Syncope, pronounced "SIN-ko-pea," is the medical term for fainting. C. has a possible closed fracture of the radius. C. Most cases of SIDS occur in infants younger than 6 months. A. is experiencing mild to moderate pain. Most cases of SIDS occur in infants younger than 6 months. D. Inexperience and poor judgment are rare causes of pediatric trauma. A. heart rate Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. All of the following are normal findings in an infant or child, EXCEPT: Blood pressure is usually not assessed in children younger than _____ years. B. loss of consciousness D. age-appropriate behavior, good muscle tone, and good eye contact. C. 4 seconds. Which of the following statements regarding a pediatric patient's anatomy is correct? Have you noticed any signs or symptoms? A. typically last less than 30 minutes. A. irritability of the left ventricle. they can usually identify painful areas when questioned. Question Type: General Knowledge B. cause the child to vomit. Peds. 93. D. Inexperience and poor judgment are rare causes of pediatric trauma. observes the patient for signs of ICP and of infection at the operative site or along the shunt line. 88 mm Hg C. ensure that he or she uses a neonatal device for children younger than 12 months. 16 Signs of vasoconstriction in the infant or child may include a Warm dry skin from MEDICAL TE 24 at North Seattle College After using the pediatric assessment triangle (PAT) to form your general impression of a sick or injured child, you should: perform a hands-on assessment of the ABCs. D. mild respiratory distress. D. secure the torso before the head. Answer: B B. weak distal pulses. The first month of life after birth is referred to as the: A. premature phase. D. he or she is breathing inadequately. As the heart beats to push blood through these narrowed vessels, the increased pressure and resistance can dislodge a plaque, allowing it to travel through the bloodstream. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: intercostal muscles are not well developed, blood vessels near the skin are constricted. Answer: D playing with a small toy. conscious, but clearly restless. A. put padding behind his or her head. A. stridor. B. carotid With regard to the legal implications of child abuse: A. is a rapid head-to-toe exam to detect life threats. B. females Question Type: General Knowledge Page: 1171. C. crying or combativeness, good muscle tone, and awareness to time. Page: 1180, 65. B. secondary to a severe bacterial infection. D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. Febrile seizures are MOST common in children between the ages of: Which of the following statements regarding a 3-month-old infant is correct? B. positioning, ice packs, and emotional support. When assessing an infant's ventilation status, you should: Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: During the attempted resuscitation of an infant with suspected SIDS: EMT Chapter 30- Abdominal and Genitourinary I, Chapter 33: Obstetrics and Neonatal Care Prac, Julie S Snyder, Linda Lilley, Shelly Collins, N300 -- Cardiac Rehabilitation -- Final Exam. Common causes of seizures in children include all of the following, EXCEPT: 43. CHLOROPROCAINE HCI CHLOROPROCAINE HYDROCHLORIDE 10 mg/mL HF Acquisition Co LLC, DBA HealthFirst HF Acquisition Co LLC, DBA HealthFirst A sound heard in the upper airway when the child breathes in. D. head bobbing. They are rarely used in infants younger than 1 year. Correct D. altered mental status. A. he or she can compensate for blood loss better than adults. The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: Answer: B Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: A 6-year-old male presents with acute respiratory distress. A. extreme restlessness. B. monitor her airway and give oxygen. A. determine if the child's vital signs are within the age-appropriate limits. Her skin is hot and moist. 3 seconds. It is the recommended adjunct for children with head trauma. B. ensure that his or her neck is hyperextended. What should you use the Wong-Baker FACES scale to determine? Question Type: General Knowledge pulse. D. children with shunts. B. oxygen content in the blood is decreased. Increased respiratory effort is often the distinguishing characteristic that sets cardiogenic shock apart from other forms of shock. A. B. retracting. if the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head.
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