A. secure the head before the torso. Page: 1158. C. spaced further apart, which causes them to shift following trauma. C. hyperthermia. A. 85. Question Type: General Knowledge C. face B. use a length-based resuscitation tape measure. C. the sudden force against the ribs causes them to fracture. D. 5 seconds. A. appearance, work of breathing, and skin circulation. 74. D. 70, Answer: A When a child experiences a blunt injury to the abdomen: After determining that an infant or child has strong central pulses, you should: B. a weak cough. 20 g C. deliver a series of five back blows and then reassess his condition. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement D. Do you know what substance was ingested? Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: B. C. have a parent restrain the child as you give oxygen. C. slightly flex the neck to prevent tracheal kinking. 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. Answer: B Question Type: General Knowledge Page: 1155 13. Answer: A is decreased. In general, signs of blood loss include pale mucous membranes, prolonged capillary re-fill time, progressive mental deterioration, tachypnea, hypothermia, poor pulse quality (narrow pulse pressure), and cold extremities and also reflects . B. Compensatory mechanisms that improve stroke volume include increased venous smooth muscle tone (improves preload by shunting blood to the She is When a child experiences a blunt chest injury: The child is conscious, When a child faints, the blood supply and the oxygen that blood brings to the brain is temporarily reduced. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. A 2-year-old female has experienced a seizure. Certain cases of SIDS are predictable and therefore preventable. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: B. are more obvious than in the adult population. A. appearance, work of breathing, and skin circulation. B. EMTs must report all suspected cases of child abuse. A child's head is less frequently injured than an adult's. Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? C. may not be possible if the child's condition is critical. C. restlessness. A. proportionately larger and situated more anteriorly. As you approach the child, you note that he is lying at the base of the monkey bars. D. activity, respiratory quality, and level of consciousness. posterior fontanelle is typically closed by _____ months of age. Question Type: General Knowledge A. estimate the child's weight based on age. Stridor. A. hot items on a stovetop. 73. C. consistency in the method of injury reported by the caregiver She is receiving high-flow oxygen via a nonrebreathing mask. D. delayed capillary refill indicates a state of decompensated shock. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, B. loss of consciousness They are rarely used in infants younger than 1 year. C. slightly flex the neck to prevent tracheal kinking. 63. Effective methods for providing pain relief to a child with an extremity injury include: Febrile seizures are MOST common in children between the ages of: Which of the following statements regarding a 3-month-old infant is correct? Page: 1169. The normal respiratory rate for a newborn should not exceed ______ breaths/min. A. is experiencing mild to moderate pain. Which of the following groups of people is associated with the lowest risk of meningitis? D. gather critical data by performing a rapid hands-on assessment of the child. Question Type: General Knowledge You respond to a skate park where a 10-year-old male fell from his skateboard and struck his head on the ground; he was not wearing a helmet. You An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal B. positioning, ice packs, and emotional support. Page: 1164, 36. Answer: C Which of the following statements regarding pediatric trauma is correct? PEDS Review - FINAL EXAM REVIEW FOR PEDIS 1 AND FEARS THAT CHILD HAVE B. blood pressure Correct D. altered mental status. A. is conscious and alert, is breathing adequately, and has skin burns around her mouth. D. duration of symptoms. Page: 1184, 77. B. bradycardia. D. a supervisor can forbid you from reporting possible abuse. D. give 12.5 to 25 g of activated charcoal. Signs of severe dehydration in an infant include all of the following, EXCEPT: B. All of the following are normal findings in an infant or child, EXCEPT: Which of the following is NOT a known risk factor of SIDS? D. cardiovascular disease. Which of the following is the LEAST reliable assessment parameter to evaluate when D. he or she even has a minor injury. C. exposure to caustic chemicals. When assessing an infant's ventilation status, you should: Critical burns in children include: C. skin condition Signs of vasoconstriction in the infant or child include: A) warm, dry skin. Which of the following children would benefit the LEAST from a nonrebreathing mask? D. hyperglycemia. signs of vasoconstriction in the infant or child include: Question Type: General Knowledge Question Type: Critical Thinking Question Type: General Knowledge Which of the following findings is LEAST suggestive of child abuse? A. 11 Common signs and symptoms of hypothermia include: Shivering (the first and the most common sign) Slow, shallow breathing Drowsiness Weak pulse Cold palms and feet Clumsy movements Loss of consciousness Slurred speech Transient memory loss A confused state of mind Bright red, cold skin (in babies) Central chest pain following prolonged vomiting usually with circulatory collapse. D. is most appropriate when your transport time is short. A 6-month-old male presents with 2 days of vomiting and diarrhea. B. Question Type: General Knowledge 41. Answer: B Question Type: General Knowledge Answer: D Page: 1177. because less air is exchanged with each breath, detection of poor air movement or complete absence of breath sounds in a child can be difficult, appearance, work of breathing, circulation. B. ensure that the airway is patent and clear of obstructions. C. skin condition B) Children are belly breathers because they rely heavily on their diaphragms. B. positioning, ice packs, and emotional support. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: EMT Chapter 34 - Pediatric Emergencies Quiz, EMT-B Chapter 34 - Pediatric Emergencies (Mul, AAOS EMT Eleventh Edition Chapter 34 Pediatri, EMT: Chapter 33 [obstetrics & neonatal care], EMT: Chapter 32 [environmental emergencies], Julie S Snyder, Linda Lilley, Shelly Collins, Stanwick Managerial Accounting T/F & MC for E, Captulo 23: Aparato reproductor femenino. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after Answer: A Answer: B You should: Which of the following statements regarding the use of nasopharyngeal airways in children is The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in partial paralysis. C. a stiff or painful neck. Her skin is hot and moist. B. rule out hypoxia if cyanosis is absent. an unresponsive 5yearold male with shallow respirations. EMT Chapter 34: Pediatric Emergencies Flashcards | Quizlet C. crying or combativeness, good muscle tone, and awareness to time. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: D. acute respiratory distress. The MOST appropriate treatment for this child includes: D. suspect that the child has meningitis and transport at once. B. allow the family to observe if they wish. B. low birth weight B. he or she has no visible injuries. The normal respiratory rate for a newborn should not exceed ______ breaths/min. Which of the following findings is LEAST suggestive of child abuse? Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her Page: 1184. Heart rate may not reflect the severity of blood loss due to compensatory vasoconstriction and constriction. You are dispatched to a residence for a child with respiratory distress. D. place him or her on a firm surface. PDF Red Cell Volume Measurements and Acute Blood Loss in High-Risk Newborn A. result in tachycardia. Answer: D Your assessment reveals that she D. accessory muscle use. D. depress the tongue with a tongue depressor. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: There may be . Drawing in of the muscles between the ribs or of the sternum during inspiration is called: 6 months and 6 years. The child is conscious, obviously frightened, and is if the cervical spine is injured, it most likely to be an injury to the ligaments because of rapid movement to the head. d. an absence of breath sounds. 67. D. a semiconscious 7-year-old female with normal ventilation, C. an unresponsive 5-year-old male with shallow respirations. B. past medical history A. allow the mother to drive her daughter to the hospital. B. mental status, heart rate, and systolic blood pressure. When caring for a female child who has possibly been sexually abused, you should: D. 6, Answer: A D. give detailed updates to the infant's parents. Do you agree? B. stabilize his head and check for a pulse. Greenstick fractures occur in infants and children because: D. decreased LOC. obviously frightened, and is coughing forcefully. adolescent patient? Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Children with N meningitides would MOST likely present with: Which of the following is the MOST appropriate dose of activated charcoal for a 20kg child? A common cause of shock in an infant is: D. are most severe if the child ingested a poisonous substance. B. not rule out compensated shock. D. age-appropriate behavior, good muscle tone, and good eye contact. A. place oxygen tubing through a hole in a paper cup. D. open his airway and look in his mouth. B. size of the child and the height of the bumper upon impact. Answer: B 20. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: Signs of a severe airway obstruction in an infant or child include: A child who has no recent history of illness suddenly appears cyanotic and cannot speak after being given multiple doses of her prescribed albuterol by her mother. C. their bones bend more easily than an adult's. When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. Vasoconstriction - The Definitive Guide | Biology Dictionary Page: 1184. Question Type: Critical Thinking Answer: A D. ensure that his or her head is in a hyperextended position. C. 8 months and 8 years. should: C. immobilized on a long backboard. An 8-year-old female with a history of asthma continues to experience severe respiratory distress despite being given multiple doses of her prescribed albuterol by her mother. B. a low-grade fever and tachycardia. He is responsive to painful stimuli only and has a large hematoma to the back of his head. Bulcao et al., 2000; Cheng et al., 1995; Daanen, 1996; Grahn et al., 1998). Question Type: General Knowledge Have you noticed any signs or symptoms? A. normal interactiveness, awareness to time, and pink skin color. B. tightly secure the oxygen mask straps to the face. The child is conscious, obviously frightened, and is coughing forcefully. His pulse is slow and bounding. B. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: D. 50 g, Answer: B The infant's mother tells you that he has not had a soiled diaper in over 12 hours. 17. A. begin immediate rescue breathing. B. C. severe dehydration. signs of vasoconstriction in the infant or child include You should: A normal level of consciousness in an infant or child is characterized by: B. mental status, heart rate, and systolic blood pressure. D. sunken fontanelles. Which of the following statements regarding preschool-age children is correct? B. their bones are more brittle than an adult's. Compression of the cord results in vasoconstriction and resultant fetal hypoxia, which can lead to fetal death or disability if not rapidly diagnosed and managed. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Common causes of seizures in children include all of the following, EXCEPT: B. secondary to a severe bacterial infection. D. become obstructed by mucus. Death caused by shaken baby syndrome is usually the result of: Thousands of new, high-quality pictures added every day. D. place the child in a supine position and perform abdominal thrusts. A child may begin to show signs of separation anxiety as early as: 4. conscious, but clearly restless. More importantly, the effect of vasoconstriction on central temperature in pediatric patients remains unknown. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: The secondary assessment of a sick or injured child: D. popliteal. Which of the following statements regarding preschool-age children is correct? Page: 1158. B. slowed level of activity. signs of vasoconstriction in the infant or child include: If a nasopharyngeal airway is too long, it may: Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: Which of the following children would benefit the LEAST from a nonrebreathing mask? D. lethal cardiac rhythm disturbances. D. The cause of death following SIDS can be established by autopsy. Answer: B Page: 1197, EMT Chapter 33- Obstetrics & Neonatal Care eB, EMT Chapter 33: Obstetrics and Neonatal Care, Julie S Snyder, Linda Lilley, Shelly Collins, Winningham's Critical Thinking Cases in Nursing, Barbara A Preusser, Julie S Snyder, Mariann M Harding. rate is 120 beats/min. D. children with shunts. signs of vasoconstriction in the infant or child include weak distal pulses which of the following statement regarding spinal injuries in pediatric patients is correct? The Sun radiates energy into space at the rate of 3.91026J/s3.9 \times 10 ^ { 26 } \mathrm { J } / \mathrm { s }3.91026J/s How does this mass loss arise? shock. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based Croup Medication: Corticosteroids, Nebulized Vasoconstrictors - Medscape Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of D. entrapment in a structural fire. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and C. second-degree burns covering more than 10% of the body surface. C. monitor the pulse oximeter reading. The signs and symptoms of poisoning in children: Question Type: General Knowledge C. immobilized on a long backboard. Answer: B B. dehydration from vomiting and diarrhea. C. age of the child and the size of the car that struck him or her. ., 10. B. a weak cough. Her skin is hot and moist. Blood pressure is usually not assessed in children younger than _____ years. C. 90 mm Hg With which age group should you talk to the child, not just the parent, while taking the medical history? Page: 1165. C. excessive tachycardia. Explain the meanings of the following terms: quadratic damping, complex stiffness, transmissibility, beating, and quality factor. B. females The infant's mother tells you that he has not had a soiled diaper in over 12 hours. Greenstick fractures occur in infants and children because: their bones bend more easily than an adult's. Page: 1162, 30. Question Type: General Knowledge C. result in airway swelling. D. heat compresses and lowering the injured extremity. immobilization device if: Page: 1182. The EMT should be MOST concerned when a child presents with fever and: When ventilating a pediatric patient with a bag-mask device, the EMT should: C. delayed capillary refill. C. pad underneath the child's head. 22. Signs of a severe airway obstruction in an infant or child include: an ineffective cough Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? 26. B. cause the child to vomit. Page: 1180, 64. Question Type: General Knowledge 101. is tachypneic, has sternal retractions, and is clinging to her mother. When immobilizing an injured child in a pediatric immobilization device, you should: A. high fever. D. observe the chest for adequate rise. When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence? C. his or her respirations are shallow. You should: C. delayed capillary refill. A. older than 8 to 10 years. A. 104. 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. A. shins B. retracting. C. palpate the abdomen for rise and fall. C. ear pain. 50 You respond to a skate park where a 10-year-old male fell from his skateboard and struck his head on the ground; he was not wearing a helmet. Page: 1185. C. their bones bend more easily than an adult's. via a nonrebreathing mask. Infant development: Birth to 3 months - Mayo Clinic - Mayo Clinic 95. Which of the following inquiries should you make in private when obtaining a SAMPLE B. fear or anxiety. He is conscious, but his if the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. You should: encourage him to cough, give O2 as tolerated, and transport. B. moderate dehydration. B. respiratory or circulatory failure. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. A. place her supine and elevate her legs. Have you noticed any signs or symptoms? C. change in bladder habits Page: 1155. D. acute hypoxia and tachycardia. During the attempted resuscitation of an infant with suspected SIDS: B. multiple open fractures. Which of the following is NOT a known risk factor of SIDS? A. vary widely, depending on the child's age and weight. D. 35%, Answer: C What time did the ingestion occur? The infant's mother tells you that he has not had a soiled diaper in over 12 hours. D. brisk capillary refill. C. an ineffective cough. Her skin is pink and dry, and her heart rate is 120 beats/min. C. perform a blind finger sweep. Signs of a severe airway obstruction in an infant or child include: You should: D. 98 mm Hg. B. stabilize his head and check for a pulse. A. he or she can compensate for blood loss better than adults. D. wheezing. D. result in a soft-tissue injury. C. bronchitis. that he is lying at the base of the monkey bars. Page: 1171. Answer: C 75. D. lower in the abdominal cavity, where the muscles are not as strong. D. fracture of the cervical spine. D. mother smoked during pregnancy. Early signs of respiratory distress in the child include: 88 mm Hg C. caused by inflammation of the spinal cord. Chapter 34 Pediatric Emergencies Test Flashcards | Quizlet Page: 1166, 39. C. perform a head tilt-chin lift maneuver. Write a test program that displays m(i) for i = 1, 2, . A. vary widely, depending on the child's age and weight. B. observe the child's skin color. B. burns to the hands or feet that involve a glove distribution julia child recipes chicken. D. acute hypoxia and tachycardia. B. tachypnea. Page: 1178. they can usually identify painful areas when questioned. Hauth J, Moore T. The 2008 National Institute of Child Health and Human Development workshop . Question Type: General Knowledge A. bleeding in the brain. Laser range finders used by surveyors determine the distance traveled to a reflecting target by means of a pulse of laser light, which travels from the range finder to the target and back. Page: 1189. D. fracture of the cervical spine. 80. 82. The vital signs of Patient X include a body temperature of 37 degrees Celsius, heart rate of 80 bpm, a pulse of 80 bpm, respiratory rate of 20 breaths per minute, and blood pressure of 140/90 mmHg. When you stimulate the child, she responds. What You Should Know About Fainting in Children B. a responsive 6-year-old male who responds appropriately Hyperthermia differs from fever in that it is an increase in body temperature: When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. 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. the back of his head. C. Children have a larger, rounder occiput compared to adults. D. a generalized rash with intense itching. Question Type: General Knowledge When assessing an infant's ventilation status, you should: All of the following are normal findings in an infant or child, EXCEPT: Drawing in of the muscles between the ribs or of the sternum during inspiration is called: A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or A. A. infection. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: B. ensure that the airway is patent and clear of obstructions. 88. Thermoregulatory thresholds for vasoconstriction in pediatric - PubMed When a child experiences a blunt injury to the abdomen: he or she can compensate for blood loss better than adults. Which of the following is NOT a known risk factor of SIDS? A. place bulky padding behind his or her occiput. You are dispatched to a local elementary school for an injured child. A. C. blood vessels near the skin are constricted. B. allow you to rapidly and visually form a general impression of the child. His mother states that she saw him put a small toy into his mouth shortly before the episode began. A. observe the chest for rise and fall. D. hyperextend the neck to ensure adequate alignment. recent ear infection. B. separating the child from her mother and providing ventilatory assistance. D. retracting the intercostal muscles. D. has a history suggestive of a serious illness. C. bronchitis. Stroke volume is determined by preload, cardiac contractility, and afterload. C. place the child in cold water to attempt to reduce her fever. Which of the following is MORE common in children than in adults following a head injury? Medical Emergencies Guidebook | PDF | Shock (Circulatory) | Meningitis A viral infection that may cause obstruction of the upper airway in a child is called: D. 10 years. Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: A. newborns Answer: A Her skin is hot and moist. prepare for immediate transport to a trauma center. A. routinely suction the mouth to remove oral secretions. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. You should suspect: 51. Answer: B What is the threshold of blood volume loss in children? A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full D. assess the child's heart rate and skin condition. A. cyanosis. This means that the patient has: a. normal breath sounds. B. squeeze the bag 40 times/min when ventilating an infant. Question Type: General Knowledge D. decreased LOC. A. mild dehydration. 99. A. child is in severe decompensated shock. B. retractions. B. low birth weight Early signs of respiratory distress in the child include: An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: A viral infection that may cause obstruction of the upper airway in a child is called: 45.
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