C. delayed capillary refill. A. place oxygen tubing through a hole in a paper cup. C. palpate the abdomen for rise and fall. D. stridorous breathing. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and A 4-year-old female ingested an unknown quantity of liquid drain cleaner. You should: The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. C. you should document your perceptions on the run form. 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. A. the car seat is visibly damaged. Page: 1161. 4 years. Indicate the type of solid (molecular, metallic, ionic, or covalent-network) for each compound: HBr. Page: 1168. D. 5 seconds. C. skin that is cool and dry. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: size of the child and the height of the bumper upon impact. C. rule out an injury to the spinal cord. C. avoiding the placement of a splint, if possible. D. height of the child and the speed at which the car was traveling. Page: 1158. Question Type: General Knowledge You should: A. wheezing. Page: 1183. A. the growth plate is commonly injured. Which of the following inquiries should you make in private when obtaining a SAMPLE history from an adolescent patient? D. decreased LOC. B. respiratory or circulatory failure. Answer: D Guiding principles for appropriate complementary feeding are: continue frequent, on-demand breastfeeding until 2 years of age or beyond; B. respiratory or circulatory failure. Do you agree? C. perform a blind finger sweep. What condition should you suspect? B. visualize the child's airway. Hyperthermia differs from fever in that it is an increase in body temperature: D. 98 mm Hg. Question Type: General Knowledge 14. A. newborns B. dehydration from vomiting and diarrhea. A child may begin to show signs of separation anxiety as early as: Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. This is what is known as an embolus. A. infection. an unresponsive 5yearold male with shallow respirations. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. B. tightly secure the oxygen mask straps to the face. spinal precautions, and transport. Chapter 34 Pediatric Emergencies. B. have a female EMT remain with her if possible. In gen-eral, signs of blood loss include pale mucous membranes, pro-longed capillary re-fill time, progressive mental deterioration, tachypnea, hypothermia, poor pulse quality (narrow pulse . B. meningitis. 2 seconds. Page: 1158. b. abnormal breath sounds. When a child experiences a blunt chest injury: Common causes of seizures in children include all of the following, EXCEPT: Febrile seizures are MOST common in children between: In most children, febrile seizures are characterized by: generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. C. restlessness. C. perform a head tilt-chin lift maneuver. D. ventilate the child with sharp, quick breaths at the appropriate rate. Febrile seizures in a child: She is receiving high-flow oxygen via a nonrebreathing mask. The mother tells you that the seizure lasted approximately 5 minutes. Page: 1192. He is complaining of pain when he tries to turn his head. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. 40 Children are less likely than adults to be struck by a car. that he is lying at the base of the monkey bars. When administering oxygen to a frightened child, it would be MOST appropriate to: place oxygen tubing through a hole in a paper cup. A. croup. 82. C) A child's chest wall has proportionately more subcutaneous fat on the chest. C. 90 mm Hg Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? You should: Before positioning an infant or child's airway, you should: 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 C. have a parent restrain the child as you give oxygen. With regard to the legal implications of child abuse: You should: assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and prepare for immediate transport to a trauma center. An infant with severe dehydration would be expected to present with: C. Most cases of SIDS occur in infants younger than 6 months. B. use a length-based resuscitation tape measure. You should: Which of the following statements regarding the use of nasopharyngeal airways in children is B. thoroughly suction his or her airway. Blood pressure is usually not assessed in children younger than _____ years. You should: She is receiving high-flow oxygen Page: 1160. B. child during bag-mask ventilations is to: Cardiac arrest in the pediatric population is MOST commonly the result of: In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. Boerrhave's syndrome. A. D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A. headache and fever. Page: 1160. presence of shock in infants and children? B. internal blood loss. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: A. intercostal muscles are not well developed. B. slowed level of activity. B. asthma. C. has a possible closed fracture of the radius. Answer: B Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her Answer: C D. mild respiratory distress. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? Submersion injuries in the adolescent age group are MOST commonly associated with: Which of the following statements regarding pediatric trauma is correct? The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. B. cause the child to vomit. B. secondary to a severe bacterial infection. You should: Before positioning an infant or child's airway, you should: To ensure that the airway of an infant or small child is correctly positioned, you may have to: place a towel or folded sheet behind the shoulders. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: When inserting an oropharyngeal airway in an infant or child, you should: depress the tongue with a tongue depressor. D. age-appropriate behavior, good muscle tone, and good eye contact. Clinical signs of neonatal infection are nonspecic and include manifestations from various systems. D. suspect that the child has meningitis and transport at once. A 6-year-old male presents with acute respiratory distress. The presence of those signs indicates very late signs of brain stem dysfunction and that cerebral blood flow has been significantly inhibited. 6 months and 6 years. You should: C. a rapid heart rate. B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and transport to the closest trauma center. B. SIDS is most commonly the result of an overwhelming infection. Page: 1187, 87. A. excessive tearing. D. acute respiratory distress. The mother tells you that the seizure lasted approximately 5 minutes. prepare for immediate transport to a trauma center. 17. A. quiet breathing. hospital. D. has a history suggestive of a serious illness. C. face Answer: B B. C. his or her vital signs are stable. C. intra-abdominal hemorrhage. Bruising to the _________ is LEAST suggestive of child abuse. Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: When administering oxygen to a frightened child, it would be MOST appropriate to: place O2 tubing through a hole in a paper cup. C. ear pain. 45. He is conscious, but his level of activity is decreased. When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. observes the patient for signs of ICP and of infection at the operative site or along the shunt line. B. rhonchi. D. give 12.5 to 25 g of activated charcoal. Arch Dis Child 25(123): 242-253. Page: 1159. C. may not be possible if the child's condition is critical. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. Page: 1185. Question Type: General Knowledge After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: C. a congenital cardiovascular defect. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: Which of the following statements regarding pediatric trauma is correct? Question Type: General Knowledge B. blood pressure Question Type: General Knowledge D. gather critical data by performing a rapid hands-on assessment of the child. Answer: C A. sexual activity A. a cardiac arrhythmia. D. result in a soft-tissue injury. A. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. 46. A. alcohol. determining the presence of shock in infants and children? B. squeeze the bag 40 times/min when ventilating an infant. Which of the following is NOT a known risk factor of SIDS? 5% C. change in bladder habits B. thoroughly suction his or her airway. Answer: B A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. 27. The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. You are assessing a 6-year-old boy who has a fever of 102 and is showing signs of altered LOC. Respiratory acidosis occurs when the arterial partial pressure of carbon dioxide (P a CO 2) is elevated above the normal range (>44 mmHg) leading to a blood pH lower than 7.35. Question Type: General Knowledge The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal Death caused by shaken baby syndrome is usually the result of: Children are more likely to experience diving-related injuries. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? D. assess the child's heart rate and skin condition. C. monitor the pulse oximeter reading. Question Type: General Knowledge Question Type: General Knowledge Answer: D C. sunken fontanelles. He is unresponsive and there are no signs of breathing. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: C. belly breathing. B. have a female EMT remain with her if possible. B. burns to the hands or feet that involve a glove distribution Page: 1175. A. carefully look into his mouth and remove the object if you see it. Question Type: General Knowledge D. brisk capillary refill. D. may indicate a serious underlying illness. You should: 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. 69. Which of the following is MORE common in children than in adults following a head injury? C. delayed capillary refill. Which of the following is MORE common in children than in adults following a head injury? Heart rate may not reflect the severity of blood loss due to compensatory vasoconstriction and constriction. A 2-month-old infant was found unresponsive in his crib by his mother. 61. When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ B. C. slightly flex the neck to prevent tracheal kinking. A. A. stridor. 4 years. 43. 48. Accessory muscle use. B. a stiff or painful neck. A child may begin to show signs of separation anxiety as early as: Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: Which of the following statements regarding preschool-age children is correct? The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child. B. Page: 1156. B. wheezing. Answer: B C. vomiting and diarrhea. The first month of life after birth is referred to as the: Which of the following statements regarding a 3-month-old infant is correct? Page: 1155. history from an adolescent patient? Question Type: General Knowledge B. meningitis. B. retracting. C. their bones bend more easily than an adult's. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: A mixture of sperm and fluids is called _____. A. proportionately larger and situated more anteriorly. Page: 1164, 37. Page: 1192. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. 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. Question Type: General Knowledge Page: 1171. Question Type: General Knowledge Vasoconstriction can cause the following: Pale skin Tingling feeling in fingers and/or toes Numbness in extremities Cramps Headaches Imbalance Partial vision loss or blurred vision Increased. Page: 1177. D. secure the torso before the head. Page: 1165. B. not rule out compensated shock. D. has a history suggestive of a serious illness. B. ensure that the airway is patent and clear of obstructions. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full spinal precautions, and transport. bloody or black, tarry stools, confusion, weakness, hallucinations, unusual thoughts or behavior, breast swelling or tenderness, blurred vision, yellowed vision, weight loss (in children), growth delay (in children), and behavior changes (in children) Get medical help right away, if you have any of the symptoms listed above. B. drooling or congestion. You should: C. 5 D. gather critical data by performing a rapid hands-on assessment of the child. ground; he was not wearing a helmet. Which of the following statements regarding spinal injuries in pediatric patients is correct? Question Type: General Knowledge A. sunken fontanelles. 44. 99. A. encourage the child to urinate and take a shower. A. secure the head before the torso. D. 98 mm Hg. A Question Type: General Knowledge C. ensure that he or she uses a neonatal device for children younger than 12 months. C. face Page: 1176. B. stabilize his head and check for a pulse. D. a generalized rash with intense itching. D. 70, Which of the following inquiries should you make in private when obtaining a SAMPLE history from an B. crying and anxiety. is tachypneic, has sternal retractions, and is clinging to her mother. conscious, crying, and clinging to her mother. 6, 12 20 g Answer: A D. acute hypoxia and tachycardia. 42. 96. C. a rapid heart rate. Your assessment reveals that she Page: 1166, 39. 95. C. hyperthermia. The child is conscious, obviously frightened, and is 12.5 g C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. Question Type: General Knowledge [ 1] By definition,. D. head bobbing. B. separating the child from her mother and providing ventilatory assistance. Critical burns in children include: B. moderate dehydration. B. moist oral mucosa. Page: 1196. putting a baby to sleep on his or her back. The normal respiratory rate for a newborn should not exceed ______ breaths/min. C. bulging fontanelles. correct? She is conscious, but clearly restless. D. cardiovascular disease. Answer: A D. children with shunts. B. loss of consciousness A. When ventilating a pediatric patient with a bag-mask device, the EMT should: 84. Compensatory mechanisms that improve stroke volume include increased venous smooth muscle tone (improves preload by shunting blood to the D. give detailed updates to the infant's parents. B. not rule out compensated shock. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Select one: A. a stiff or painful neck. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Common causes of seizures in children include all of the following, EXCEPT: In most children, febrile seizures are characterized by: generalized tonic-clonic activity, a duration of less than 15 minutes, a short/absent postictal phase. A. heart rate After your partner stabilizes his head and opens his airway, you assess his breathing Question Type: General Knowledge In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: severe hypoxia and bradycardia. A. result in tachycardia. due to compensatory vasoconstriction and constriction. 25. A. begin immediate rescue breathing. being given multiple doses of her prescribed albuterol by her mother. Children with N meningitides would MOST likely present with: Answer: B Question Type: General Knowledge 2, 4 70. toy into his mouth shortly before the episode began. 21. This acute mediastinitis from esophageal rupture. B. monitor her airway and give oxygen. Thousands of new, high-quality pictures added every day. In moderate to severe disease, corticosteroids improve croup scores within 12-24 hours and decrease hospitalization rates. B. his or her tidal volume is adequate. D. Inexperience and poor judgment are rare causes of pediatric trauma. What immediate effects does alcohol have on the body? Bruising to the _________ is LEAST suggestive of child abuse. Page: 1184, 77. Question Type: General Knowledge Which of the following groups of people is associated with the lowest risk of meningitis? D. 50 g. The MOST common cause of dehydration in pediatric patients is: A. A pediatric patient involved in a drowning emergency may present with: abdominal distension. D. refusal to drink fluids. partial paralysis. C. 4 seconds. Use the following terms to create a concept map: atoms, average atomic mass, molecules, mole, percentage composition, and molar masses. B. his or her blood pressure falls with as little as 5% blood loss. Signs of vasoconstriction in the infant or child include: She further tells you that her daughter has no history of seizures, but has had a Which of the following is MORE common in children than in adults following a head injury? C. has a possible closed fracture of the radius. An 8-year-old female with a history of asthma continues to experience severe respiratory distress despite Question Type: General Knowledge 104. The MOST appropriate treatment for this child includes: administering blow-by oxygen and transporting the child with her mother. C) a stiff or painful neck. Answer: A At the end of the dosing line, important dosing modifications may be noted (ie, take with food, avoid antacids). 72. Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: 5. 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. They are rarely used in infants younger than 1 year. Children are less likely than adults to be struck by a car. Page: 1158. By 3 months old, your baby may respond to these sounds with excitement. 91. C. an ineffective cough. Question Type: General Knowledge You should suspect: Which of the following statements regarding the use of nasopharyngeal airways in children is correct? When a child experiences a blunt injury to the abdomen: Answer: D When assessing an 8-year-old child, you should: 7. 50. His pulse is slow and bounding. 20 g A. B. have a female EMT remain with her if possible. Blood pressure is usually not assessed in children younger than _____ years. After determining that an infant or child has strong central pulses, you should: The narrowing (constriction) of blood arteries by tiny muscles in their walls is known as vasoconstriction. C. place the child in cold water to attempt to reduce her fever. C. Most cases of SIDS occur in infants younger than 6 months. D. immediately report your suspicions to the parents. A. encourage the child to urinate and take a shower. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. You C. caused by inflammation of the spinal cord. Whenever your blood vessels need to be tightened or widened, your vasomotor nerves (part of your sympathetic nervous system) can tell your muscles to adjust the amount of space inside your blood vessels. 81. children are more likely to experience diving-related injuries. When assessing an 8-year-old child, you should: B. talk to the child, not just the caregiver. A 6-month-old male presents with 2 days of vomiting and diarrhea. 58. 15% A. profound tachycardia. D. are most severe if the child ingested a poisonous substance. D. hypovolemic shock. The Answer The answer is C. Seizure. A viral infection that may cause obstruction of the upper airway in a child is called: Question Type: General Knowledge C. 5 C. ensure that he or she uses a neonatal device for children younger than 12 months. queensland figure skating. A. D. a headache. The purpose of the pediatric assessment triangle (PAT) is to: C. skin condition A normal level of consciousness in an infant or child is characterized by: 86. He is conscious, but his B. their bones are more brittle than an adult's. D. Inexperience and poor judgment are rare causes of pediatric trauma. D. are most severe if the child ingested a poisonous substance. You respond to a skate park where a 10-year-old male fell from his skateboard and struck his head on the B. rule out hypoxia if cyanosis is absent. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: B. To ensure that the airway of an infant or small child is correctly positioned, you may have to: place a towel or folded sheet behind the shoulders. (b) 25C,1atm25^{\circ} \mathrm{C}, 1 \mathrm{~atm}25C,1atm C. 60 Question Type: General Knowledge B. the flexible ribs can be compressed without breaking. B. a sudden ventricular arrhythmia. Answer: A C. change in bladder habits 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). they are: 76. Page: 1186. C. conclude that the child is stable. 15% After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. D. assess his or her respiratory effort. B. moist oral mucosa. C. his or her respirations are shallow. D. fracture of the cervical spine. A. estimate the child's weight based on age. B. monitor her airway and give oxygen. C. facilitate a rapid head-to-toe assessment of the child by visualization only. 89. Answer: D D) altered mental status. What should you use the Wong-Baker FACES scale to determine? 74. history from an adolescent patient? Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? C. his or her respirations are shallow. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: Before assessing the respiratory adequacy of an semiconscious infant or child, you must: ensure that the airway is patent and clear of obstructions. A. A. During the attempted resuscitation of an infant with suspected SIDS: You should: attempt cooling measures, offer oxygen, and transport. Page: 1185. You should suspect: B. attempt cooling measures, offer oxygen, and transport. You should: Page: 1170. Page: 1180. A. typically last less than 30 minutes. A. newborns The child is conscious, A. block the pop-off valve if needed to achieve adequate chest rise. B. SIDS is most commonly the result of an overwhelming infection. Which of the following statements regarding a pediatric patient's anatomy is correct? Answer: D C. an ineffective cough. A. level of activity is decreased. A child may begin to show signs of separation anxiety as early as: 4. C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her B. awareness to place, pink and dry skin, and consistent eye contact. B. carotid 94. C. second-degree burns covering more than 10% of the body surface. C. consistency in the method of injury reported by the caregiver 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? Page: 1178. It is the recommended adjunct for children with head trauma. Page: 1190. 50 B. oxygen content in the blood is decreased. B. allow you to rapidly and visually form a general impression of the child. B. stabilize his head and check for a pulse. 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. D. duration of symptoms. CHLOROPROCAINE HCI CHLOROPROCAINE HYDROCHLORIDE 10 mg/mL HF Acquisition Co LLC, DBA HealthFirst HF Acquisition Co LLC, DBA HealthFirst B. 50 Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: The secondary assessment of a sick or injured child: The common symptoms of vasoconstriction are as follows: High blood pressure Dilated pupils Cramps Headache Changes in the skin color Imbalance Numbness Tingling in toes and fingers Impaired muscle control Muscle paralysis Slurred speech Vision problems Causes of Vasoconstriction B. weak distal pulses. B. weak distal pulses. Page: 1164, 36. Answer: C Effective methods for providing pain relief to a child with an extremity injury include: D. place him or her on a firm surface. B. ensure that the airway is patent and clear of obstructions. Answer: A Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: A. vary widely, depending on the child's age and weight. D. activity, respiratory quality, and level of consciousness. A. cyanosis. D. give detailed updates to the infant's parents. 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. B. toddler period. C. palpate the abdomen for rise and fall. After determining that an infant or child has strong central pulses, you should: Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lbs.
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