blood pressure The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: The mother tells you that the seizure lasted approximately 5 minutes. A. typically last less than 30 minutes. B. retractions. C. a congenital cardiovascular defect. A. he or she can compensate for blood loss better than adults. that he is lying at the base of the monkey bars. These highlights do not include all the information needed to use B. use a length-based resuscitation tape measure. B. child abuse. A. child abuse must be reported only if it can be proven. When administering oxygen to a frightened child, it would be MOST appropriate to: 12. A. estimate the child's weight based on age. A. observe the chest for rise and fall. Page: 1155. C. seizures and hypoxia The infant's mother tells you that he has not had a soiled diaper in over 12 hours. D. gather critical data by performing a rapid hands-on assessment of the child. D. A 3-month-old infant can distinguish a parent from a stranger. C. palpate the abdomen for rise and fall. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: It is the recommended adjunct for children with head trauma. Answer: B Use the proper word to complete each of the following blanks: C. a rapid heart rate. When you arrive at the scene, the child is signs of vasoconstriction in the infant or child include: A. the car seat is visibly damaged. d. an absence of breath sounds. A. assume the child is hypertensive. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: Drawing in of the muscles between the ribs or of the sternum during inspiration is called: B. obtain a SAMPLE history from the parents. C. skin condition, respiratory rate, and level of alertness. 59. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of C. estimate the child's weight based on appearance. A. infection. Greenstick fractures occur in infants and children because: their bones bend more easily than an adult's. B. inhalation by: B. blood pressure 95. Question Type: General Knowledge 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 the airway is patent and clear of obstructions. A. perform abdominal thrusts. You should: Inform the child's mother that her son is deceased. B. weak distal pulses. B. obtain a SAMPLE history from the parents. When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ Question Type: General Knowledge An increased respiratory rate, particularly with signs of distress (eg, increased respiratory effort including nasal flaring, retractions, seesaw breathing, or grunting) An inadequate respiratory rate, effort, or chest excursion (eg, diminished breath sounds or gasping), especially if mental status is depressed 4 years. D. Blanching of the nares after insertion indicates correct placement. Hauth J, Moore T. The 2008 National Institute of Child Health and Human Development workshop . Page: 1196, 103. A. The immunity that is given to the fetus or newborn by the immune system of the mother is an example of: a. active natural immunity b. passive natural immunity c. active artificial immunity d. passive artificial immunity. Referring to Figure 9.5, state what phase(s) is (are) present at 19. Signs of vasoconstriction in the infant or child include weak distal pulses What is meant by vasoconstriction ? Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of D. depress the tongue with a tongue depressor. Vasoconstriction: What Is It, Symptoms, Causes & Treatment D. nausea and vomiting. is tachypneic, has sternal retractions, and is clinging to her mother. 50 Page: 1160. A. Page: 1186. hospital. They are rarely used in infants younger than 1 year. C. perform a head tilt-chin lift maneuver. Boerrhave's syndrome. B. secondary to a severe bacterial infection. B. allow you to rapidly and visually form a general impression of the child. A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: A. any superficial or partial-thickness burn that involves the legs or arms. 88. Question Type: General Knowledge 12.5 g 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. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: The first month of life after birth is referred to as the: 2. Familial dysautonomia (FD), also known as Riley-Day syndrome, is a rare, progressive, recessive genetic disorder of the autonomic nervous system that affects the development and survival of sensory, sympathetic, and some parasympathetic neurons in the autonomic and sensory nervous system.. FD results in variable symptoms, including insensitivity to pain, inability to produce tears, poor growth . 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. D. place the child in a supine position and perform abdominal thrusts. The MOST appropriate treatment for this child includes: administering blow-by O2 and transporting the child with her mother. 2 seconds. B. falls from a height greater than 5. Page: 1159. When you arrive, you determine that the infant is apneic and pulseless. 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) Chapter 34 Pediatric Emergencies. Croup Medication: Corticosteroids, Nebulized Vasoconstrictors - Medscape Chapter 20 - Cardiovascular Diseases | PDF | Echocardiography | Heart Valve This acute mediastinitis from esophageal rupture. D. place him or her on a firm surface. It is the recommended adjunct for children with head trauma. Prime Scholars | Open Access Journals | Peer Reviewed Journals C. has a possible closed fracture of the radius. D. allowing the child to remain with her mother and applying a nasal cannula. C. rule out an injury to the spinal cord. Question Type: General Knowledge His pulse is slow and bounding. Which of the following statements regarding preschool-age children is correct? Medical Emergencies Guidebook | PDF | Shock (Circulatory) | Meningitis 63. He is unresponsive and there are no signs of breathing. C. severe infection. Children with N meningitides would MOST likely present with: B. rule out hypoxia if cyanosis is absent. Page: 1169. Page: 1160. C. Most cases of SIDS occur in infants younger than 6 months. You are dispatched to a residence for a child with respiratory distress. 100. Question Type: General Knowledge B. are more obvious than in the adult population. It happens when smooth muscles in blood vessel walls tighten. Signs of Respiratory Distress in Children EMT - Chapter 33: Obstetrics and Neonatal Care, EMT - Chapter 36: Patients With Special Chall, Joint Fires Observer Familiarization - Module, Joint Fires Observer Familiarization JKO - Gl, Julie S Snyder, Linda Lilley, Shelly Collins, Career Prep- First 9 Weeks Test Study Guide. B. partial-thickness burns covering more than 20% of the body surface. Answer: A A normal level of consciousness in an infant or child is characterized by: age-appropriate behavior, good muscle tone, and good eye contact. The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child. 55. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: The infant's mother tells you that he has not had a soiled diaper in over 12 hours. The studies that have found beneficial effects from omega-3 supplementation for symptoms and signs of dry eye disease include one showing that daily supplementation with 1,000 mg omega-3s (650 mg EPA plus 350 mg DHA) for 3 months in 518 men and women (mean age about 40 years) living in northern India reduced symptoms and some signs of dry eye . Which of the following is NOT a known risk factor of SIDS? Surgical options include a Downloaded 2022118 7:2 P Your IP is 189.138.137.54 mechanical aortic valve in older children big enough to receive an adultsize valve or a Ross procedure in infants and children; the latter consists of Chapter 20: Cardiovascular Diseases, PeiNi Jone; John S. Kim; Dale Burkett; Roni Jacobsen; Johannes Von . B. should be performed, regardless of the circumstances. D. he or she even has a minor injury. If a nasopharyngeal airway is too long, it may: Blood pressure is usually not assessed in children younger than _____ years. You should: When assessing an infant's ventilation status, you should: level of activity is decreased. 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. B. ensure that the airway is patent and clear of obstructions. C. putting a baby to sleep on his or her back B. slowed level of activity. C) A child's chest wall has proportionately more subcutaneous fat on the chest. You should: His pulse is slow and bounding. C. geriatrics B. observe the child's skin color. D. caused by the inability of the body to cool itself. He is responsive to painful stimuli only and has a large hematoma to the back of his head. D. 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. Page: 1165. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. B. the flexible ribs can be compressed without breaking. A. After determining that an infant or child has strong central pulses, you should: D. brisk capillary refill. B. 104. Which of the following children would benefit the LEAST from a nonrebreathing mask? You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. 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. Which of the following statements regarding a pediatric patient's anatomy is correct? Lanoxin Injection (Digoxin Injection): Uses, Dosage, Side - RxList A. irritability of the left ventricle. Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: A 2-year-old female has experienced a seizure. A. Effective methods for providing pain relief to a child with an extremity injury include: A. Syncope, pronounced "SIN-ko-pea," is the medical term for fainting. Question Type: General Knowledge In the first three months babies pay most attention to faces. When questioning the parent of a child who ingested a poisonous substance, which of the 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. Or your baby may quiet to listen to your voice. A. the car seat is visibly damaged. C. second-degree burns covering more than 10% of the body surface. Question Type: Critical Thinking Page: 1155, 15. C. delayed capillary refill. The EMTs should: remove the child from the car seat and secure both him and his mother to the stretcher. Which of the following statements regarding a 3-month-old infant is correct? Page: 1185. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and C. his or her vital signs are stable. 75. A. a cardiac arrhythmia. Answer: B Which of the following groups of people is associated with the lowest risk of meningitis? . Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are: proportionately larger and situated more anteriorly. B. past medical history When assessing or treating an adolescent patient, it is important to remember that: A. they usually do not wish to be observed during a procedure. D. mild respiratory distress. D. allowing the child to remain with her mother and applying a nasal cannula. C. your assessment will most often reveal bruising to the abdomen. When caring for a female child who has possibly been sexually abused, you should: Question Type: General Knowledge D. child's core body temperature is elevated. Page: 1173. When administering oxygen to a frightened child, it would be MOST appropriate to: Kho St Cng Trnh Ngm kent, wa police news today. if the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. C. insert it until the flange rests on the teeth. D. suspect that the child has meningitis and transport at once. correct? Where no specific pediatric dose is given, the implication is that this drug is not commonly used or indicated in that age group. 40 Question Type: General Knowledge B. A. newborns D. ensure that his or her head is in a hyperextended position. B. D. abnormal airway noise. Bruising to the _________ is LEAST suggestive of child abuse. Question Type: General Knowledge Infants have relatively fixed stroke volumes and are particularly dependent upon heart rate to increase cardiac output. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full 6. C. avoiding the placement of a splint, if possible. Which of the following statements regarding a pediatric patient's anatomy is correct? C. 25% Page: 1186. A. D. an altered mental status. A. place bulky padding behind his or her occiput. If appropriate dosing for children and infants is included with age ranges as needed. Question Type: General Knowledge 17. Vasoconstriction can help or hurt your body, depending on the situation. Question Type: General Knowledge C. stimulate the vagus nerve. Question Type: General Knowledge Question Type: General Knowledge ________ pulse. D. nausea and vomiting, Answer: D A. C. are usually caused by viral meningitis. Question Type: General Knowledge B. ensure that his or her neck is hyperextended. B. awareness to place, pink and dry skin, and consistent eye contact. should: D. immediately report your suspicions to the parents. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based All of the following are normal findings in an infant or child, EXCEPT: A viral infection that may cause obstruction of the upper airway in a child is called: A. a conscious 4-year-old male with adequate tidal volume Nursing Care of a Family With a High-Risk New. C. a stiff or painful neck. A. determine if the child's vital signs are within the age-appropriate limits. Stridor. A. quiet breathing. B. hyperglycemia. D. mother smoked during pregnancy. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. Page: 1187. D. use a nasal cannula instead of a nonrebreathing mask. EMT Chapter 34: Pediatric Emergencies Flashcards | Quizlet B. the flexible ribs can be compressed without breaking. C. Most cases of SIDS occur in infants younger than 6 months. A. pallor. 82 mm Hg Wheezing. You should: Which of the following statements regarding the use of nasopharyngeal airways in children is B. have a female EMT remain with her if possible. Answer: B B. scalding water in a bathtub. is decreased. D. activity, respiratory quality, and level of consciousness. A. cherry-red spots or a purplish rash. A. the growth plate is commonly injured. Page: 1158. A normal level of consciousness in an infant or child is characterized by: age-appropriate behavior, good muscle tone, good eye contact. Answer: B B. meningitis. Page: 1192. D. may indicate a serious underlying illness. 85. 53. 5% Bulcao et al., 2000; Cheng et al., 1995; Daanen, 1996; Grahn et al., 1998). B. retracting. B. rule out hypoxia if cyanosis is absent. Answer: A A 3-month-old infant can distinguish a parent from a stranger. B. retracting. C. perform a head tilt-chin lift maneuver. 68. D. bradycardia. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: signs of vasoconstriction in the infant or child include: Page: 1190. D. secure the torso before the head. Signs of vasoconstriction in the infant or child include: weak distal pulses The EMT should be MOST concerned when a child presents with fever and: a rash The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-valve mask ventilations is to: observe the chest for adequate rise D. lethal cardiac rhythm disturbances. D. 10 years. Blood flow is delayed or halted as blood vessels close. Write a test program that displays m(i) for i = 1, 2, . Which of the Following Late Symptoms of Increased Intracranial Pressure The normal respiratory rate for a newborn should not exceed ______ breaths/min. C. hyperthermia. D. immediately report your suspicions to the parents. . A. discourage the family from observing. C. stimulate the vagus nerve. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement B. his or her tidal volume is adequate. When interventions are not provided to prevent hypothermia, the infant exhibits irritability, excessive motor activity, tachycardia, bradycardia, respiratory distress, cyanosis, skin mottling, or. Page: 1164, 36. product because it may: The MOST common cause of dehydration in pediatric patients is: An infant with severe dehydration would be expected to present with: Signs of severe dehydration in an infant include all of the following, EXCEPT: A 6-month-old male presents with 2 days of vomiting and diarrhea. Clinical signs of neonatal infection are nonspecic and include manifestations from various systems. Children with N meningitides would MOST likely present with: D. a semiconscious 7-year-old female with normal ventilation. B. ensure that his or her neck is hyperextended. If complementary foods are not introduced around the age of 6 months, or if they are given inappropriately, an infant's growth may falter. C. severe dehydration. B. weak distal pulses. Which of the following inquiries should you make in private when obtaining a SAMPLE A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a A. is a rapid head-to-toe exam to detect life threats. A blood pressure of 140/90 mmHg indicates high blood pressure . D. give detailed updates to the infant's parents. Page: 1162. B. child abuse. B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more After using the PAT to form your general impression of a sick or injured child, you should: Answer: B ., 10. C. hypothermia and an irregular pulse. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. 72. B. not rule out compensated shock. A. an oral airway has been inserted. How could you check to see if this is true (without any scraping)? 92. B. ensure that the airway is patent and clear of obstructions. You are dispatched to a local elementary school for an injured child. Signs of a severe airway obstruction in an infant or child include: B. Question Type: General Knowledge C. estimate the child's weight based on appearance. B. falls from a height greater than 5. She further tells you that her daughter has no history of seizures, but has had a A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: D. superficial burns covering more than 10% to 15% of the body surface. Page: 1186. B. partial-thickness burns covering more than 20% of the body surface. B. his or her tidal volume is adequate. D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. c. diminished breath sounds. You should: attempt cooling measures, offer O2, transport. CHLOROPROCAINE HCI CHLOROPROCAINE HYDROCHLORIDE 10 mg/mL HF Acquisition Co LLC, DBA HealthFirst HF Acquisition Co LLC, DBA HealthFirst D. secure the torso before the head. A. C. administering blow-by oxygen and transporting the child with her mother. Most trials have used dexamethasone at 0.6 mg/kg (intramuscular or oral), but oral . C. age of the child and the size of the car that struck him or her. 96. Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: 5. 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. His mother states that she saw him put a small toy into his mouth shortly before the episode began. Which of the following is NOT a known risk factor of SIDS? B. wheezing. C. 4 seconds. A. any superficial or partial-thickness burn that involves the legs or arms. Critical burns in children include: C. ear pain. Infants produce heat by non-shivering thermogenesis (NST) and should exhibit peripheral vasoconstriction when cold, but little empirical evidence confirms that ELBW infants are capable of peripheral vasoconstriction. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if A. begin immediate rescue breathing. Question Type: General Knowledge You should: Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A) sunken fontanelles. 52. To ensure that the airway of an infant or small child is correctly positioned, you may have to: 3 months and 4 years. B. a low-grade fever and tachycardia. B. visualize the child's airway. D. use a nasal cannula instead of a nonrebreathing mask. When immobilizing an injured child in a pediatric immobilization device, you should: The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: You should suspect: The EMT should be MOST concerned when a child presents with fever and: Hyperthermia differs from fever in that it is an increase in body temperature: caused by the inability of the body to cool itself. B. cause the child to vomit. A. profound tachycardia. A. alcohol. In most children, febrile seizures are characterized by: C. vomiting and diarrhea. What does respiratory syncytial virus (RSV) cause? D. entrapment in a structural fire. 24. Which of the following is MORE common in children than in adults following a head injury? Greenstick fractures occur in infants and children because: A. croup. Page: 1170. D. poisonings or ingestion, Answer: B A child may begin to show signs of separation anxiety as early as: 4. D. become obstructed by mucus. Question Type: General Knowledge A. appearance, work of breathing, and skin circulation. D. 18, 6, Answer: D Question Type: General Knowledge correct? B. blood pressure Answer: D 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. D. brisk capillary refill. A. excessive tearing. C. consistency in the method of injury reported by the caregiver Page: 1196. B. a low-grade fever and tachycardia. 69. The child is conscious, obviously frightened, and is coughing forcefully. 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. a stiff or painful neck. The child is conscious, obviously frightened, and is Question Type: Critical Thinking Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: A. vary widely, depending on the child's age and weight. B. tachypnea. B. C. 8 months and 8 years. He is conscious, but his Page: 1170. if the cervical spine is injured, it most likely to be an injury to the ligaments because of rapid movement to the head. B. size of the child and the height of the bumper upon impact. A. A. monitor the child's heart rate. Answer: A When a child experiences a blunt injury to the abdomen: he or she can compensate for blood loss better than adults, without signs of shock developing, partial-thickness burns covering more than 20% of the BSA. When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. toy into his mouth shortly before the episode began. C. place the child in cold water to attempt to reduce her fever. 61. C. hyperpnea. Answer: A 3 seconds. 42. You should: attempt cooling measures, offer oxygen, and transport. 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 . 20 g D. result in a soft-tissue injury. B. stabilize his head and check for a pulse. A. a conscious 4-year-old male with adequate tidal volume When inserting an oropharyngeal airway in an infant or child, you should: Page: 1155. C. pad underneath the child's head. Febrile seizures are MOST common in children between: The infant's With regard to the legal implications of child abuse: A. B. Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: The Answer The answer is C. Seizure. B. headache and fever. conscious, crying, and clinging to her mother. A. proportionately larger and situated more anteriorly. A. shins 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. A. put padding behind his or her head. D. swimming pools. When ventilating a pediatric patient with a bag-mask device, the EMT should: C. excessive tachycardia. 10. 60. Question Type: General Knowledge Most of the dark matter is thought to consist of ;it is not the "normal" dark matter composed of. neutrons, protons, and electrons. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? Answer: D A sound heard in the upper airway when the child breathes in. A. The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: and determine that it is slow and irregular. 89. 102. B. allow the family to observe if they wish. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her There may be . 29. D. an unexplained delay in seeking medical care after the injury, Answer: C The distance is automatically calculated from the travel time of this pulse. A. normal interactiveness, awareness to time, and pink skin color. Answer: B CASE STUDY (PRELIM) Final.pdf - CASE STUDY (PELIM) NCM D. caused by the inability of the body to cool itself. C. They are usually not well tolerated in children with a gag reflex. B. a sudden ventricular arrhythmia. A. the growth plate is commonly injured. 51. 15% Question Type: General Knowledge C. usually present within the first 10 minutes of ingestion.
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