C. severe hypoxia and bradycardia. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after Page: 1196. C. hyperpnea. 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. Answer: C They are rarely used in infants younger than 1 year. C. altered mental status. Page: 1180. You should: 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. A child's head is less frequently injured than an adult's. signs of vasoconstriction in the infant or child include:types of family health services. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based C. belly breathing. B. asthma. A. place bulky padding behind his or her occiput. D. give oxygen and transport at once. The patient, an 18-month-old female, B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and transport to the closest trauma center. Question Type: General Knowledge A. D. caused by the inability of the body to cool itself. B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. 12.5 g Have you noticed any signs or symptoms? D. brisk capillary refill. D. child's core body temperature is elevated. of the head. C. insert it until the flange rests on the teeth. Peripheral vasoconstriction is an important autonomic response to cold exposure, which restricts heat transfer from the core to the environment through the skin. B. more vascular despite the fact that they are proportionately smaller. D. Inexperience and poor judgment are rare causes of pediatric trauma. D. height of the child and the speed at which the car was traveling. D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. The EMT should be MOST concerned when a child presents with fever and: B. a sudden ventricular arrhythmia. Answer: A the back of his head. B. EMTs must report all suspected cases of child abuse. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: A. wheezing. Pediatric Emergencies, Ch. A. B. blood pressure B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. C. rule out an injury to the spinal cord. Question Type: General Knowledge 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. Children with N meningitides would MOST likely present with: D. caused by the inability of the body to cool itself. A. he or she can compensate for blood loss better than adults. After determining that an infant or child has strong central pulses, you should: They can usually identify painful areas when questioned. She is receiving high-flow oxygen via a nonrebreathing mask. and determine that it is slow and irregular. B. stabilize his head and check for a pulse. C. 4 seconds. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: 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. C. 8 years. C. a stiff or painful neck. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and Question Type: General Knowledge A. grunting. C. insert a nasopharyngeal or oropharyngeal airway adjunct. 42. . Page: 1165. 100. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. C. vomiting and diarrhea. C. a law enforcement officer must be present. C. caused by inflammation of the spinal cord. A. speed at which the car was traveling when impact occurred. 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. 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. 3 Question Type: General Knowledge C. insert it until the flange rests on the teeth. A. C. you should document your perceptions on the run form. B. retractions. A. B. rhonchi. julia child recipes chicken. B. scalding water in a bathtub. Research the incidence of skin cancer in different parts of the world. His skin is pale and cold and his arms are stiff. C. face conscious, but clearly restless. B. internal blood loss. C. nasal flaring. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: Signs of vasoconstriction in the infant or child include weak distal pulses What is meant by vasoconstriction ? Answer: A B. tachypnea. When you arrive at the scene, the child is The MOST accurate method for determining if you are delivering adequate tidal volume to a child during Question Type: General Knowledge The signs and symptoms of poisoning in children: B. positioning, ice packs, and emotional support. D. fracture of the cervical spine. B. moderate dehydration. Children with N meningitides would MOST likely present with: 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) A. of more than 2F to 3F per hour. B. blood pressure You are dispatched to a local elementary school for an injured child. Answer: A C. restlessness. The Answer The answer is C. Seizure. Answer: C d. an absence of breath sounds. D. refusal to drink fluids. C. delayed capillary refill. D. A 3-month-old infant can distinguish a parent from a stranger. A. discourage the family from observing. B. retracting. B. rhonchi. A. child is in severe decompensated shock. 88. This means that the patient has: a. normal breath sounds. Page: 1170. His pulse is slow and bounding. Question Type: General Knowledge The mother tells you that the seizure lasted approximately 5 minutes. C. administering blow-by oxygen and transporting the child with her mother. Question Type: General Knowledge All of the following are normal findings in an infant or child, EXCEPT: history from an adolescent patient? Certain cases of SIDS are predictable and therefore preventable. Critical burns in children include: Correct Response A) sunken fontanelles. Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. 6 years. C. skin condition B. After determining that an infant or child has strong central pulses, you should: children have a larger, rounder occiput compared to adults. C. severe hypoxia and bradycardia. C. Children are more likely to experience diving-related injuries. Answer: B B. 88 mm Hg A. depress the gag reflex. Question Type: General Knowledge 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 . D. 35%, Answer: C C. 60 B. Answer: A D. open his airway and look in his mouth. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. a 3-month-old infant can distinguish a parent from a stranger. Question Type: General Knowledge following questions would be of LEAST pertinence? B. loss of consciousness Accessory muscle use. C. a cough that resembles the bark of a seal. pulse. They are rarely used in infants younger than 1 year. B. should be performed, regardless of the circumstances. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: Question Type: General Knowledge A. place padding under the child's head. The MOST common cause of dehydration in pediatric patients is: Answer: B When caring for a female child who has possibly been sexually abused, you should: 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. B. his or her tidal volume is adequate. D. bradycardia. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. D. 98 mm Hg. B. headache and fever. 3. A. child is in severe decompensated shock. The normal respiratory rate for a newborn should not exceed ______ breaths/min. B. cause the child to vomit. Page: 1184. When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in C. 12, 4 hospital. 68. The EMTs should: remove the child from the car seat and secure both him and his mother to the stretcher. 2, 4 A. shins Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. Greenstick fractures occur in infants and children because: Nursing Care of a Family With a High-Risk New. B. asthma. D. child's core body temperature is elevated. A common cause of shock in an infant is: C. ensure that he or she uses a neonatal device for children younger than 12 months. D. wheezing. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: 11. D. give detailed updates to the infant's parents. What does respiratory syncytial virus (RSV) cause? and clinging to her mother. You B. obtain a SAMPLE history from the parents. When assessing an infant's ventilation status, you should: If a nasopharyngeal airway is too long, it may: D. are most severe if the child ingested a poisonous substance. 26. Stroke volume is determined by preload, cardiac contractility, and afterload. C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her The anti-inflammatory action of corticosteroids reduces laryngeal mucosal edema and decreases the need for salvage nebulized epinephrine. He is responsive to painful stimuli only and has a large hematoma to the back of his head. posterior fontanelle is typically closed by _____ months of age. A. chills. D. 10 years. B. bradycardia. A. cherry-red spots or a purplish rash. Question Type: General Knowledge and perform a secondary assessment. Page: 1186. C. perform a head tilt-chin lift maneuver. B. are more obvious than in the adult population. C. immobilized on a long backboard. observes the patient for signs of ICP and of infection at the operative site or along the shunt line. Question Type: General Knowledge 15% A. wheezing. He is conscious, but his When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence? product because it may: 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. You should: attempt cooling measures, offer O2, transport. C. caused by inflammation of the spinal cord. D. he or she is breathing inadequately. Page: 1196, 103. A. the growth plate is commonly injured. D. he or she even has a minor injury. A. place her supine and elevate her legs. Answer: B A. extreme restlessness. D. head bobbing. His pulse is slow and bounding. A. Question Type: General Knowledge His mother states that she saw him put a small toy into his mouth shortly before the episode began. B. ensure that the airway is patent and clear of obstructions. Most cases of SIDS occur in infants younger than 6 months. conscious, crying, and clinging to her mother. B. their bones are more brittle than an adult's. Page: 1187. EMTs are called for an unresponsive infant. spinal precautions, and transport. 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. You are dispatched to a residence for a child with respiratory distress. You are responding to a 9-1-1 call where the mother reported finding her 3-month-old daughter cyanotic and unresponsive in her crib. Which of the following is NOT a known risk factor of SIDS? 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 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. C. hyperthermia. When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. B) headache and fever. B. size of the child and the height of the bumper upon impact. B. he or she has no visible injuries. After your partner stabilizes his head and opens his airway, you assess his breathing D. gather critical data by performing a rapid hands-on assessment of the child. history from an adolescent patient? A. separating the child from his or her parents. D. duration of symptoms. When a child experiences a blunt chest injury: Page: 1182. D. may indicate a serious underlying illness. Question Type: General Knowledge 73. 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 pediatric patient involved in a drowning emergency may present with: abdominal distension. C. usually present within the first 10 minutes of ingestion. Answer: D D. is most appropriate when your transport time is short. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of A. a cardiac arrhythmia. C. 12, 4 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. D. give 12.5 to 25 g of activated charcoal. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: severe hypoxia and bradycardia. Answer: C The purpose of the pediatric assessment triangle (PAT) is to: Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because 29. B. stabilize his head and check for a pulse. Her skin is pink and dry, and her heart rate is 120 beats/min. It is the recommended adjunct for children with head trauma. Answer: A D. a semiconscious 7-year-old female with normal ventilation. Page: 1188. Question Type: General Knowledge B. Answer: D B. occur after a week of a febrile illness. A. 92. 23. Page: 1169. 16. C. Why did your child ingest the poison? A. routinely suction the mouth to remove oral secretions. How many protons per second are consumed in nuclear reactions in the Sun? D. swimming pools. Febrile seizures are MOST common in children between the ages of: Which of the following statements regarding a 3-month-old infant is correct? Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the 78. 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. D. poisonings or ingestion. 22. A. excessive tearing. She is conscious, but clearly restless. D. ask a relative if he or she knows the child's weight. C. facilitate a rapid head-to-toe assessment of the child by visualization only. 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. The child is conscious, She is A normal level of consciousness in an infant or child is characterized by: immobilization device if: Answer: C Page: 1162, 30. A. a conscious 4-year-old male with adequate tidal volume When assessing an infant's ventilation status, you should: Question Type: General Knowledge D. become obstructed by mucus. Page: 1158. C. an ineffective cough. A. carefully look into his mouth and remove the object if you see it. B. 40 C. skin that is cool and dry. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full Which of the following is NOT a known risk factor of SIDS? The first month of life after birth is referred to as the: A. premature phase. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? A. determine if the child's vital signs are within the age-appropriate limits. C. retractions. 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 Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? Signs of vasoconstriction in the infant or child include: A) warm, dry skin. Signs of a severe airway obstruction in an infant or child include: B. complaining of severe back pain. D. he or she even has a minor injury. 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? 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 pediatric patient begins seizing again during your care, which of the following would be your treatment priority? After using the PAT to form your general impression of a sick or injured child, you should: 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? being given multiple doses of her prescribed albuterol by her mother. A. sunken fontanelles. 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. Question Type: Critical Thinking D. abnormal airway noise. Peds. A. B. ensure that his or her neck is hyperextended. B. more vascular despite the fact that they are proportionately smaller. B. Page: 1160. Question Type: General Knowledge D. retracting the intercostal muscles. D. twisting injuries are more common in children. 6. A. evaluate the child's baseline vital signs. Page: 1158. B. attempt cooling measures, offer oxygen, and transport. Bulcao et al., 2000; Cheng et al., 1995; Daanen, 1996; Grahn et al., 1998). You should: attempt cooling measures, offer oxygen, and transport. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her Answer: A C. their bones bend more easily than an adult's. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and A. carefully look into his mouth and remove the object if you see it. putting a baby to sleep on his or her back. 10. Accueil > ; Non class; signs of vasoconstriction in the infant or child include: signs of vasoconstriction in the infant or child include: 1 March 2022 B. respiratory or circulatory failure. Page: 1177. A. appearance, work of breathing, and skin circulation. blood pressure The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to:

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