A. routinely suction the mouth to remove oral secretions. A. allow the mother to drive her daughter to the hospital. D. 18 months and 10 years. C. face B. a low-grade fever and tachycardia. Page: 1155. D. acute hypoxia and tachycardia. D. activity, respiratory quality, and level of consciousness. 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. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. Which of the following statements regarding spinal injuries in pediatric patients is correct? 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. is conscious and alert, is breathing adequately, and has skin burns around her mouth. 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: 1186. A. result in tachycardia. You should: B. monitor her airway and give oxygen. Page: 1195. Her skin is pink and dry, and her heart rate is 120 beats/min. D. fracture of the cervical spine. D. age-appropriate behavior, good muscle tone, and good eye contact. 84. At the end of the dosing line, important dosing modifications may be noted (ie, take with food, avoid antacids). B. stabilize his head and check for a pulse. 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. If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority? B. mental status, heart rate, and systolic blood pressure. She is conscious, but clearly restless. Submersion injuries in the adolescent age group are MOST commonly associated with: D. lower in the abdominal cavity, where the muscles are not as strong. Page: 1173. 68. C. hypothermia and an irregular pulse. A. hot items on a stovetop. Answer: B A. the car seat is visibly damaged. C. retractions. Which of the following findings is LEAST suggestive of child abuse? Which of the following inquiries should you make in private when obtaining a SAMPLE C. a stiff or painful neck. A 2-year-old female has experienced a seizure. B. internal blood loss. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. C. a cough that resembles the bark of a seal. Answer: D B. complaining of severe back pain. When assessing an 8-year-old child, you should: 7. B. You are dispatched to a local elementary school for an injured child. A. A. child abuse must be reported only if it can be proven. A. speed at which the car was traveling when impact occurred. C. 25 g C. skin condition Identify similarities and differences in the types of skin cancer. Question Type: General Knowledge B. slowed level of activity. D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. Question Type: General Knowledge Which of the following is true about a child's breathing? 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 B. the flexible ribs can be compressed without breaking. A. After using the PAT to form your general impression of a sick or injured child, you should: perform a hands-on assessment of the ABCs. Question Type: General Knowledge When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ pulse. A. place padding under the child's head. B. positioning, ice packs, and emotional support. and clinging to her mother. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: Question Type: Critical Thinking D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement A. An infant with severe dehydration would be expected to present with: A. tenting. C. retractions. albuterol. D. accessory muscle use. 51. A. normal interactiveness, awareness to time, and pink skin color. B. have a female EMT remain with her if possible. 53. The narrowing (constriction) of blood arteries by tiny muscles in their walls is known as vasoconstriction. Answer: A After using the PAT to form your general impression of a sick or injured child, you should: A. he or she can compensate for blood loss better than adults. A. chills. A 2-year-old female has experienced a seizure. 76. C) a stiff or painful neck. C. you should document your perceptions on the run form. Greenstick fractures occur in infants and children because: Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: C. vomiting and diarrhea. B. visualize the child's airway. Question Type: General Knowledge 43, AAOS 7th Ed. coughing forcefully. 54. C. carefully examine the genitalia for signs of injury. Question Type: General Knowledge Page: 1196, 103. Question Type: Critical Thinking Vasoconstriction can help or hurt your body, depending on the situation. d. an absence of breath sounds. C. grunting. When assessing an infant's ventilation status, you should: A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the B. multiple open fractures. D. caused by the inability of the body to cool itself. consistency in the method of injury reported by the caregiver. D. an altered mental status. Question Type: General Knowledge When a child experiences a blunt injury to the abdomen: he or she can compensate for blood loss better than adults. Page: 1190. A. quiet breathing. Question Type: General Knowledge Answer: C During the attempted resuscitation of an infant with suspected SIDS: 32. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. B. awareness to place, pink and dry skin, and consistent eye contact. D. may indicate a serious underlying illness. C. are usually caused by viral meningitis. You are dispatched to a local elementary school for an injured child. Question Type: General Knowledge The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal D. abnormal airway noise. hospital. C. 25 g Signs of vasoconstriction in the infant or child include: A. warm, dry skin. Page: 1158. Which of the following statements regarding pediatric trauma is correct? C. exposure to caustic chemicals. 9. C. your assessment will most often reveal bruising to the abdomen. 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. When assessing an infant's ventilation status, you should: B. oxygen content in the blood is decreased. When administering oxygen to a frightened child, it would be MOST appropriate to: place oxygen tubing through a hole in a paper cup. Page: 1182. 3 months and 4 years. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. It is the recommended adjunct for children with head trauma. Your assessment reveals that she When administering oxygen to a frightened child, it would be MOST appropriate to: A. Page: 1158. putting a baby to sleep on his or her back. Question Type: General Knowledge 91. C. hyperthermia. 40 B. scalding water in a bathtub. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full mouth. C. grunting. What immediate effects does alcohol have on the body? Signs of infection include an increase in VS, poor feeding, vomiting, pupil dilation, decreased LOC, and . 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? 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. C. caused by inflammation of the spinal cord. B. Correct D. start of infancy. conscious, but clearly restless. 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. D. immediately report your suspicions to the parents. A 4-year-old, 16-kg female ingested an unknown quantity of liquid drain cleaner. D. place him or her on a firm surface. Answer: A C. neonatal period. Which of the following inquiries should you make in private when obtaining a SAMPLE history from an adolescent patient? Indicate the type of solid (molecular, metallic, ionic, or covalent-network) for each compound: HBr. A 2-year-old female has experienced a seizure. B. The child is conscious, obviously frightened, and is A. begin immediate rescue breathing. C. his or her respirations are shallow. Blood pressure is usually not assessed in children younger than _____ years. B. place a towel or folded sheet behind the shoulders. queensland figure skating. A. put padding behind his or her head. D. he or she even has a minor injury. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a product because it may: D. brisk capillary refill. What should you use the Wong-Baker FACES scale to determine? Page: 1187, 87. 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. Her skin is hot and moist. D. entrapment in a structural fire. Page: 1160. Page: 1180, 64. C. femoral Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: C. consistency in the method of injury reported by the caregiver D. give oxygen and transport at once. A. block the pop-off valve if needed to achieve adequate chest rise. Research the incidence of skin cancer in different parts of the world. a 3-month-old infant can distinguish a parent from a stranger. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and C. severe infection. The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child. C. an unresponsive 5-year-old male with shallow respirations he or she presents with: 41. D. a supervisor can forbid you from reporting possible abuse. A. Answer: D history from an adolescent patient? Question Type: General Knowledge Question Type: General Knowledge It is the recommended adjunct for children with head trauma. C. an ineffective cough. Answer: C Most of the dark matter is thought to consist of ;it is not the "normal" dark matter composed of. neutrons, protons, and electrons. B. place a towel or folded sheet behind the shoulders. they are rarely used in infants younger than 1 y.a. The normal respiratory rate for a newborn should not exceed ______ breaths/min. C. spaced further apart, which causes them to shift following trauma. Which of the following statements regarding a pediatric patient's anatomy is correct? D. nausea and vomiting. 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. 10 years. B. observe the child's skin color. D. caused by the inability of the body to cool itself. B. he or she has no visible injuries. You should suspect: C. severe infection. signs of vasoconstriction in the infant or child include:types of family health services. Page: 1189. The components of the PAT are: Question Type: General Knowledge A. of more than 2F to 3F per hour. A. appearance, work of breathing, and skin circulation. C. a rapid heart rate. 4 D. lethal cardiac rhythm disturbances. The MOST accurate method for determining if you are delivering adequate tidal volume to a child during Answer: D Answer: D Guiding principles for appropriate complementary feeding are: continue frequent, on-demand breastfeeding until 2 years of age or beyond; A. he or she can compensate for blood loss better than adults. B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and transport to the closest trauma center. ________ pulse. Which of the following is MORE common in children than in adults following a head injury? 94. D. place him or her on a firm surface. D. ensure that his or her head is in a hyperextended position. C. has a possible closed fracture of the radius. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. They are rarely used in infants younger than 1 year. due to compensatory vasoconstriction and constriction. C. hyperthermia. 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 . Question Type: General Knowledge B. their bones are more brittle than an adult's. C. immobilized on a long backboard. A. stridor. . bronchioles. A. a conscious 4-year-old male with adequate tidal volume C. bronchitis. 24. signs of vasoconstriction in the infant or child include: Home; american dad steve runs away; signs of vasoconstriction in the infant or child include: vacation rental inspector job description playing with a small toy. A. put padding behind his or her head. Question Type: General Knowledge 6 years. When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. B. A. a complete airway obstruction. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. A 6-year-old male presents with acute respiratory distress. B. SIDS is most commonly the result of an overwhelming infection. C. femoral When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. A. begin immediate rescue breathing. B. headache and fever. 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 . D. secure the torso before the head. 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. You respond to a skate park where a 10-year-old male fell from his skateboard and struck his head on the most cases of SIDS occur in infants younger than 6 months. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full spinal precautions, and transport. The child is conscious, 5% B. loss of consciousness More importantly, the effect of vasoconstriction on central temperature in pediatric patients remains unknown. Page: 1180, 66. D. sunken fontanelles. 6 months and 6 years. Page: 1176. B. his or her tidal volume is adequate. B. cause the child to vomit. Question Type: General Knowledge Page: 1169. C. Children are more likely to experience diving-related injuries. Question Type: Critical Thinking 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. A) Lung sounds are difficult to hear because of the thick intercostal muscles. Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: 5. approximately 5 minutes. B. separating the child from her mother and providing ventilatory assistance. D. open his airway and look in his mouth. Page: 1159. D. twisting injuries are more common in children. A. child is in severe decompensated shock. A. monitor the child's heart rate. 3 seconds. Which of the following children would benefit the LEAST from a nonrebreathing mask? D. head bobbing. Page: 1184. m(i)=31+52+73+94+115+136++2i+1i. Immediate transport is indicated for a child when he or she: Blood pressure is usually not assessed in children younger than _____ years. A. high fever. 21. 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. B. Certain cases of SIDS are predictable and therefore preventable. B. more vascular despite the fact that they are proportionately smaller. Question Type: General Knowledge A. A viral infection that may cause obstruction of the upper airway in a child is called: C. perform a hands-on assessment of the ABCs. Febrile seizures are MOST common in children between: During the attempted resuscitation of an infant with suspected SIDS: D. a supervisor can forbid you from reporting possible abuse. A sound heard in the upper airway when the child breathes in. B. dehydration from vomiting and diarrhea. C. exposure to caustic chemicals. The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child, appearance, work of breathing, and skin circulation. B. rule out hypoxia if cyanosis is absent. 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. B. tachypnea. A. is experiencing mild to moderate pain. You should: encourage him to cough, give oxygen as tolerated, and transport. Answer: B The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. 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. A. place oxygen tubing through a hole in a paper cup. D. epiglottitis. A an unresponsive 5yearold male with shallow respirations. 52. B. allow the family to observe if they wish. C. his or her vital signs are stable. D. a generalized rash with intense itching. B. burns to the hands or feet that involve a glove distribution Answer: A B. not rule out compensated shock. 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. 99. B. attempt cooling measures, offer oxygen, and transport. 101. D. accessory muscle use. 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. In most children, febrile seizures are characterized by: D. assess his or her respiratory effort. 79. A. discourage the family from observing. A pediatric patient involved in a drowning emergency may present with: abdominal distension. D. The cause of death following SIDS can be established by autopsy. C. electrolyte imbalances. 74. He is unresponsive and there are no signs of breathing. B. C. slightly flex the neck to prevent tracheal kinking. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. 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: Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: A 6-year-old male presents with acute respiratory distress. Question Type: General Knowledge A 6-year-old male presents with acute respiratory distress. B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more albuterol. Page: 1185. D. duration of symptoms, Answer: A D. give oxygen and transport at once. should: The signs and symptoms of poisoning in children: A. Which of the following findings is LEAST suggestive of child abuse? A. depress the gag reflex. B. Her skin is hot and moist. Page: 1180. D. observe the chest for adequate rise. To ensure that the airway of an infant or small child is correctly positioned, you may have to: You should: attempt cooling measures, offer oxygen, and transport. A. place bulky padding behind his or her occiput. 4 years. 61. A. vary widely, depending on the child's age and weight. A. typically last less than 30 minutes. D. fracture of the cervical spine. Page: 1184. 58. D. absent urine output. Page: 1176, 57. B. back A. an oral airway has been inserted. Question Type: General Knowledge 20. C. insert it until the flange rests on the teeth. Page: 1155, 15. C. the sudden force against the ribs causes them to fracture. This acute mediastinitis from esophageal rupture. C. sunken fontanelles. 44. 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. A. alcohol. C. determine why the ingestion occurred.
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