C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, His mother states that she saw him put a small toy into his mouth shortly before the episode began. The MOST common cause of dehydration in pediatric patients is: 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. 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. 2 seconds. Cardiac arrest in the pediatric population is MOST commonly the result of: You should suspect: Answer: B The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: B. occur after a week of a febrile illness. D. 5 seconds. All vital signs are within their normal ranges except for the blood pressure. A. place oxygen tubing through a hole in a paper cup. B. D. decreased LOC. C. putting a baby to sleep on his or her back A. 6 years. B. a rash. C. are usually caused by viral meningitis. D. twisting injuries are more common in children. Question Type: General Knowledge B. slide the device under the child. 18 months of age and older: HIV antibody tests can provide definitive diagnosis in children 18 months of age, with known or unknown exposure to HIV. c. Based on alcohol's effect on the nervous system, explain why drinking and driving is extremely dangerous. 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. The infant's Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: 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. D. accessory muscle use. they are: A 6-month-old male presents with 2 days of vomiting and diarrhea. Answer: B Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Select one: A. a stiff or painful neck. C. electrolyte imbalances. A. high fever. 91. B. their bones are more brittle than an adult's. D. a generalized rash with intense itching. D. age-appropriate behavior, good muscle tone, and good eye contact. B. moderate dehydration. C) A child's chest wall has proportionately more subcutaneous fat on the chest. C. They are usually not well tolerated in children with a gag reflex. His mother states that she saw him put a small toy into his mouth shortly before the episode began. D. give oxygen and transport at once. C. 90 mm Hg Early signs of respiratory distress in the child include: Greenstick fractures occur in infants and children because: their bones bend more easily than an adult's. A. Which of the following statements regarding a pediatric patient's anatomy is correct? The mother tells you that the seizure lasted B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more Page: 1160. Question Type: General Knowledge Answer: B Question Type: General Knowledge Page: 1155 13. D. open his airway and look in his mouth. When immobilizing an injured child in a pediatric immobilization device, you should: Pediatric Emergencies, Ch. 5. Answer: A A. secure the head before the torso. Answer: B 15% A. cyanosis. Page: 1171. B. burns to the hands or feet that involve a glove distribution A. D. children with shunts. B. attempt cooling measures, offer oxygen, and transport. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: A. A. put padding behind his or her head. A. irritability of the left ventricle. C. bronchitis. Answer: B When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. B. Peds. C. a congenital cardiovascular defect. Before assessing the respiratory adequacy of an semiconscious infant or child, you must: When you arrive at the scene, the child is B. moderate dehydration. being given multiple doses of her prescribed albuterol by her mother. Page: 1188. A. appearance, work of breathing, and skin circulation. When ventilating a pediatric patient with a bag-mask device, the EMT should: block the pop-off valve if needed to achieve adequate chest rise. A. D. child's core body temperature is elevated. Page: 1180, 64. should: A. routinely suction the mouth to remove oral secretions. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the C. hyperpnea. D. acute respiratory distress. Which of the following groups of people is associated with the lowest risk of meningitis? C. 8 years. wreck in west monroe, la today. Question Type: General Knowledge You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. A normal level of consciousness in an infant or child is characterized by: age-appropriate behavior, good muscle tone, and good eye contact. Question Type: General Knowledge D. assess his or her respiratory effort. After using the PAT to form your general impression of a sick or injured child, you should: Children are less likely than adults to be struck by a car. D. lethal cardiac rhythm disturbances. Answer: B D. The cause of death following SIDS can be established by autopsy. 3 seconds. A normal level of consciousness in an infant or child is characterized by: Page: 1155. Write a test program that displays m(i) for i = 1, 2, . Pale skin in a child indicates that the: The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. D. They can usually identify painful areas when questioned. C. spaced further apart, which causes them to shift following trauma. B. cause the child to vomit. Answer: B Page: 1166, 39. Page: 1169. The signs and symptoms of poisoning in children: an unresponsive 5yearold male with shallow respirations. Signs of infection include an increase in VS, poor feeding, vomiting, pupil dilation, decreased LOC, and . Which of the following statements regarding a pediatric patient's anatomy is correct? A 6-month-old male presents with 2 days of vomiting and diarrhea. Question Type: General Knowledge Answer: B B. attempt cooling measures, offer oxygen, and transport. B. Common causes of seizures in children include all of the following, EXCEPT: C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. B. not rule out compensated shock. 4 D. cardiovascular disease. . A. Page: 1165. of the head. A. C. intra-abdominal hemorrhage. B. use a length-based resuscitation tape measure. Which of the following statements regarding preschool-age children is correct? D. has a history suggestive of a serious illness. B. a sudden ventricular arrhythmia. The mother tells you that the seizure lasted approximately 5 minutes. You should suspect: A. pallor. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are: signs of vasoconstriction in the infant or child include weak distal pulses which of the following statement regarding spinal injuries in pediatric patients is correct? The purpose of the pediatric assessment triangle (PAT) is to: When immobilizing an injured child in a pediatric immobilization device, you should: Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: A. 2. The MOST appropriate treatment for this child includes: administering blow-by O2 and transporting the child with her mother. There may be . A. requesting a paramedic ambulance to insert an advanced airway device. They are rarely used in infants younger than 1 year. Answer: B C. an unresponsive 5-year-old male with shallow respirations Hyperthermia differs from fever in that it is an increase in body temperature: B. dehydration from vomiting and diarrhea. D. an altered mental status. Page: 1176. B. not rule out compensated shock. B. attempt cooling measures, offer oxygen, and transport. She is receiving high-flow oxygen D. abnormal airway noise. C. second-degree burns covering more than 10% of the body surface. Question Type: General Knowledge d. an absence of breath sounds. When caring for a female child who has possibly been sexually abused, you should: have a female EMT remain with her if possible. A. proportionately larger and situated more anteriorly. 35. B. positioning, ice packs, and emotional support. D. hypovolemic shock. You are dispatched to a residence for a child with respiratory distress. Findings from the r espiratory system include apnea, cyanosis, grunt- 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. Bacterial infection is a life-threatening complication that sometimes necessitates shunt removal. A. of more than 2F to 3F per hour. 18. Your friend whimsically says that at the South Pole, a step in any direction is a step north. Peripheral vasoconstriction is an important autonomic response to cold exposure, which restricts heat transfer from the core to the environment through the skin. A. pallor. Question Type: Critical Thinking Page: 1176. 56. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: C. vomiting and diarrhea. c. diminished breath sounds. Page: 1170. 47. B. burns to the hands or feet that involve a glove distribution With which age group should you talk to the child, not just the parent, while taking the medical history? A. requesting a paramedic ambulance to insert an advanced airway device. D. ask a relative if he or she knows the child's weight. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of C. sunken fontanelles. C. result in airway swelling. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? Answer: A Question Type: General Knowledge Which of the following children would benefit the LEAST from a nonrebreathing mask? A. evaluate the child's baseline vital signs. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. Effective methods for providing pain relief to a child with an extremity injury include: They can usually identify painful areas when questioned. pulse. D. gather critical data by performing a rapid hands-on assessment of the child. A. chills. C. hypothermia and an irregular pulse. C. restlessness. Question Type: General Knowledge 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. C. a stiff or painful neck. C. monitor the pulse oximeter reading. An infant with severe dehydration would be expected to present with: A. monitor the child's heart rate. Question Type: General Knowledge Answer: A Before assessing the respiratory adequacy of an semiconscious infant or child, you must: A. sunken fontanelles. C. a law enforcement officer must be present. B. positioning, ice packs, and emotional support. B. falls from a height greater than 5. A. begin immediate rescue breathing. The first month of life after birth is referred to as the: A. premature phase. A. newborns A. a complete airway obstruction. A. mother younger than 20 years D. experiencing cardiopulmonary arrest. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: Page: 1162. D. 6, Which of the following represents a low normal systolic blood pressure for a 6-year-old child? D. immediately report your suspicions to the parents. B. You should: C. slightly flex the neck to prevent tracheal kinking. Answer: D C. slightly flex the neck to prevent tracheal kinking. D. 10 years. In most children, febrile seizures are characterized by: In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: C. blood vessels near the skin are constricted. children are more likely to experience diving-related injuries. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. Question Type: Critical Thinking What condition should you suspect? Signs and symptoms are usually intermittent and mild; however, very rare sequelae include digital ulceration and/or soft tissue breakdown. A. encourage the child to urinate and take a shower. Answer: D D. open his airway and look in his mouth. 6 months and 6 years. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ pulse. A. speed at which the car was traveling when impact occurred. Page: 1180, 66. A. is a rapid head-to-toe exam to detect life threats. B. fear or anxiety. You should: Which of the following statements regarding the use of nasopharyngeal airways in children is 76. level of activity is decreased. C. has a possible closed fracture of the radius. Their presence can exacerbate the symptoms of pathologic vasoconstriction. 53. Bruising to the _________ is LEAST suggestive of child abuse. dropshipping shipping policy template aliexpress. D. ventilate the child with sharp, quick breaths at the appropriate rate. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. D. retracting the intercostal muscles. When caring for a female child who has possibly been sexually abused, you should: history from an adolescent patient? B. should be performed, regardless of the circumstances. D. 18 months and 10 years. C. seizures and hypoxia D. 50 g, Answer: B adolescent patient? A. carefully look into his mouth and remove the object if you see it. 20. C. perform a head tilt-chin lift maneuver. Which of the following is NOT a known risk factor of SIDS? Most cases of SIDS occur in infants younger than 6 months. signs of vasoconstriction in the infant or child include:types of family health services. Answer: C B. thoroughly suction his or her airway. Or your baby may quiet to listen to your voice. His pulse is slow and bounding. A. infection. D. age-appropriate behavior, good muscle tone, and good eye contact. A. the growth plate is commonly injured. A. excessive tearing. 1. B. Page: 1167, 40. She further tells you that her daughter has no history of seizures, but has had a Which of the following is true about a child's breathing? A. stridor. Late signs of intracranial pressure that comprise Cushing triad include hypertension with a widening pulse pressure, bradycardia, and abnormal respiration. B. asthma. D. he or she is breathing inadequately. Answer: B 2 seconds. 33. 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. Page: 1184. Answer: B C. crying or combativeness, good muscle tone, and awareness to time. B. retracting. C. severe infection. A. alcohol. When caring for a female child who has possibly been sexually abused, you should: Answer: A 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. D. 35%, Which of the following is the LEAST reliable assessment parameter to evaluate when determining the He is unresponsive and there are no signs of breathing. His skin is pale and cold and his arms are stiff. A. evaluate the child's baseline vital signs. A. place her supine and elevate her legs. D. ask a relative if he or she knows the child's weight. 3 months and 4 years. 4 years. C. stimulate the vagus nerve. A. chills. Question Type: General Knowledge This acute mediastinitis from esophageal rupture. A. To ensure that the airway of an infant or small child is correctly positioned, you may have to: B. encourage him to cough, give oxygen as tolerated, and transport. When inserting an oropharyngeal airway in an infant or child, you should: 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 D. fracture of the cervical spine. Page: 1164, 36. A. a conscious 4-year-old male with adequate tidal volume Present your findings in a written or oral report. C. 60 14. Bulcao et al., 2000; Cheng et al., 1995; Daanen, 1996; Grahn et al., 1998). A. evidence of alcohol consumption or drug use at the scene 22. A. There is acute shortness of breath with pleuritic pain to the lateral side of the chest wall with physical signs of pneumothorax- hyper-resonance with absent breath sounds. Answer: A 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 Stridor. A D. place him or her on a firm surface. Question Type: General Knowledge 50 C. consistency in the method of injury reported by the caregiver A. older than 8 to 10 years. 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 . Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? A. spinal cord injury Which of the following inquiries should you make in private when obtaining a SAMPLE D) altered mental status. C. a stiff or painful neck. ________ pulse. As a 1-month-old, babies start to know familiar sounds and may show it by turning the head. A. assume the child is hypertensive. Which of the following is MORE common in children than in adults following a head injury? D. height of the child and the speed at which the car was traveling. D. has a history suggestive of a serious illness.