When assessing an 8-year-old child, you should: B. talk to the child, not just the caregiver. Page: 1158. C. has a possible closed fracture of the radius. B. complaining of severe back pain. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Question Type: Critical Thinking D. a headache. This acute mediastinitis from esophageal rupture. When you arrive at the scene, the child is B. ensure that his or her neck is hyperextended. A. begin immediate rescue breathing. D. place him or her on a firm surface. 3 seconds. Her skin is pink and dry, and her heart rate is 120 beats/min. You should: attempt cooling measures, offer O2, transport. C. sunken fontanelles. children have a larger, rounder occiput compared to adults. B. size of the child and the height of the bumper upon impact. C. are usually caused by viral meningitis. D. swimming pools. The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. 20 g Signs of vasoconstriction in the infant or child include: A. warm, dry skin. Page: 1183. Study Resources. Page: 1185. C) A child's chest wall has proportionately more subcutaneous fat on the chest. D. has a history suggestive of a serious illness. C. 12, 4 A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. 20. A. place bulky padding behind his or her occiput. B. carotid an unresponsive 5yearold male with shallow respirations. Compensatory mechanisms that improve stroke volume include increased venous smooth muscle tone (improves preload by shunting blood to the Your friend whimsically says that at the South Pole, a step in any direction is a step north. C. their bones bend more easily than an adult's. C. 4 seconds. Nursing Care of a Family With a High-Risk New. Question Type: General Knowledge D. brisk capillary refill. 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. 43. A. When you stimulate the child, she responds. A. place oxygen tubing through a hole in a paper cup. 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. Answer: C 3. Answer: B Which of the following statements regarding a 3-month-old infant is correct? When a child is struck by a car, the area of greatest injury depends MOSTLY on the: 12.5 g C. electrolyte imbalances. B. loss of consciousness A. observe the chest for rise and fall. He is responsive to painful stimuli only and has a large hematoma to D. age-appropriate behavior, good muscle tone, and good eye contact. Which of the following statements regarding spinal injuries in pediatric patients is correct? Page: 1158. C. bulging fontanelles. B. C. exposure to caustic chemicals. The instrument that measures the velocity of a vibrating body is called a(n) _______. Which of the following inquiries should you make in private when obtaining a SAMPLE Blood pressure is usually not assessed in children younger than _____ years. Question Type: General Knowledge The purpose of the pediatric assessment triangle (PAT) is to: C. 8 years. He is complaining of pain when he tries to turn his head. Which of the following findings is LEAST suggestive of child abuse? The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. The anti-inflammatory action of corticosteroids reduces laryngeal mucosal edema and decreases the need for salvage nebulized epinephrine. 16 Signs of vasoconstriction in the infant or child may include a Warm dry skin from MEDICAL TE 24 at North Seattle College Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: Question Type: Critical Thinking Page: 1155. C. 90 mm Hg Page: 1170. Page: 1186. Which of the following statements regarding pediatric trauma is correct? D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and C. caused by inflammation of the spinal cord. B. allow you to rapidly and visually form a general impression of the child. A. block the pop-off valve if needed to achieve adequate chest rise. C. ear pain. Signs and symptoms are usually intermittent and mild; however, very rare sequelae include digital ulceration and/or soft tissue breakdown. B. hyperglycemia. C. belly breathing. 96. B. place a towel or folded sheet behind the shoulders. D. 6, Answer: A Which of the following statements regarding pediatric trauma is correct? A. stridor. B. mental status, heart rate, and systolic blood pressure. Answer: B Page: 1176. A. irritability of the left ventricle. D. superficial burns covering more than 10% to 15% of the body surface. Answer: A 50 Page: 1188. B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more albuterol. D. he or she even has a minor injury. 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. A. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. Answer: C D. accessory muscle use. If appropriate dosing for children and infants is included with age ranges as needed. transport to the closest trauma center. Using the discussion earlier, answer the questions below: b. The MOST accurate method for determining if you are delivering adequate tidal volume to a child during A. B. a stiff or painful neck. 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. B. a weak cough. B. positioning, ice packs, and emotional support. His pulse is slow and bounding. A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full spinal precautions, and transport. B. blood pressure Answer: A C. vomiting and diarrhea. B. a responsive 6-year-old male who responds appropriately A. appearance, work of breathing, and skin circulation. D. poisonings or ingestion. 18. D. hypovolemic shock. Question Type: Critical Thinking D. secure the torso before the head. A. he or she can compensate for blood loss better than adults. B. obtain a SAMPLE history from the parents. 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 She is conscious, but clearly restless. A. cyanosis. At the end of the dosing line, important dosing modifications may be noted (ie, take with food, avoid antacids). B. allow the family to observe if they wish. pulse. Signs of vasoconstriction in the infant or child include: C. weak distal pulses. Page: 1187. They are rarely used in infants younger than 1 year. D. 5 seconds. The infant's Children with N meningitides would MOST likely present with: dropshipping shipping policy template aliexpress. In most children, febrile seizures are characterized by: Cardiac arrest in the pediatric population is MOST commonly the result of: C. 25 g She further tells you that her daughter has no history of seizures, but has had a recent ear infection. D. an unexplained delay in seeking medical care after the injury, C. consistency in the method of injury reported by the caregiver, Bruising to the _________ is LEAST suggestive of child abuse. A. place padding under the child's head. D. give 12.5 to 25 g of activated charcoal. Page: 1158. D. twisting injuries are more common in children. following questions would be of LEAST pertinence? C. 25 g Page: 1155, 15. The child is conscious, obviously frightened, and is coughing forcefully. 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. A. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: Peds. C. your assessment will most often reveal bruising to the abdomen. C. hyperpnea. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. Question Type: General Knowledge You are dispatched to a residence for a child with respiratory distress. A. extreme restlessness. B. stabilize his head and check for a pulse. Page: 1177. C. spaced further apart, which causes them to shift following trauma. b. abnormal breath sounds. A. cyanosis. B. drooling or congestion. The purpose of the pediatric assessment triangle (PAT) is to: C. electrolyte imbalances. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: There may be . D. ventilate the child with sharp, quick breaths at the appropriate rate. Blood flow is delayed or halted as blood vessels close. You are using JumpSTART in a triage situation involving several children. C. Most cases of SIDS occur in infants younger than 6 months. C. your assessment will most often reveal bruising to the abdomen. C. result in airway swelling. A. result in tachycardia. Page: 1185. A. carefully look into his mouth and remove the object if you see it. B. C. 60 B. ensure that the airway is patent and clear of obstructions. 82. A. B. child abuse. Greenstick fractures occur in infants and children because: A. routinely suction the mouth to remove oral secretions. D. give oxygen and transport at once. C. slightly flex the neck to prevent tracheal kinking. C. 25% 28. B. A 2-year-old female has experienced a seizure. D. a supervisor can forbid you from reporting possible abuse. B. slide the device under the child. Page: 1192. Question Type: General Knowledge She is receiving high-flow oxygen Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are: If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. They can usually identify painful areas when questioned. Question Type: General Knowledge B. visualize the child's airway. immobilization device if: Answer: A A. encourage the child to urinate and take a shower. unrecognized. B. Answer: A Bruising to the _________ is LEAST suggestive of child abuse. A. mild dehydration. C. his or her vital signs are stable. You should: D. there is usually obvious injury to the external chest wall. D. he or she even has a minor injury. When immobilizing an injured child in a pediatric immobilization device, you should: 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 . Page: 1180, 66. The mother tells you that the seizure lasted What should you use the Wong-Baker FACES scale to determine? D. experiencing cardiopulmonary arrest. You should: Certain cases of SIDS are predictable and therefore preventable. D. fracture of the cervical spine. B. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: intercostal muscles are not well developed, blood vessels near the skin are constricted. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: A. perform abdominal thrusts. Signs of vasoconstriction in the infant or child include: weak distal pulses Which of the following statements regarding spinal injuries in pediatric patients is correct? C. hyperthermia. A. older than 8 to 10 years. Answer: D A. excessive tearing. Page: 1185. D. lethal cardiac rhythm disturbances. A. vary widely, depending on the child's age and weight. The Answer The answer is C. Seizure. Page: 1160. D. nausea and vomiting. Page: 1159. Page: 1175. Question Type: General Knowledge D. mother smoked during pregnancy, C. putting a baby to sleep on his or her back. A. secure the head before the torso. A. bleeding in the brain. D. activity, respiratory quality, and level of consciousness. Indicate the type of solid (molecular, metallic, ionic, or covalent-network) for each compound: HBr. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. Page: 1161. B. weak distal pulses. 61. A. appearance, work of breathing, and skin circulation. C. seizures and hypoxia Central chest pain following prolonged vomiting usually with circulatory collapse. 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. Page: 1160. B. tightly secure the oxygen mask straps to the face. B. partial-thickness burns covering more than 20% of the body surface. Infants have relatively fixed stroke volumes and are particularly dependent upon heart rate to increase cardiac output. 76. Page: 1178. Most cases of SIDS occur in infants younger than 6 months. A. vary widely, depending on the child's age and weight. Answer: D C. place the child in cold water to attempt to reduce her fever. C. hyperthermia. B. rule out hypoxia if cyanosis is absent. B. partial-thickness burns covering more than 20% of the body surface. You should: encourage him to cough, give oxygen as tolerated, and transport. Which of the following children would benefit the LEAST from a nonrebreathing mask? 74. 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. 99. The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-mask ventilations is to: 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. allowing the child to remain with her mother and applying a nasal cannula. 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. Question Type: General Knowledge The infant's mother tells you that he has not had a soiled diaper in over 12 hours. 15% C. severe hypoxia and bradycardia. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: During the attempted resuscitation of an infant with suspected SIDS: C. assuming a tripod position. D. 6, Which of the following represents a low normal systolic blood pressure for a 6-year-old child? 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. The patient, an 18-month-old female, Febrile seizures are MOST common in children between: 2, 4 B. moist oral mucosa. C. his or her respirations are shallow. Page: 1170. A. high fever. Use the following terms to create a concept map: atoms, average atomic mass, molecules, mole, percentage composition, and molar masses. A. wheezing. 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. B. visualize the child's airway. B. his or her blood pressure falls with as little as 5% blood loss. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: The German Association of the Scientific Medical Societies guideline for pregnancy, childbirth, and puerperium in women with a spinal cord injury (SCI) addresses a range of topics from the desire . A. mild dehydration. D. observe the chest for adequate rise. 84. A. pink, dry skin. Answer: C Correct D. altered mental status. 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? D. is most appropriate when your transport time is short. and clinging to her mother. What time did the ingestion occur? A. a complete airway obstruction. She further tells you that her daughter has no history of seizures, but has had a The mother tells you that the seizure lasted approximately 5 minutes. Page: 1188. D. hyperextend the neck to ensure adequate alignment. D. wheezing. 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. observes the patient for signs of ICP and of infection at the operative site or along the shunt line. C. may not be possible if the child's condition is critical. C. crying or combativeness, good muscle tone, and awareness to time. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? B. bradycardia. Question Type: General Knowledge B. meningitis. 40 D. may indicate a serious underlying illness. Answer: A 101. Authors Channel Summit. B. not rule out compensated shock. D. assess the child's heart rate and skin condition. Answer: D D. delayed capillary refill indicates a state of decompensated shock. C. age of the child and the size of the car that struck him or her. Hyperthermia differs from fever in that it is an increase in body temperature: B. scalding water in a bathtub. Page: 1192. Answer: B C. a law enforcement officer must be present. B. use a length-based resuscitation tape measure. B. loss of consciousness D. decreased LOC. B. obtain a SAMPLE history from the parents. A. A. A. routinely suction the mouth to remove oral secretions. A. evidence of alcohol consumption or drug use at the scene It happens when smooth muscles in blood vessel walls tighten. Answer: C 34. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? is tachypneic, has sternal retractions, and is clinging to her mother. A. sunken fontanelles. Question Type: General Knowledge A. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. A. infection. C. a stiff or painful neck. 3 B. low birth weight You should: Answer: B Page: 1182. C. grunting. C. may not be possible if the child's condition is critical. During the attempted resuscitation of an infant with suspected SIDS: B. prepare for immediate transport to a trauma center. 6, 12 Page: 1169. Objective This study evaluated the ability of ELBW infants . 5% B. toddler period. D. Blanching of the nares after insertion indicates correct placement. C. his or her respirations are shallow. When ventilating a pediatric patient with a bag-mask device, the EMT should: B. positioning, ice packs, and emotional support. C. severe dehydration. C) a stiff or painful neck. 49. Answer: A A. an oral airway has been inserted. A. pink, dry skin. Question Type: General Knowledge A. perform abdominal thrusts. Death caused by shaken baby syndrome is usually the result of: