A. mild dehydration. A. evaluate the child's baseline vital signs. 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. high fever. B. occur after a week of a febrile illness. 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. Early signs of respiratory distress in the child include: A 2-year-old female has experienced a seizure. C. result in airway swelling. He is unresponsive and there are no signs of breathing. You should: A. ________ pulse. A. A. assume the child is hypertensive. The components of the PAT are: EMT - Chapter 34: Pediatric Emergencies Flashcards | Quizlet You respond to a skate park where a 10year-old male fell from his skateboard and struck his head on the ground; he was not wearing a helmet. A. place oxygen tubing through a hole in a paper cup. A. he or she can compensate for blood loss better than adults. C. 8 months and 8 years. D. sunken fontanelles. B. Question Type: General Knowledge 43, AAOS 7th Ed. children are more likely to experience diving-related injuries. 73. A. excessive tearing. Hypothermia in the Low Birth Weight Premature Infant - Medscape B. retracting. B. A. The first month of life after birth is referred to as the: A. premature phase. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. D. abnormal airway noise. 9. history from an adolescent patient? B. their bones are more brittle than an adult's. Page: 1175. they are rarely used in infants younger than 1 y.a. A. child is in severe decompensated shock. A. hot items on a stovetop. Question Type: Critical Thinking D. lower in the abdominal cavity, where the muscles are not as strong. 88 mm Hg B. a stiff or painful neck. 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. C. determine why the ingestion occurred. Bulcao et al., 2000; Cheng et al., 1995; Daanen, 1996; Grahn et al., 1998). Page: 1188. Vasoconstriction can help or hurt your body, depending on the situation. 59. Greenstick fractures occur in infants and children because: D. hyperglycemia. Common causes of seizures in children include all of the following, EXCEPT: signs of vasoconstriction in the infant or child include: Question Type: General Knowledge Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: 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. Page: 1158. She is conscious but clearly restless. A sound heard in the upper airway when the child breathes in. C. hyperthermia. B. mental status, heart rate, and systolic blood pressure. B. use a length-based resuscitation tape measure. C. age of the child and the size of the car that struck him or her. 82 mm Hg A. proportionately larger and situated more anteriorly. Page: 1169. When a child experiences a blunt chest injury: A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full spinal precautions, and transport. Page: 1176. B. push the tongue anteriorly. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. Page: 1195, 98. B. place a towel or folded sheet behind the shoulders. Question Type: General Knowledge A. block the pop-off valve if needed to achieve adequate chest rise. 33. C. 60 These include encouraging women and providing instructions on changing positions, . C. pad underneath the child's head. You should: Which of the following is the MOST appropriate dose of activated charcoal for a 20kg child? ma volume in newborn infants. b. abnormal breath sounds. Question Type: General Knowledge that he is lying at the base of the monkey bars. D. result in a soft-tissue injury. 27. B. asthma. Page: 1155, 15. Authors Channel Summit. A. an oral airway has been inserted. C. the sudden force against the ribs causes them to fracture. Answer: A D. 98 mm Hg. A 6-year-old male presents with acute respiratory distress. What immediate effects does alcohol have on the body? D. are most severe if the child ingested a poisonous substance. B. toddler period. D. entrapment in a structural fire. Which of the following children would benefit the LEAST from a nonrebreathing mask? B. weak distal pulses. C. have a parent restrain the child as you give oxygen. D. ensure that his or her head is in a hyperextended position. (PDF) Fighting Antimicrobial Resistance in Neonatal Intensive Care A. the car seat is visibly damaged. Answer: B C. seizures and hypoxia if the cervical spine is injured, it most likely to be an injury to the ligaments because of rapid movement to the head. B. his or her tidal volume is adequate. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. Question Type: Critical Thinking Question Type: General Knowledge Infants have relatively fixed stroke volumes and are particularly dependent upon heart rate to increase cardiac output. A. separating the child from his or her parents. Question Type: General Knowledge most cases of SIDS occur in infants younger than 6 months. Which of the following is MORE common in children than in adults following a head injury? 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? Children are less likely than adults to be struck by a car. Question Type: Critical Thinking A. newborns C. perform a hands-on assessment of the ABCs. A normal level of consciousness in an infant or child is characterized by: Pupillary response in pediatric patients may be abnormal in the presence of all of the following, EXCEPT: Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: D. is most appropriate when your transport time is short. Before positioning an infant or child's airway, you should: The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. D. bradycardia. EMTs are called for an unresponsive infant. B. awareness to place, pink and dry skin, and consistent eye contact. Answer: B Page: 1184. B. obtain a SAMPLE history from the parents. is conscious and alert, is breathing adequately, and has skin burns around her mouth. B. thoroughly suction his or her airway. Pale skin in a child indicates that the: 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. B. rule out hypoxia if cyanosis is absent. D. result in a soft-tissue injury. D. ventilate the child with sharp, quick breaths at the appropriate rate. B. drooling or congestion. Pale skin in a child indicates that the: C) a stiff or painful neck. signs of vasoconstriction in the infant or child include:types of family health services. 5. As a 1-month-old, babies start to know familiar sounds and may show it by turning the head. D. capillary refill. A mixture of sperm and fluids is called _____. B. blood pressure When a child faints, the blood supply and the oxygen that blood brings to the brain is temporarily reduced. A. older than 8 to 10 years. A. pink, dry skin. B. place a towel or folded sheet behind the shoulders. B. D. 10 years. Page: 1160. Answer: C Burns in children are commonly caused by all of the following, EXCEPT: partialt-hickness burns covering more than 20% of the body surface. C. seizures and hypoxia B. burns to the hands or feet that involve a glove distribution D. may indicate a serious underlying illness. C. skin condition 80. Which of the following is NOT a known risk factor of SIDS? A. routinely suction the mouth to remove oral secretions. 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. 69. 56. D. 5 seconds. D. a generalized rash with intense itching. 6. EMT Chapter 34: Pediatric Emergencies Flashcards | Quizlet A. place oxygen tubing through a hole in a paper cup. A. A. appearance, work of breathing, and skin circulation. B. a responsive 6-year-old male who responds appropriately D. gather critical data by performing a rapid hands-on assessment of the child. C. ensure that he or she uses a neonatal device for children younger than 12 months. Question Type: General Knowledge D. place him or her on a firm surface. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. B. ensure that the airway is patent and clear of obstructions. C. change in bladder habits C. his or her vital signs are stable. C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her bronchioles. B. have a female EMT remain with her if possible. 96. A. the growth plate is commonly injured. A. mother younger than 20 years Answer: B A. appearance, work of breathing, and skin circulation. A. sunken fontanelles. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: 11. B. a weak cough. After your partner stabilizes his head and opens his airway, you assess his breathing By 3 months old, your baby may respond to these sounds with excitement. B. EMTs must report all suspected cases of child abuse. D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. Objective This study evaluated the ability of ELBW infants . 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. Page: 1171. B. positioning, ice packs, and emotional support. 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 that the airway is patent and clear of obstructions. Greenstick fractures occur in infants and children because: Question Type: General Knowledge C) a stiff or painful neck. You should: What time did the ingestion occur? C. crying or combativeness, good muscle tone, and awareness to time. B. encourage him to cough, give oxygen as tolerated, and transport. A. extreme restlessness. Question Type: General Knowledge 26. His skin is pale and cold and his arms are stiff. A. child abuse must be reported only if it can be proven. When you arrive, you determine that the infant is apneic and pulseless. Nurses Pocket Drug Guide 2015 [PDF] [1riu50qtm8ao] - vdoc.pub [ 1] By definition,. C. geriatrics B. past medical history B. C. blood vessels near the skin are constricted. Page: 1192. C. 60 Infant and young child feeding - World Health Organization C. a law enforcement officer must be present. A. C. your assessment will most often reveal bruising to the abdomen. 35. D. acute respiratory distress. D. assess his or her respiratory effort. A viral infection that may cause obstruction of the upper airway in a child is called: When a child experiences a blunt chest injury: Question Type: General Knowledge Question Type: General Knowledge C. assuming a tripod position. 93. Question Type: General Knowledge PDF Physiology and classification of shock in children D. brisk capillary refill. C. has a possible closed fracture of the radius. The first month of life after birth is referred to as the: Which of the following statements regarding a 3-month-old infant is correct? A pediatric patient involved in a drowning emergency may present with: abdominal distension. B. monitor her airway and give oxygen. A. warm, dry skin. When you arrive at the scene, the child is conscious, crying, and clinging to her mother. You should suspect: C. ensure that he or she uses a neonatal device for children younger than 12 months. A. tenting. When administering oxygen to a frightened child, it would be MOST appropriate to: Question Type: General Knowledge C. a stiff or painful neck. An infant with severe dehydration would be expected to present with: Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: albuterol. Page: 1174. You should: D. immediately report your suspicions to the parents. 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: A viral infection that may cause obstruction of the upper airway in a child is called: 45. D. immediately report your suspicions to the parents. D. accessory muscle use. Heart rate may not reflect the severity of blood loss due to compensatory vasoconstriction and constriction. Answer: D Which of the following statements regarding spinal injuries in pediatric patients is correct? The EMT should be MOST concerned when a child presents with fever and: A. Correct D. start of infancy. 42. C. 90 mm Hg B. Which of the following statements regarding the use of nasopharyngeal airways in children is correct? You 3 D. brisk capillary refill. D. give 12.5 to 25 g of activated charcoal. Her skin is pink and dry, and her heart rate is 120 beats/min. C. exposure to caustic chemicals. Identify similarities and differences in the types of skin cancer. C. perform a head tilt-chin lift maneuver. C. second-degree burns covering more than 10% of the body surface. D. caused by the inability of the body to cool itself. You should: A. pink, dry skin. 6 years. They can usually identify painful areas when questioned. C. palpate the abdomen for rise and fall. B. not rule out compensated shock. A. a cardiac arrhythmia. 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 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 . 12.5 g Correct D. altered mental status. C. altered mental status. B. females In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Peripheral vasoconstriction is more dependent on core than on skin temperature (cf. You are dispatched to a residence for a child with respiratory distress. conscious, but clearly restless. B. encourage him to cough, give oxygen as tolerated, and transport. Bruising to the _________ is LEAST suggestive of child abuse. D. a supervisor can forbid you from reporting possible abuse. 102. Arch Dis Child 25(123): 242-253. A viral infection that may cause obstruction of the upper airway in a child is called: Immediate transport is indicated for a child when he or she: obviously frightened, and is coughing forcefully. The MOST appropriate treatment for this child includes: B. retracting. Which of the following is the LEAST reliable assessment parameter to evaluate when Croup Medication: Corticosteroids, Nebulized Vasoconstrictors - Medscape He is responsive to painful stimuli only and has a large hematoma to the back of his head. Anaesthetic management of tetraplegic pregnant patients during child approximately 5 minutes. D. capillary refill, Answer: B ________ pulse. Stroke volume is determined by preload, cardiac contractility, and afterload. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: A. wheezing. Question Type: General Knowledge A. a conscious 4-year-old male with adequate tidal volume Which of the following represents a low normal systolic blood pressure for a 6-year-old child? Pediatric Emergencies, Ch. B. separating the child from her mother and providing ventilatory assistance. The triggers for vasoconstriction are fluid loss (blood, urine, stomach contents, sweat, fluid evaporation due to severe burns), hypothermia, and hypernatremia (too much sodium in the blood). B. females 90. D) altered mental status. A. discourage the family from observing. D. suspect that the child has meningitis and transport at once. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Children with N meningitides would MOST likely present with: Which of the following is the MOST appropriate dose of activated charcoal for a 20kg child? due to compensatory vasoconstriction and constriction. D. are most severe if the child ingested a poisonous substance. D. a semiconscious 7-year-old female with normal ventilation. Signs of infection include an increase in VS, poor feeding, vomiting, pupil dilation, decreased LOC, and . B. a low-grade fever and tachycardia. Hauth J, Moore T. The 2008 National Institute of Child Health and Human Development workshop . 12. 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. What does respiratory syncytial virus (RSV) cause? Answer: A A. stridor. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? A. A. cyanosis. B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more albuterol. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. A. a complete airway obstruction. Question Type: General Knowledge A. extreme restlessness. She is receiving high-flow oxygen via a nonrebreathing mask. D. give oxygen if the SpO2 is less than 90%. D. a headache. Page: 1183. B. SIDS is most commonly the result of an overwhelming infection. You should: Question Type: General Knowledge C. may not be possible if the child's condition is critical. The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in Cardiac arrest in the pediatric population is MOST commonly the result of: The MOST appropriate treatment for this child includes: Answer: D conscious, crying, and clinging to her mother. He is complaining of pain when he tries to turn his head. He is responsive to painful stimuli only and has a large hematoma to the back of his head. Answer: A D. The cause of death following SIDS can be established by autopsy. playing with a small toy. Page: 1155. 3 months and 4 years. A child may begin to show signs of separation anxiety as early as: 4. 88. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of When ventilating a pediatric patient with a bag-mask device, the EMT should: Hyperthermia differs from fever in that it is an increase in body temperature: D. acute hypoxia and tachycardia. 50 The normal respiratory rate for a newborn should not exceed ______ breaths/min. Ch. 34 - Pediatric Emergencies Flashcards | Quizlet 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. B. moist oral mucosa. When immobilizing an injured child in a pediatric immobilization device, you should: Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: When a child experiences a blunt chest injury: the flexible ribs can be compressed without breaking. The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child. What time did the ingestion occur? pain control management is essential. D. a supervisor can forbid you from reporting possible abuse. B. weak distal pulses. Children have a larger, rounder occiput compared to adults. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A. headache and fever. Answer: D Most of the dark matter is thought to consist of ;it is not the "normal" dark matter composed of. neutrons, protons, and electrons. Chapter 32 Flashcards | Chegg.com 84. 40 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. Question Type: General Knowledge Page: 1192. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. How to Relieve Vasoconstriction - A Definitive Guide - Health Pages The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: A. infection. A. 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. Death caused by shaken baby syndrome is usually the result of: C. his or her vital signs are stable. The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal 18. signs of vasoconstriction in the infant or child include: When caring for a female child who has possibly been sexually abused, you should: B. headache and fever. 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. A. typically last less than 30 minutes. B. allow you to rapidly and visually form a general impression of the child. D. place the child in a supine position and perform abdominal thrusts. D. has a history suggestive of a serious illness. C. 8 years. C. an unresponsive 5-year-old male with shallow respirations Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. A. older than 8 to 10 years. You are dispatched to a residence for a child with respiratory distress. After determining that an infant or child has strong central pulses, you should: She further tells you that her daughter has no history of seizures, but has had a recent ear infection. 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) You are dispatched to a local elementary school for an injured child. C. change in bladder habits D. gather critical data by performing a rapid hands-on assessment of the child. 43. rate is 120 beats/min. All of the following are normal findings in an infant or child, EXCEPT: D. Inexperience and poor judgment are rare causes of pediatric trauma. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. B. A. requesting a paramedic ambulance to insert an advanced airway device. C. facilitate a rapid head-to-toe assessment of the child by visualization only. Answer: C C. 4 seconds. C. result in airway swelling. and perform a secondary assessment. Signs of vasoconstriction in the infant or child include: A. warm, dry skin. How would you rate a patient who is breathing spontaneously, has a peripheral pulse, and is appropriately responsive to painful stimuli? hospital. D. 35%, Which of the following is the LEAST reliable assessment parameter to evaluate when determining the signs of vasoconstriction in the infant or child include: via a nonrebreathing mask. B. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. C. a rapid heart rate. When assessing an infant's ventilation status, you should: D. he or she is breathing inadequately. 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? D. Inexperience and poor judgment are rare causes of pediatric trauma. B. have a female EMT remain with her if possible. 2 seconds. 4 Answer: C Answer: B B. ensure that his or her neck is hyperextended. He is responsive to painful stimuli only and has a large hematoma on the back of his head. 23. product because it may: To ensure that the airway of an infant or small child is correctly positioned, you may have to: Page: 1182. B. bradycardia. adolescent patient? A. allow the mother to drive her daughter to the hospital. When caring for a female child who has possibly been sexually abused, you should: have a female EMT remain with her if possible. C. excessive tachycardia. Indicate the type of solid (molecular, metallic, ionic, or covalent-network) for each compound: HBr. Question Type: General Knowledge B. the flexible ribs can be compressed without breaking.
