putting a baby to sleep on his or her back. A. depress the gag reflex. A normal level of consciousness in an infant or child is characterized by: Page: 1158. What time did the ingestion occur? Answer: A 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. they can usually identify painful areas when questioned. His mother states that she saw him put a small toy into his mouth shortly before the episode began. Answer: C D. entrapment in a structural fire. D. bradycardia. An infant of this age is also developmentally ready for other foods. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. B. Signs of vasoconstriction in the infant or child include: A normal level of consciousness in an infant or child is characterized by: C. restlessness. D. capillary refill. B. complaining of severe back pain. Answer: C Infants have relatively fixed stroke volumes and are particularly dependent upon heart rate to increase cardiac output. 16. Hyperthermia differs from fever in that it is an increase in body temperature: Question Type: General Knowledge You are dispatched to a residence for a child with respiratory distress. Correct D. altered mental status. Page: 1185. When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. D. buttocks, Answer: A Question Type: General Knowledge D. duration of symptoms. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. 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? Page: 1155, 15. Answer: B A. B. headache and fever. approximately 5 minutes. When assessing an infant's ventilation status, you should: Question Type: General Knowledge B. his or her blood pressure falls with as little as 5% blood loss. C. They are usually not well tolerated in children with a gag reflex. B. observe the child's skin color. Question Type: General Knowledge The patient, an 18-month-old female, A viral infection that may cause obstruction of the upper airway in a child is called: C. has a possible closed fracture of the radius. Her skin is hot and moist. B. attempt cooling measures, offer oxygen, and transport. Question Type: Critical Thinking transport to the closest trauma center. B. Signs and symptoms are usually intermittent and mild; however, very rare sequelae include digital ulceration and/or soft tissue breakdown. Answer: A A. the flexible rib cage protects the vital thoracic organs. C. an unresponsive 5-year-old male with shallow respirations The MOST appropriate treatment for this child includes: administering blow-by oxygen and transporting the child with her mother. A. monitor the child's heart rate. Answer: A 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: The signs and symptoms of poisoning in children: vary widely, depending on the child's age and weight. D. Blanching of the nares after insertion indicates correct placement. A. normal interactiveness, awareness to time, and pink skin color. Page: 1185. To ensure that the airway of an infant or small child is correctly positioned, you may have to: B. carotid A 3-month-old infant can distinguish a parent from a stranger. Answer: B The EMT should be MOST concerned when a child presents with fever and: Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: The signs and symptoms of poisoning in children: C. a rapid heart rate. A. discourage the family from observing. B. fear or anxiety. Answer: D A. result in tachycardia. D. 18 months and 10 years. Question Type: General Knowledge mouth. A. block the pop-off valve if needed to achieve adequate chest rise. When administering oxygen to a frightened child, it would be MOST appropriate to: C. bulging fontanelles. B. awareness to place, pink and dry skin, and consistent eye contact. B. size of the child and the height of the bumper upon impact. He is conscious, but his level of activity is decreased. It happens when smooth muscles in blood vessel walls tighten. 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. Answer: B A. pallor. 41. C. administering blow-by oxygen and transporting the child with her mother. C. may not be possible if the child's condition is critical. 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. b. abnormal breath sounds. 15% Signs of severe dehydration in an infant include all of the following, EXCEPT: C. place the child in cold water to attempt to reduce her fever. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: B. blood pressure A. appearance, work of breathing, and skin circulation. 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. 58. When administering oxygen to a frightened child, it would be MOST appropriate to: B. headache and fever. If a nasopharyngeal airway is too long, it may: A. evidence of alcohol consumption or drug use at the scene 29. Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: B. thoroughly suction his or her airway. hospital. The secondary assessment of a sick or injured child: Which of the following statements regarding spinal injuries in pediatric patients is correct? D. depress the tongue with a tongue depressor. Answer: C An infant with severe dehydration would be expected to present with: D. entrapment in a structural fire. Which of the following groups of people is associated with the lowest risk of meningitis? Answer: B D. Inexperience and poor judgment are rare causes of pediatric trauma. 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 the airway is patent and clear of obstructions. 88 mm Hg The EMTs should: remove the child from the car seat and secure both him and his mother to the stretcher. A. place bulky padding behind his or her occiput. A 2-year-old female has experienced a seizure. A. extreme restlessness. B. low birth weight A. croup. A mixture of sperm and fluids is called _____. C. excessive tachycardia. 5% C. 4 seconds. B. visualize the child's airway. 75. Compensatory mechanisms that improve stroke volume include increased venous smooth muscle tone (improves preload by shunting blood to the B. Page: 1166, 39. D. a headache. A. Bruising to the _________ is LEAST suggestive of child abuse. wreck in west monroe, la today. Study Resources. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. 6 months and 6 years. You should: A. B. D. ensure that his or her head is in a hyperextended position. C. insert it until the flange rests on the teeth. 3. Which of the following is the LEAST reliable assessment parameter to evaluate when and perform a secondary assessment. 96. C. 8 months and 8 years. You are assessing a 6-year-old boy who has a fever of 102 and is showing signs of altered LOC. A. requesting a paramedic ambulance to insert an advanced airway device. A. appearance, work of breathing, and skin circulation. Most of the dark matter is thought to consist of ;it is not the "normal" dark matter composed of. neutrons, protons, and electrons. A. radial D. head bobbing. C. estimate the child's weight based on appearance. 3 What is the threshold of blood volume loss in children? Which of the following findings is LEAST suggestive of child abuse? Question Type: General Knowledge immobilization device if: C. their bones bend more easily than an adult's. A. he or she can compensate for blood loss better than adults. An infant with severe dehydration would be expected to present with: A. begin immediate rescue breathing. C. perform a hands-on assessment of the ABCs. Page: 1195, 98. Question Type: General Knowledge 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. block the pop-off valve if needed to achieve adequate chest rise. When ventilating a pediatric patient with a bag-mask device, the EMT should: Her skin is pink and dry, and her heart rate is 120 beats/min. Question Type: General Knowledge Her skin is hot and moist. C. a law enforcement officer must be present. shock. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: A. intercostal muscles are not well developed. 52. D. a generalized rash with intense itching. B. scalding water in a bathtub. 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. any superficial or partial-thickness burn that involves the legs or arms. Blood pressure is usually not assessed in children younger than _____ years. A. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: 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 . C. carefully examine the genitalia for signs of injury. Answer: B A. tenting. Page: 1160. Correct D. start of infancy. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, The MOST accurate method for determining if you are delivering adequate tidal volume to a child during B) headache and fever. Page: 1186. Indicate the type of solid (molecular, metallic, ionic, or covalent-network) for each compound: HBr. B. the flexible ribs can be compressed without breaking. 50. B. unrecognized. A. block the pop-off valve if needed to achieve adequate chest rise. A. carefully look into his mouth and remove the object if you see it. 3 seconds. consistency in the method of injury reported by the caregiver. B. bradycardia. 3 months and 4 years. Answer: B 2, 4 B. multiple open fractures. Page: 1176. 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. being given multiple doses of her prescribed albuterol by her mother. 86. B. a rash. A 6-year-old male presents with acute respiratory distress. he or she presents with: D. 5 seconds. Answer: B A. result in tachycardia. Effects of peripheral vasculopathy, including Raynaud's phenomenon, were observed in post-marketing reports at different times and at therapeutic doses in all age groups throughout the course of treatment. A. secure the head before the torso. ________ pulse. Question Type: General Knowledge Answer: D When administering oxygen to a frightened child, it would be MOST appropriate to: place oxygen tubing through a hole in a paper cup. A. assume the child is hypertensive. D. brisk capillary refill. C. stimulate the vagus nerve. C. their bones bend more easily than an adult's. Page: 1177. Question Type: General Knowledge children have a larger, rounder occiput compared to adults. B. observe the child's skin color. Question Type: General Knowledge Research the incidence of skin cancer in different parts of the world. (a) 30C,5mmHg-30^{\circ} \mathrm{C}, 5 \mathrm{~mm} \mathrm{Hg}30C,5mmHg Page: 1164, 37. B. A. the flexible rib cage protects the vital thoracic organs. Answer: C A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. and determine that it is slow and irregular. D. poisonings or ingestion. Her skin is pink and dry, and her heart 40 A. separating the child from his or her parents. presence of shock in infants and children? Pupillary response in pediatric patients may be abnormal in the presence of all of the following, EXCEPT: Bruising to the _________ is LEAST suggestive of child abuse. C. geriatrics This acute mediastinitis from esophageal rupture. via a nonrebreathing mask. D. dry mucous membranes. Accessory muscle use. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: severe hypoxia and bradycardia. B. a sudden ventricular arrhythmia. The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal D. observe the chest for adequate rise. 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. is experiencing mild to moderate pain. D. 18, 6. Question Type: General Knowledge A child's head is less frequently injured than an adult's. heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. Question Type: Critical Thinking C. you should document your perceptions on the run form. 1. ground; he was not wearing a helmet. You are dispatched to a residence for a child with respiratory distress. C. hyperthermia. Page: 1192. You should: Question Type: General Knowledge B. should be performed, regardless of the circumstances. A. grunting. C. perform a head tilt-chin lift maneuver. B. slowed level of activity. B. stabilize his head and check for a pulse. Page: 1171. 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. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: is decreased. C. his or her respirations are shallow. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: Question Type: Critical Thinking The mother tells you that the seizure lasted D. abnormal airway noise. D. The cause of death following SIDS can be established by autopsy. A. cyanosis. A. older than 8 to 10 years. Blood pressure is usually not assessed in children younger than _____ years. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Nursing Care of a Family With a High-Risk New. C. delayed capillary refill. The purpose of the pediatric assessment triangle (PAT) is to: D. hyperglycemia. The mother tells you that the seizure lasted approximately 5 minutes. C. Children are more likely to experience diving-related injuries. C. belly breathing. During the attempted resuscitation of an infant with suspected SIDS: D. give 12.5 to 25 g of activated charcoal. A. croup. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. C. you should document your perceptions on the run form. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are: Children with N meningitides would MOST likely present with: A. is experiencing mild to moderate pain. 43, AAOS 7th Ed. 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. Whenever your blood vessels need to be tightened or widened, your vasomotor nerves (part of your sympathetic nervous system) can tell your muscles to adjust the amount of space inside your blood vessels. Death caused by shaken baby syndrome is usually the result of: Answer: B Answer: C B. meningitis. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? C. perform a hands-on assessment of the ABCs. Pediatric Emergencies, Ch. A. B. females You should suspect: Cardiac arrest in the pediatric population is MOST commonly the result of: When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. C. his or her vital signs are stable. Wheezing. Page: 1176. 14. 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. The normal respiratory rate for a newborn should not exceed ______ breaths/min. You should suspect: D. capillary refill, Answer: B D. swimming pools. A. is a rapid head-to-toe exam to detect life threats. B. burns to the hands or feet that involve a glove distribution You are dispatched to a residence for a child with respiratory distress. B. partial-thickness burns covering more than 20% of the body surface. C. 12, 4 D. allowing the child to remain with her mother and applying a nasal cannula. Signs of vasoconstriction in the infant or child include: C. weak distal pulses.
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