Question Type: General Knowledge Her skin is hot and moist. She is receiving high-flow oxygen via a non-rebreathing mask. may indicate a serious underlying illness. You should: C. sunken fontanelles. A. chills. A. irritability of the left ventricle. B. drooling or congestion. How would you rate a patient who is breathing spontaneously, has a peripheral pulse, and is appropriately responsive to painful stimuli? Which of the following is the LEAST reliable assessment parameter to evaluate when The presence of those signs indicates very late signs of brain stem dysfunction and that cerebral blood flow has been significantly inhibited. Question Type: Critical Thinking Which of the following statements regarding the use of nasopharyngeal airways in children is correct? B. multiple open fractures. Correct Response A) sunken fontanelles. The patient, an 18-month-old female, C. consistency in the method of injury reported by the caregiver Answer: A they are rarely used in infants younger than 1 y.a. A. carefully look into his mouth and remove the object if you see it. D. assess his or her respiratory effort. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and A. shins Answer: D C. 60 Infant and young child feeding - World Health Organization 63. C. usually present within the first 10 minutes of ingestion. 95. The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. 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 . When a child experiences a blunt injury to the abdomen: he or she can compensate for blood loss better than adults. B. place a towel or folded sheet behind the shoulders. 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. ., 10. B. a rash. 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. 20. Heart rate may not reflect the severity of blood loss due to compensatory vasoconstriction and constriction. D. suspect that the child has meningitis and transport at once. D. ventilate the child with sharp, quick breaths at the appropriate rate. B. back C. a rapid heart rate. Question Type: General Knowledge A 4-year-old female ingested an unknown quantity of liquid drain cleaner. A. cyanosis. As you approach the child, you note that he is lying at the base of the monkey bars. B. that he is lying at the base of the monkey bars. partial paralysis. You are dispatched to a local elementary school for an injured child. Page: 1171. He is conscious, but his What immediate effects does alcohol have on the body? A. block the pop-off valve if needed to achieve adequate chest rise. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and A. sunken fontanelles. C. severe dehydration. A 6-month-old male presents with 2 days of vomiting and diarrhea. You should suspect: B. weak distal pulses. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. She is receiving high-flow oxygen via a nonrebreathing mask. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based C. a stiff or painful neck. Critical burns in children include: Page: 1162. Answer: D 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? Immediate transport is indicated for a child when he or she: Question Type: General Knowledge C. change in bladder habits D. assess the child's heart rate and skin condition. D. result in a soft-tissue injury. D. height of the child and the speed at which the car was traveling. 70. 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. Answer: B B. meningitis. C. seizures and hypoxia B. wheezing. B. his or her tidal volume is adequate. The MOST accurate method for determining if you are delivering adequate tidal volume to a C. severe dehydration. You should: encourage him to cough, give oxygen as tolerated, and transport. A. child abuse. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: They are rarely used in infants younger than 1 year. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: D. fracture of the cervical spine. B. size of the child and the height of the bumper upon impact. 21. children are more likely to experience diving-related injuries. They are rarely used in infants younger than 1 year. B. positioning, ice packs, and emotional support. 20 g D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after b. abnormal breath sounds. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? D. 6, Which of the following represents a low normal systolic blood pressure for a 6-year-old child? Most trials have used dexamethasone at 0.6 mg/kg (intramuscular or oral), but oral . They are rarely used in infants younger than 1 year. C. bronchitis. ma volume in newborn infants. Page: 1170. 84. A. the flexible rib cage protects the vital thoracic organs. Question Type: General Knowledge A. put padding behind his or her head. Which of the following groups of people is associated with the lowest risk of meningitis? B. allow the family to observe if they wish. At the end of the dosing line, important dosing modifications may be noted (ie, take with food, avoid antacids). The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. A normal level of consciousness in an infant or child is characterized by: Blood pressure is usually not assessed in children younger than _____ years. Page: 1184, 77. C. a stiff or painful neck. B. have a female EMT remain with her if possible. he or she presents with: C. usually present within the first 10 minutes of ingestion. A. perform abdominal thrusts. As the heart beats to push blood through these narrowed vessels, the increased pressure and resistance can dislodge a plaque, allowing it to travel through the bloodstream. Research the incidence of skin cancer in different parts of the world. The EMT should be MOST concerned when a child presents with fever and: B. the flexible ribs can be compressed without breaking. D. place the child in a supine position and perform abdominal thrusts. C. seizures and hypoxia D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement Effective methods for providing pain relief to a child with an extremity injury include: positioning, ice packs, and emotional support. Which of the following inquiries should you make in private when obtaining a SAMPLE B. retractions. You should: Page: 1173. 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? 50. PEDS Review - FINAL EXAM REVIEW FOR PEDIS 1 AND FEARS THAT CHILD HAVE Question Type: General Knowledge You are dispatched to a residence for a child with respiratory distress. When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. 6 years. Question Type: General Knowledge B. headache and fever. A. normal interactiveness, awareness to time, and pink skin color. D. wheezing. Page: 1162, 30. 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. B. internal blood loss. and determine that it is slow and irregular. Which of the following inquiries should you make in private when obtaining a SAMPLE 100. In most children, febrile seizures are characterized by: C. 60 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. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. Page: 1187. D. a headache. C. insert a nasopharyngeal or oropharyngeal airway adjunct. B. scalding water in a bathtub. B. burns to the hands or feet that involve a glove distribution D. child's core body temperature is elevated. A 6-year-old male presents with acute respiratory distress. B. cause the child to vomit. B. awareness to place, pink and dry skin, and consistent eye contact. A. a conscious 4-year-old male with adequate tidal volume A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. C. palpate the abdomen for rise and fall. Page: 1188. You respond to a skate park where a 10-year-old male fell from his skateboard and struck his head on the 20 g Effective methods for providing pain relief to a child with an extremity injury include: Page: 1185. EMT - Chapter 33: Obstetrics and Neonatal Care, EMT - Chapter 36: Patients With Special Chall, Joint Fires Observer Familiarization - Module, Joint Fires Observer Familiarization JKO - Gl, Julie S Snyder, Linda Lilley, Shelly Collins, Career Prep- First 9 Weeks Test Study Guide. D. The cause of death following SIDS can be established by autopsy. 19. D. mother smoked during pregnancy. The normal respiratory rate for a newborn should not exceed ______ breaths/min. B. a weak cough. D. brisk capillary refill. 38. A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. D. 70, Which of the following inquiries should you make in private when obtaining a SAMPLE history from an D. lower in the abdominal cavity, where the muscles are not as strong. C. severe infection. Pale skin in a child indicates that the: C. place the child in cold water to attempt to reduce her fever. 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. A. D. height of the child and the speed at which the car was traveling. Thousands of new, high-quality pictures added every day. signs of vasoconstriction in the infant or child include: When you arrive at the scene, the child is Background ELBW infants are vulnerable to cold stress during the transition from delivery room to intensive care. C. a rapid heart rate. B. are more obvious than in the adult population. A. he or she can compensate for blood loss better than adults. A. the car seat is visibly damaged. Answer: C A. cherry-red spots or a purplish rash. due to compensatory vasoconstriction and constriction. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? B. secondary to a severe bacterial infection. 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. Increased respiratory effort is often the distinguishing characteristic that sets cardiogenic shock apart from other forms of shock. C. 8 months and 8 years. C. deliver a series of five back blows and then reassess his condition. The distance is automatically calculated from the travel time of this pulse. 1. 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. refusal to drink fluids. When immobilizing an injured child in a pediatric immobilization device, you should: Page: 1193. conscious, but clearly restless. B. bradycardia. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: A. the growth plate is commonly injured. Vasoconstriction - an overview | ScienceDirect Topics A. vary widely, depending on the child's age and weight. Objective This study evaluated the ability of ELBW infants . B. his or her blood pressure falls with as little as 5% blood loss. A. grunting. child during bag-mask ventilations is to: Cardiac arrest in the pediatric population is MOST commonly the result of: In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. Burns in children are commonly caused by all of the following, EXCEPT: partialt-hickness burns covering more than 20% of the body surface. D. brisk capillary refill. C. belly breathing. D. there is usually obvious injury to the external chest wall. C. nasal flaring. A. child abuse must be reported only if it can be proven. A. 6 months and 6 years. C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her Question Type: General Knowledge Answer: C C. belly breathing. Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: D. 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. When a child faints, the blood supply and the oxygen that blood brings to the brain is temporarily reduced. D. are most severe if the child ingested a poisonous substance. Answer: B When inserting an oropharyngeal airway in an infant or child, you should: (c) 70C420mmHg70^{\circ} \mathrm{C}_4 20 \mathrm{~mm} \mathrm{Hg}70C420mmHg. C. palpate the abdomen for rise and fall. C. severe infection. Page: 1182, 71. PDF Oxygen atbirth prolonged cerebral vasoconstrictlon in infants D. delayed capillary refill indicates a state of decompensated shock. D. 10 years. C. their bones bend more easily than an adult's. C) A child's chest wall has proportionately more subcutaneous fat on the chest. B. dehydration from vomiting and diarrhea. C. slightly flex the neck to prevent tracheal kinking. Question Type: General Knowledge A. any superficial or partial-thickness burn that involves the legs or arms. D. brisk capillary refill. C. avoiding the placement of a splint, if possible. C. skin condition, respiratory rate, and level of alertness. 12. The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. 44. His pulse is slow and bounding. Question Type: General Knowledge adolescent patient? D. 5 seconds. D. assess his or her respiratory effort. B. complaining of severe back pain. Answer: C Most cases of SIDS occur in infants younger than 6 months. Answer: A C. skin that is cool and dry. C. has a possible closed fracture of the radius. You should: encourage him to cough, give O2 as tolerated, and transport. B. ensure that the airway is patent and clear of obstructions. Medical Emergencies Guidebook | PDF | Shock (Circulatory) | Meningitis B. tachypnea. Page: 1171. Question Type: General Knowledge Lanoxin Injection (Digoxin Injection): Uses, Dosage, Side - RxList Answer: A D. place him or her on a firm surface. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. 5% Chapter 20 - Cardiovascular Diseases | PDF | Echocardiography | Heart Valve What condition should you suspect? Vasoconstriction - The Definitive Guide | Biology Dictionary 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? Answer: B B. partial-thickness burns covering more than 20% of the body surface. 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? 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. Signs of a severe airway obstruction in an infant or child include: an ineffective cough Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? Signs of vasoconstriction in the infant or child include weak distal pulses What is meant by vasoconstriction ? inhalation by: You should: B. should be performed, regardless of the circumstances. Death caused by shaken baby syndrome is usually the result of: julia child recipes chicken. Answer: D 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.