A. proportionately larger and situated more anteriorly. 68. C. belly breathing. Answer: B Signs of infection include an increase in VS, poor feeding, vomiting, pupil dilation, decreased LOC, and . 3 D. 70, Which of the following inquiries should you make in private when obtaining a SAMPLE history from an B. size of the child and the height of the bumper upon impact. B. monitor her airway and give oxygen. Page: 1164, 37. When a child experiences a blunt injury to the abdomen: he or she can compensate for blood loss better than adults. C. 12, 4 Signs of a severe airway obstruction in an infant or child include: A child who has no recent history of illness suddenly appears cyanotic and cannot speak after A normal level of consciousness in an infant or child is characterized by: The distance is automatically calculated from the travel time of this pulse. Page: 1183. D. ventilate the child with sharp, quick breaths at the appropriate rate. B. moist oral mucosa. 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. PDF Physiology and classification of shock in children 48. 5% Answer: C Signs of a severe airway obstruction in an infant or child include: A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a A normal level of consciousness in an infant or child is characterized by: age-appropriate behavior, good muscle tone, good eye contact. b. abnormal breath sounds. Vasoconstriction can help or hurt your body, depending on the situation. B. hyperglycemia. D. retracting the intercostal muscles. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full C. perform a hands-on assessment of the ABCs. D. lower in the abdominal cavity, where the muscles are not as strong. Central chest pain following prolonged vomiting usually with circulatory collapse. Page: 1184. 101. In most children, febrile seizures are characterized by: 60. Which of the following statements regarding a pediatric patient's anatomy is correct? A. tenting. B. past medical history Question Type: General Knowledge C. blood vessels near the skin are constricted. 23. 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. The mother tells you that the seizure lasted B. tightly secure the oxygen mask straps to the face. A. Critical burns in children include: They are rarely used in infants younger than 1 year. he or she presents with: Answer: B 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. cause the child to vomit. A. cherry-red spots or a purplish rash. 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. With which age group should you talk to the child, not just the parent, while taking the medical history? Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: 5. You should: level of activity is decreased. Most cases of SIDS occur in infants younger than 6 months. C) a stiff or painful neck. Chapter 34 Pediatric Emergencies - Free Essay Examples Database 6 months and 6 years. 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 The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. 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. Question Type: General Knowledge B. child abuse. 14. A. he or she can compensate for blood loss better than adults. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: 22. B. A. determine if the child's vital signs are within the age-appropriate limits. C. Children are more likely to experience diving-related injuries. 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 Common causes of seizures in children include all of the following, EXCEPT: B. retracting. D. place him or her on a firm surface. B. complaining of severe back pain. 3 seconds. Page: 1155. The Answer The answer is C. Seizure. It is the recommended adjunct for children with head trauma. 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. Question Type: General Knowledge The goal of vasoconstriction is to prioritize oxygen and nutrient supply to the most important organs - the vital organs. bronchioles. 47. D. 70, Answer: A C. administering blow-by oxygen and transporting the child with her mother. B. C. severe infection. B. more vascular despite the fact that they are proportionately smaller. Bruising to the _________ is LEAST suggestive of child abuse. Children are less likely than adults to be struck by a car. A. pink, dry skin. A. bleeding in the brain. B. a stiff or painful neck. Which of the following children would benefit the LEAST from a nonrebreathing mask? C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. A. he or she can compensate for blood loss better than adults. C. assuming a tripod position. Page: 1170. Answer: B Question Type: General Knowledge B. ensure that his or her neck is hyperextended. 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 . Hypothermia Meaning, Symptoms, Temperature, Treatment & Causes Death caused by shaken baby syndrome is usually the result of: With regard to the legal implications of child abuse: EMTs must report all suspected cases of child abuse. D. give oxygen if the SpO2 is less than 90%. Question Type: General Knowledge D. mother smoked during pregnancy. A. ground; he was not wearing a helmet. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the C. a rapid heart rate. Question Type: General Knowledge C. femoral Chapter 20 - Cardiovascular Diseases | PDF | Echocardiography | Heart Valve He is unresponsive and there are no signs of breathing. A. is a rapid head-to-toe exam to detect life threats. B. obtain a SAMPLE history from the parents. D. head bobbing. 42. D. twisting injuries are more common in children. Chapter 34: Pediatric Emergencies Flashcards | Quizlet The infant's mother tells you that he has not had a soiled diaper in over 12 hours. EMT: Chapter 34 [pediatric emergencies] Flashcards | Quizlet Question Type: General Knowledge D. place him or her on a firm surface. 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. C. 5 A. Question Type: General Knowledge A. any superficial or partial-thickness burn that involves the legs or arms. Answer: B 82. Answer: A D. accessory muscle use. 70. B. the flexible ribs can be compressed without breaking. C. putting a baby to sleep on his or her back Indicate the type of solid (molecular, metallic, ionic, or covalent-network) for each compound: HBr. Children are more likely to experience diving-related injuries. D. an altered mental status. inhalation by: B. more vascular despite the fact that they are proportionately smaller. B. blood pressure albuterol. level of activity is decreased. B. SIDS is most commonly the result of an overwhelming infection. C. severe dehydration. When immobilizing an injured child in a pediatric immobilization device, you should: Common causes of seizures in children include all of the following, EXCEPT: Febrile seizures are MOST common in children between: In most children, febrile seizures are characterized by: generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. A. the flexible rib cage protects the vital thoracic organs. A. speed at which the car was traveling when impact occurred. B. tachypnea. C. nasal flaring. A. assume the child is hypertensive. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A. Burns in children are commonly caused by all of the following, EXCEPT: C. you should document your perceptions on the run form. 88 mm Hg Page: 1179. Correct D. altered mental status. More importantly, the effect of vasoconstriction on central temperature in pediatric patients remains unknown. A normal level of consciousness in an infant or child is characterized by: Which of the following groups of people is associated with the lowest risk of meningitis? B. multiple open fractures. A. 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. D. ventilate the child with sharp, quick breaths at the appropriate rate. 4 He is unresponsive and there are no signs of breathing. Page: 1192. D. suspect that the child has meningitis and transport at once. putting a baby to sleep on his or her back. C. skin condition The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal D. place the child in a supine position and perform abdominal thrusts. 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? D. mild respiratory distress. Background ELBW infants are vulnerable to cold stress during the transition from delivery room to intensive care. C. putting a baby to sleep on his or her back Abstract The thermoregulatory threshold for vasoconstriction has been studied in infants and children given isoflurane, but not in those given halothane anesthesia. B. attempt cooling measures, offer oxygen, and transport. C. monitor the pulse oximeter reading. To ensure that the airway of an infant or small child is correctly positioned, you may have to: 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). If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. B. should be performed, regardless of the circumstances. Or your baby may quiet to listen to your voice. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: C. intra-abdominal hemorrhage. B. SIDS is most commonly the result of an overwhelming infection. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: C. immobilized on a long backboard. C. stimulate the vagus nerve. B. tachypnea. 5. As you approach the child, you note that he is lying at the base of the monkey bars. B. multiple open fractures. Question Type: General Knowledge Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: D. cardiovascular disease. A. perform abdominal thrusts. Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: This . Objective This study evaluated the ability of ELBW infants . Page: 1177. hospital. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. A. place padding under the child's head. signs of vasoconstriction in the infant or child include: C. ensure that he or she uses a neonatal device for children younger than 12 months. A. warm, dry skin. 86. You should: mouth. D. ensure that his or her head is in a hyperextended position. C. 90 mm Hg Nurses Pocket Drug Guide 2015 [PDF] [1riu50qtm8ao] - vdoc.pub 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. 3 months and 4 years. D. give detailed updates to the infant's parents. 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. B. should be performed, regardless of the circumstances. Page: 1161. 19. Answer: D Signs of vasoconstriction in the infant or child include: Question Type: General Knowledge You should: C. are usually caused by viral meningitis. Answer: C A. routinely suction the mouth to remove oral secretions. C. perform a hands-on assessment of the ABCs. A. profound tachycardia. A. the growth plate is commonly injured. A. estimate the child's weight based on age. When ventilating a pediatric patient with a bag-mask device, the EMT should: When a child experiences a blunt injury to the abdomen: B. allow you to rapidly and visually form a general impression of the child. During the attempted resuscitation of an infant with suspected SIDS: Pale skin in a child indicates that the: The patient, an 18-month-old female, C. vomiting and diarrhea. D. hyperglycemia. Answer: C 50. C. Most cases of SIDS occur in infants younger than 6 months. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: B. ensure that the airway is patent and clear of obstructions. A. newborns A. pallor. 15% D. epiglottitis. they are rarely used in infants younger than 1 y.a. C. change in bladder habits (PDF) Fighting Antimicrobial Resistance in Neonatal Intensive Care Which of the following statements regarding a 3-month-old infant is correct? She is conscious, but clearly restless. After determining that an infant or child has strong central pulses, you should: When inserting an oropharyngeal airway in an infant or child, you should: 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. When you arrive at the scene, the child is D. there is usually obvious injury to the external chest wall. The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child. 27. C. have a parent restrain the child as you give oxygen. The common symptoms of vasoconstriction are as follows: High blood pressure Dilated pupils Cramps Headache Changes in the skin color Imbalance Numbness Tingling in toes and fingers Impaired muscle control Muscle paralysis Slurred speech Vision problems Causes of Vasoconstriction Question Type: General Knowledge Use the proper word to complete each of the following blanks: The normal respiratory rate for a newborn should not exceed ______ breaths/min. B. have a female EMT remain with her if possible. B. thoroughly suction his or her airway. A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. A. mild dehydration. Submersion injuries in the adolescent age group are MOST commonly associated with: He is conscious, but his level of activity Answer: D Question Type: General Knowledge You are dispatched to a local elementary school for an injured child. D. heat compresses and lowering the injured extremity. As a 1-month-old, babies start to know familiar sounds and may show it by turning the head. B. encourage him to cough, give oxygen as tolerated, and transport. B. blood pressure D. 50 g, Answer: B B. use a length-based resuscitation tape measure. Page: 1187, 87. Greenstick fractures occur in infants and children because: 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. D. an unexplained delay in seeking medical care after the injury, Answer: C His pulse is slow and bounding. Page: 1171. and clinging to her mother. C. spaced further apart, which causes them to shift following trauma. B. Prime Scholars | Open Access Journals | Peer Reviewed Journals A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: B. squeeze the bag 40 times/min when ventilating an infant. An infant with severe dehydration would be expected to present with: Vision. What You Should Know About Fainting in Children A. a conscious 4-year-old male with adequate tidal volume A child's head is less frequently injured than an adult's. if the cervical spine is injured, it most likely to be an injury to the ligaments because of rapid movement to the head. D. allowing the child to remain with her mother and applying a nasal cannula. 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. 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?