3 C. perform a head tilt-chin lift maneuver. A. B. The signs and symptoms of poisoning in children: C. Most cases of SIDS occur in infants younger than 6 months. Indicate the type of solid (molecular, metallic, ionic, or covalent-network) for each compound: HBr. When caring for a female child who has possibly been sexually abused, you should: have a female EMT remain with her if possible. B. low birth weight Which of the following is true about a child's breathing? Which of the following statements regarding pediatric trauma is correct? 14. Which of the following statements regarding spinal injuries in pediatric patients is correct? B. attempt cooling measures, offer oxygen, and transport. The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. Which of the following is MORE common in children than in adults following a head injury? Which of the following statements regarding a 3-month-old infant is correct? C. skin that is cool and dry. B. EMTs must report all suspected cases of child abuse. B. CHLOROPROCAINE HCI CHLOROPROCAINE HYDROCHLORIDE 10 mg/mL HF Acquisition Co LLC, DBA HealthFirst HF Acquisition Co LLC, DBA HealthFirst Signs of vasoconstriction in the infant or child include weak distal pulses What is meant by vasoconstriction ? Which of the following is MORE common in children than in adults following a head injury? C. ensure that he or she uses a neonatal device for children younger than 12 months. 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 . rate is 120 beats/min. A common cause of shock in an infant is: He is conscious, but his D. mother smoked during pregnancy, C. putting a baby to sleep on his or her back. B. A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: D. 98 mm Hg. She is conscious, but clearly restless. A. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: Signs of vasoconstriction in the infant or child include: A. warm, dry skin. You should: 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. C. insert a nasopharyngeal or oropharyngeal airway adjunct. 6 months and 6 years. 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? D. age-appropriate behavior, good muscle tone, and good eye contact. Bacterial infection is a life-threatening complication that sometimes necessitates shunt removal. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. B. rule out hypoxia if cyanosis is absent. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: severe hypoxia and bradycardia. You should: attempt cooling measures, offer oxygen, and transport. D. superficial burns covering more than 10% to 15% of the body surface. A. the flexible rib cage protects the vital thoracic organs. Page: 1161. B. separating the child from her mother and providing ventilatory assistance. D. twisting injuries are more common in children. A. profound tachycardia. Page: 1158. A. is a rapid head-to-toe exam to detect life threats. An increased respiratory rate, particularly with signs of distress (eg, increased respiratory effort including nasal flaring, retractions, seesaw breathing, or grunting) An inadequate respiratory rate, effort, or chest excursion (eg, diminished breath sounds or gasping), especially if mental status is depressed 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. capillary refill. Vasoconstriction can help or hurt your body, depending on the situation. B. oxygen content in the blood is decreased. Question Type: General Knowledge The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child, appearance, work of breathing, and skin circulation. Answer: D This is an example of what condition? D. hyperglycemia. C. estimate the child's weight based on appearance. the back of his head. D. refusal to drink fluids. B. have a female EMT remain with her if possible. B. B. headache and fever. inhalation by: Present your findings in a written or oral report. A. bleeding in the brain. Nursing Care of a Family With a High-Risk New. The normal respiratory rate for a newborn should not exceed ______ breaths/min. C. skin condition Objective This study evaluated the ability of ELBW infants . The child is conscious, obviously frightened, and is 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. 80. D. children with shunts. C. bronchitis. A. excessive tearing. Page: 1178. C. belly breathing. A. older than 8 to 10 years. You are dispatched to a local elementary school for an injured child. 90. A. begin immediate rescue breathing. Question Type: General Knowledge You are dispatched to a residence for a child with respiratory distress. Background ELBW infants are vulnerable to cold stress during the transition from delivery room to intensive care. D. ask a relative if he or she knows the child's weight. C. an unresponsive 5-year-old male with shallow respirations D. caused by the inability of the body to cool itself. C. ear pain. Page: 1160. A. profound tachycardia. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her product because it may: 12.5 g C. skin that is cool and dry. C. avoiding the placement of a splint, if possible. B. drooling or congestion. He is complaining of pain when he tries to turn his head. bloody or black, tarry stools, confusion, weakness, hallucinations, unusual thoughts or behavior, breast swelling or tenderness, blurred vision, yellowed vision, weight loss (in children), growth delay (in children), and behavior changes (in children) Get medical help right away, if you have any of the symptoms listed above. 2, 4 After determining that an infant or child has strong central pulses, you should: A. cyanosis. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, D. poisonings or ingestion. Febrile seizures in a child: D. child's core body temperature is elevated. Answer: A B. the flexible ribs can be compressed without breaking. 86. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full spinal precautions, and transport. C) A child's chest wall has proportionately more subcutaneous fat on the chest. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of D. height of the child and the speed at which the car was traveling. B. oxygen content in the blood is decreased. D. give oxygen if the SpO2 is less than 90%. Question Type: General Knowledge All vital signs are within their normal ranges except for the blood pressure. D. Inexperience and poor judgment are rare causes of pediatric trauma. [ 1] By definition,. 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. B. child abuse. Answer: A D. acute respiratory distress. A. During the attempted resuscitation of an infant with suspected SIDS: signs of vasoconstriction in the infant or child include: post oak toyota commercial actors . Answer: B Drawing in of the muscles between the ribs or of the sternum during inspiration is called: B. partial-thickness burns covering more than 20% of the body surface. A viral infection that may cause obstruction of the upper airway in a child is called: When assessing an infant's ventilation status, you should: Vision. D. has a history suggestive of a serious illness. B. fear or anxiety. A. encourage the child to urinate and take a shower. D. height of the child and the speed at which the car was traveling. due to compensatory vasoconstriction and constriction. You are dispatched to a residence for a child with respiratory distress. Page: 1192. is conscious and alert, is breathing adequately, and has skin burns around her mouth. Bruising to the _________ is LEAST suggestive of child abuse. The child is conscious and appears alert. C. blood vessels near the skin are constricted. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. The mother tells you that the seizure lasted signs of vasoconstriction in the infant or child include: D. depress the tongue with a tongue depressor. C. perform a blind finger sweep. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. She is receiving high-flow oxygen via a nonrebreathing mask. Question Type: Critical Thinking C. 90 mm Hg Effective methods for providing pain relief to a child with an extremity injury include: positioning, ice packs, and emotional support. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. Signs of vasoconstriction in the infant or child include: C. weak distal pulses. A. spinal cord injury 6, 12 Question Type: General Knowledge A 6-year-old male presents with acute respiratory distress. C. 8 months and 8 years. D. assess his or her respiratory effort. D. epiglottitis. 70. B. EMTs must report all suspected cases of child abuse. 6, 12 D. give oxygen and transport at once. You should suspect: A. the car seat is visibly damaged. 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. they are: A normal level of consciousness in an infant or child is characterized by: A. croup. A. vary widely, depending on the child's age and weight. D. there is usually obvious injury to the external chest wall. B. partial-thickness burns covering more than 20% of the body surface. Answer: B Her skin is pink and dry, and her heart rate is 120 beats/min. A. block the pop-off valve if needed to achieve adequate chest rise. Page: 1182, 71. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. Page: 1164, 37. Answer: A B. weak distal pulses. D. place him or her on a firm surface. The infant's Death caused by shaken baby syndrome is usually the result of: A blood pressure of 140/90 mmHg indicates high blood pressure . The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: Answer: C C. an ineffective cough. B. dehydration from vomiting and diarrhea. When a child experiences a blunt chest injury: A. Page: 1180, 64. 51. B. size of the child and the height of the bumper upon impact. B. Which of the following is NOT a known risk factor of SIDS? level of activity is decreased. Which of the following statements regarding spinal injuries in pediatric patients is correct? Cardiac arrest in the pediatric population is MOST commonly the result of: A. infection. C. delayed capillary refill. putting a baby to sleep on his or her back. D. place him or her on a firm surface. B. observe the child's skin color. Hyperthermia differs from fever in that it is an increase in body temperature: A. any superficial or partial-thickness burn that involves the legs or arms. A. D. accessory muscle use. D. 10 years. D. 6, Answer: A C. ear pain. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. B. obtain a SAMPLE history from the parents. B. back D. epiglottitis. A normal level of consciousness in an infant or child is characterized by: D. a supervisor can forbid you from reporting possible abuse. A. estimate the child's weight based on age. Answer: B Boerrhave's syndrome. Which of the following statements regarding pediatric trauma is correct? Page: 1168. D. cardiovascular disease. d. an absence of breath sounds. being given multiple doses of her prescribed albuterol by her mother. D. a semiconscious 7-year-old female with normal ventilation, C. an unresponsive 5-year-old male with shallow respirations. Answer: D B. monitor her airway and give oxygen. 38. A. C) a stiff or painful neck. You should: A. a complete airway obstruction. The MOST appropriate treatment for this child includes: administering blow-by oxygen and transporting the child with her mother. She further tells you that her daughter has no history of seizures, but has had a D. They can usually identify painful areas when questioned. C. skin condition, respiratory rate, and level of alertness. 33. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. Her skin is hot and moist. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement Question Type: Critical Thinking C. determine why the ingestion occurred. A. The MOST accurate method for determining if you are delivering adequate tidal volume to a Page: 1180, 66. Answer: A C. femoral C. bulging fontanelles. Question Type: Critical Thinking 29. In most children, febrile seizures are characterized by: C. the sudden force against the ribs causes them to fracture. D. 18, 6. D. use a nasal cannula instead of a nonrebreathing mask. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. The child is conscious, correct? Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? D. Blanching of the nares after insertion indicates correct placement. A. assume the child is hypertensive. When a child experiences a blunt injury to the abdomen: 102. A. a conscious 4-year-old male with adequate tidal volume C. Most cases of SIDS occur in infants younger than 6 months. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and A. separating the child from his or her parents. 3 months and 4 years. D. may indicate a serious underlying illness. Answer: C 4 years. C. the sudden force against the ribs causes them to fracture. To ensure that the airway of an infant or small child is correctly positioned, you may have to: D. mother smoked during pregnancy. Question Type: General Knowledge bronchioles. children are more likely to experience diving-related injuries. Page: 1192. Which of the following statements regarding preschool-age children is correct? 3 seconds. When you arrive at the scene, the child is conscious, crying, and clinging to her mother. A. place padding under the child's head. Study Resources. 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. A. place bulky padding behind his or her occiput. Bulcao et al., 2000; Cheng et al., 1995; Daanen, 1996; Grahn et al., 1998). B. moderate dehydration. D. brisk capillary refill. Question Type: General Knowledge signs of vasoconstriction in the infant or child include:types of family health services. A viral infection that may cause obstruction of the upper airway in a child is called: recent ear infection. C. putting a baby to sleep on his or her back B. a rash. C. your assessment will most often reveal bruising to the abdomen. D. become obstructed by mucus. 94. A. determine if the child's vital signs are within the age-appropriate limits. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: A. irritability of the left ventricle. Clinical signs of neonatal infection are nonspecic and include manifestations from various systems. His pulse is slow and bounding. A. perform abdominal thrusts. Submersion injuries in the adolescent age group are MOST commonly associated with: A. determine if the child's vital signs are within the age-appropriate limits. Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? B. C. 4 seconds. D. an altered mental status. When you arrive, you determine that the infant is apneic and pulseless. C. determine why the ingestion occurred. D. popliteal, Answer: C B. Correct D. altered mental status. C. carefully examine the genitalia for signs of injury. The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: Question Type: General Knowledge A. Question Type: General Knowledge D) altered mental status. A. proportionately larger and situated more anteriorly. C. a rapid heart rate. D. A 3-month-old infant can distinguish a parent from a stranger. D. duration of symptoms. B. crying and anxiety. 88 mm Hg Page: 1182. A. cherry-red spots or a purplish rash. Children have a larger, rounder occiput compared to adults. Which of the following findings is LEAST suggestive of child abuse? In moderate to severe disease, corticosteroids improve croup scores within 12-24 hours and decrease hospitalization rates. Which of the following statements regarding the use of nasopharyngeal airways in children is correct? D. assess his or her respiratory effort. D. poisonings or ingestion, Answer: B 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. Answer: D 75. transport to the closest trauma center. Immediate transport is indicated for a child when he or she: C. Children are more likely to experience diving-related injuries. D. bradycardia. C. a rapid heart rate. Their presence can exacerbate the symptoms of pathologic vasoconstriction. C. Children are more likely to experience diving-related injuries. Question Type: General Knowledge Page: 1176. conscious, but clearly restless. Answer: D B. blood pressure C. 12, 4 Her skin is hot and moist. If a nasopharyngeal airway is too long, it may: B. slowed level of activity. C. hypothermia and an irregular pulse. A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: B. allow you to rapidly and visually form a general impression of the child. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. Page: 1196. 79. C. age of the child and the size of the car that struck him or her. Question Type: General Knowledge C. 25% When ventilating a pediatric patient with a bag-mask device, the EMT should: Page: 1171. If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority? The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. B. slide the device under the child. D. place the child in a supine position and perform abdominal thrusts. D. head bobbing. Answer: A toy into his mouth shortly before the episode began. B. females C. slightly flex the neck to prevent tracheal kinking. Answer: B playing with a small toy. D. fracture of the cervical spine. A. depress the gag reflex. A. radial Correct Response A) sunken fontanelles. signs of vasoconstriction in the infant or child include: C. excessive tachycardia. Which of the following groups of people is associated with the lowest risk of meningitis? B. he or she has no visible injuries. C. a rapid heart rate. A. sexual activity The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the posterior fontanelle is typically closed by _____ months of age. When a child experiences a blunt injury to the abdomen: B. have a female EMT remain with her if possible. 54. Page: 1193. When a child experiences a blunt chest injury: Page: 1184. Bratteby LE (1968) Studies on . C. place the child in cold water to attempt to reduce her fever. C. caused by inflammation of the spinal cord. 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. D. has a history suggestive of a serious illness. Question Type: General Knowledge The first month of life after birth is referred to as the: A. premature phase. C. have a parent restrain the child as you give oxygen. 82. 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. B. rule out hypoxia if cyanosis is absent. mouth. playing with a small toy. It is the recommended adjunct for children with head trauma. She is conscious, but clearly restless. A. chills. D. ventilate the child with sharp, quick breaths at the appropriate rate. 43, AAOS 7th Ed. 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. C. severe infection. A. Answer: C A. mother younger than 20 years A. he or she can compensate for blood loss better than adults. B. drooling or congestion. conscious, crying, and clinging to her mother. Answer: D that he is lying at the base of the monkey bars. You should: attempt cooling measures, offer O2, transport. Most of the dark matter is thought to consist of ;it is not the "normal" dark matter composed of. neutrons, protons, and electrons. Signs of a severe airway obstruction in an infant or child include: 6. D. hypovolemic shock. C. facilitate a rapid head-to-toe assessment of the child by visualization only. D. a generalized rash with intense itching. A. child abuse. 95. Which of the following is MORE common in children than in adults following a head injury? C. deliver a series of five back blows and then reassess his condition. coughing forcefully. 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. A. separating the child from his or her parents. via a nonrebreathing mask. The narrowing (constriction) of blood arteries by tiny muscles in their walls is known as vasoconstriction. 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. retractions. Children with N meningitides would MOST likely present with: A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. C. putting a baby to sleep on his or her back 3 months and 4 years. B. dehydration from vomiting and diarrhea. B. more vascular despite the fact that they are proportionately smaller. B. retracting. C. They are usually not well tolerated in children with a gag reflex. 32. D. a semiconscious 7-year-old female with normal ventilation. 68. Page: 1176. D. 10 years. C. hyperpnea. Question Type: General Knowledge B. asthma. B. bradycardia. 17. 49. 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? Signs of severe dehydration in an infant include all of the following, EXCEPT: C. his or her respirations are shallow. C. a cough that resembles the bark of a seal. Page: 1182. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: A. child is in severe decompensated shock. D. are most severe if the child ingested a poisonous substance. Hauth J, Moore T. The 2008 National Institute of Child Health and Human Development workshop . You are dispatched to a local elementary school for an injured child. D. use a nasal cannula instead of a nonrebreathing mask. 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. A. irritability of the left ventricle. Certain cases of SIDS are predictable and therefore preventable. Stridor. 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. Page: 1188. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: Children with N meningitides would MOST likely present with: Question Type: General Knowledge You should: 24. A. heart rate C. usually present within the first 10 minutes of ingestion. B. falls from a height greater than 5. adolescent patient? A. alcohol. B. should be performed, regardless of the circumstances. A. routinely suction the mouth to remove oral secretions. With regard to the legal implications of child abuse: approximately 5 minutes. C. a law enforcement officer must be present. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, and perform a secondary assessment. Question Type: General Knowledge B. the flexible ribs can be compressed without breaking. D. lethal cardiac rhythm disturbances. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. C. palpate the abdomen for rise and fall. determining the presence of shock in infants and children? Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. Certain cases of SIDS are predictable and therefore preventable. The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the posterior fontanelle is typically closed by _____ months of age. a 3-month-old infant can distinguish a parent from a stranger. Answer: A The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: The MOST appropriate treatment for this child includes: When you arrive at the scene, the child is conscious, crying, and clinging to her mother. B. weak distal pulses. D. buttocks, Answer: A Use the proper word to complete each of the following blanks: 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. D. Inexperience and poor judgment are rare causes of pediatric trauma. Question Type: General Knowledge D. absent urine output. A. estimate the child's weight based on age. Page: 1186. C. 5 A. cyanosis. B. tightly secure the oxygen mask straps to the face. D. allowing the child to remain with her mother and applying a nasal cannula. B. C. a law enforcement officer must be present. Which of the following findings is LEAST suggestive of child abuse? queensland figure skating. Question Type: General Knowledge Her skin is pink and dry, and her heart rate is 120 beats/min. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: A. warm, dry skin. An infant of this age is also developmentally ready for other foods. Answer: B Before assessing the respiratory adequacy of an semiconscious infant or child, you must: The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: Question Type: General Knowledge D. twisting injuries are more common in children. A 6-month-old male presents with 2 days of vomiting and diarrhea. small toy. 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. Immediate transport is indicated for a child when he or she: The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: C. skin condition, respiratory rate, and level of alertness. A 2-year-old female has experienced a seizure. B. Answer: D 89. B. SIDS is most commonly the result of an overwhelming infection. A. sunken fontanelles. What is the threshold of blood volume loss in children?