Effective methods for providing pain relief to a child with an extremity injury include: Correct D. altered mental status. C. perform a head tilt-chin lift maneuver. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. B. carotid B. ensure that his or her neck is hyperextended. Question Type: General Knowledge A. is experiencing mild to moderate pain. C. avoiding the placement of a splint, if possible. Answer: B D. age-appropriate behavior, good muscle tone, and good eye contact. A. newborns You should suspect: The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: Where no specific pediatric dose is given, the implication is that this drug is not commonly used or indicated in that age group. C. usually present within the first 10 minutes of ingestion. Blood pressure is usually not assessed in children younger than _____ years. B. have a female EMT remain with her if possible. D. child's core body temperature is elevated. Increased respiratory effort is often the distinguishing characteristic that sets cardiogenic shock apart from other forms of shock. C. age of the child and the size of the car that struck him or her. C. monitor the pulse oximeter reading. A. mild dehydration. Page: 1180, 65. B. slide the device under the child. B. respiratory or circulatory failure. following questions would be of LEAST pertinence? A. secure the head before the torso. C. facilitate a rapid head-to-toe assessment of the child by visualization only. Which of the following statements regarding pediatric trauma is correct? The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. A. begin immediate rescue breathing. B. size of the child and the height of the bumper upon impact. 48. 6, 12 C. hyperthermia. B. separating the child from her mother and providing ventilatory assistance. C. consistency in the method of injury reported by the caregiver C. hypothermia and an irregular pulse. A. spinal cord injury C. perform a hands-on assessment of the ABCs. 84. B. females Her skin is pink and dry, and her heart rate is 120 beats/min. A. heart rate A 4-year-old, 16-kg female ingested an unknown quantity of liquid drain cleaner. C. are usually caused by viral meningitis. D. children with shunts. C. seizures and hypoxia C. facilitate a rapid head-to-toe assessment of the child by visualization only. They are rarely used in infants younger than 1 year. [ 1] By definition,. D. 18 months and 10 years. 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? Page: 1156. B. stabilize his head and check for a pulse. A. appearance, work of breathing, and skin circulation. B. his or her blood pressure falls with as little as 5% blood loss. B. positioning, ice packs, and emotional support. C. exposure to caustic chemicals. A mixture of sperm and fluids is called _____. 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. Question Type: General Knowledge 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. Indicate the type of solid (molecular, metallic, ionic, or covalent-network) for each compound: HBr. How many protons per second are consumed in nuclear reactions in the Sun? A child who has no recent history of illness suddenly appears cyanotic and cannot speak after The normal respiratory rate for a newborn should not exceed ______ breaths/min. B. A. pink, dry skin. Answer: C Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? A. bleeding in the brain. Page: 1196, 103. b. abnormal breath sounds. C. carefully examine the genitalia for signs of injury. You are dispatched to a residence for a child with respiratory distress. of the head. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. When assessing an infant's ventilation status, you should: history from an adolescent patient? an unresponsive 5yearold male with shallow respirations. B. visualize the child's airway. You should: D. depress the tongue with a tongue depressor. A. 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. A. sexual activity Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? A. newborns 55. d. an absence of breath sounds. toy into his mouth shortly before the episode began. D. heat compresses and lowering the injured extremity. D. 18 months and 10 years. 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. D. acute hypoxia and tachycardia. D. is most appropriate when your transport time is short. A. mother younger than 20 years A. Page: 1158-1159. A. place padding under the child's head. C. conclude that the child is stable. D. acute hypoxia and tachycardia. Before assessing the respiratory adequacy of an semiconscious infant or child, you must: C. slightly flex the neck to prevent tracheal kinking. What should you use the Wong-Baker FACES scale to determine? Febrile seizures are MOST common in children between: 63. 6. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. B. B. Question Type: General Knowledge Or your baby may quiet to listen to your voice. C. their bones bend more easily than an adult's. D. hyperglycemia. D. give 12.5 to 25 g of activated charcoal. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: His mother states that she saw him put a small toy into his mouth shortly before the episode began. D. immediately report your suspicions to the parents. 4 years. Page: 1161. Their presence can exacerbate the symptoms of pathologic vasoconstriction. When inserting an oropharyngeal airway in an infant or child, you should: B. use a length-based resuscitation tape measure. A. allow the mother to drive her daughter to the hospital. An infant of this age is also developmentally ready for other foods. Answer: A D. suspect that the child has meningitis and transport at once. After using the PAT to form your general impression of a sick or injured child, you should: B. weak distal pulses. They are rarely used in infants younger than 1 year. C. excessive tachycardia. B. D. may indicate a serious underlying illness. 22. 99. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. C. a congenital cardiovascular defect. Which of the following statements regarding pediatric trauma is correct? A. requesting a paramedic ambulance to insert an advanced airway device. Page: 1187. B. place a towel or folded sheet behind the shoulders. C. Children are more likely to experience diving-related injuries. She is receiving high-flow oxygen via a nonrebreathing mask. Question Type: General Knowledge 26. B. child abuse. A. cyanosis. A. vary widely, depending on the child's age and weight. When caring for a female child who has possibly been sexually abused, you should: B. burns to the hands or feet that involve a glove distribution 74. Question Type: General Knowledge B. squeeze the bag 40 times/min when ventilating an infant. signs of vasoconstriction in the infant or child include: A. secure the head before the torso. Question Type: General Knowledge Question Type: General Knowledge B. should be performed, regardless of the circumstances. B. stabilize his head and check for a pulse. 12.5 g 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? Signs of vasoconstriction in the infant or child include: A. warm, dry skin. D. an unexplained delay in seeking medical care after the injury, Answer: C D. a headache. As you approach the child, you note that he is lying at the base of the monkey bars. If such a range finder is to determine a distance of 100m100 \mathrm{~m}100m to within 1cm1 \mathrm{~cm}1cm, what is the maximum permitted error in the measurement of the travel time? A. place bulky padding behind his or her occiput. D. ensure that his or her head is in a hyperextended position. B. scalding water in a bathtub. via a nonrebreathing mask. C. second-degree burns covering more than 10% of the body surface. A. monitor the child's heart rate. B. asthma. Which of the following children would benefit the LEAST from a nonrebreathing mask? A. When you arrive, you determine that the infant is apneic and pulseless. prepare for immediate transport to a trauma center. Her skin is pink and dry, and her heart rate is 120 beats/min. Page: 1159. Page: 1170. Page: 1197, EMT Chapter 33- Obstetrics & Neonatal Care eB, EMT Chapter 33: Obstetrics and Neonatal Care, Julie S Snyder, Linda Lilley, Shelly Collins, Winningham's Critical Thinking Cases in Nursing, Barbara A Preusser, Julie S Snyder, Mariann M Harding. Which of the following statements regarding a pediatric patient's anatomy is correct? 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. 24. A. radial 35. Question Type: General Knowledge B. a weak cough. a 3-month-old infant can distinguish a parent from a stranger. Page: 1169. Answer: D D. 10 years. B. headache and fever. B. D. open his airway and look in his mouth. D. Blanching of the nares after insertion indicates correct placement. D. wheezing. approximately 5 minutes. Page: 1195. A. put padding behind his or her head. A. typically last less than 30 minutes. D. observe the chest for adequate rise. Heart rate may not reflect the severity of blood loss due to compensatory vasoconstriction and constriction. He is conscious, but his B. Page: 1183. B. A. croup. You should: 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. 70. Which of the following statements regarding spinal injuries in pediatric patients is correct? Question Type: General Knowledge C. rule out an injury to the spinal cord. A. Page: 1176, 57. Stroke volume is determined by preload, cardiac contractility, and afterload. Question Type: General Knowledge Question Type: General Knowledge A. child abuse. A sound heard in the upper airway when the child breathes in. most cases of SIDS occur in infants younger than 6 months. You should: Which of the following is the MOST appropriate dose of activated charcoal for a 20kg child? Page: 1186. Febrile seizures are MOST common in children between the ages of: Which of the following statements regarding a 3-month-old infant is correct? A. wheezing. C. the sudden force against the ribs causes them to fracture. B. have a female EMT remain with her if possible. 3 She is conscious, but clearly restless. Answer: B Signs of vasoconstriction in the infant or child include: C. carefully examine the genitalia for signs of injury. A. profound tachycardia. D. may indicate a serious underlying illness. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: B. drooling or congestion. 3 seconds. A. separating the child from his or her parents. Question Type: General Knowledge Her skin is hot and moist. 5% A. place her supine and elevate her legs. She further tells you that her daughter has no history of seizures, but has had a Blood flow is delayed or halted as blood vessels close. A. determine if the child's vital signs are within the age-appropriate limits. A. place oxygen tubing through a hole in a paper cup. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. being given multiple doses of her prescribed albuterol by her mother. A. Stridor. 95. 88. 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. You should: The vital signs of Patient X include a body temperature of 37 degrees Celsius, heart rate of 80 bpm, a pulse of 80 bpm, respiratory rate of 20 breaths per minute, and blood pressure of 140/90 mmHg. D. open his airway and look in his mouth. C. vomiting and diarrhea. B. a weak cough. Hyperthermia differs from fever in that it is an increase in body temperature: Page: 1190. A. infection. D. epiglottitis. The child is conscious and appears alert. B. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. A. infection. A. cyanosis. You are dispatched to a local elementary school for an injured child. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: D. an altered mental status. D. superficial burns covering more than 10% to 15% of the body surface. Which of the following statements regarding a 3-month-old infant is correct? 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. caused by the inability of the body to cool itself. Page: 1193-1194, 97. Page: 1186. D. heat compresses and lowering the injured extremity. D. has a history suggestive of a serious illness. C. grunting. Children are less likely than adults to be struck by a car. C. assuming a tripod position. C. deliver a series of five back blows and then reassess his condition. Question Type: General Knowledge B. encourage him to cough, give oxygen as tolerated, and transport. When interventions are not provided to prevent hypothermia, the infant exhibits irritability, excessive motor activity, tachycardia, bradycardia, respiratory distress, cyanosis, skin mottling, or. Answer: B C. palpate the abdomen for rise and fall. A. a cardiac arrhythmia. A. C. 12, 4 Answer: B B. obtain a SAMPLE history from the parents. Answer: D C. hyperpnea. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full spinal precautions, and transport. 101. signs of vasoconstriction in the infant or child include: post oak toyota commercial actors . This acute mediastinitis from esophageal rupture. A. shins 12.5 g B. are more obvious than in the adult population. Which of the following statements regarding pediatric trauma is correct? 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. 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. D. duration of symptoms. 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. B. ensure that the airway is patent and clear of obstructions. D. secure the torso before the head. wreck in west monroe, la today. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? 29. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? After determining that an infant or child has strong central pulses, you should: Answer: B hospital. In a normal adult, greater than 30% to 40% of blood volume loss significantly increases the risk of shock. A blood pressure of 140/90 mmHg indicates high blood pressure . 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. change in bladder habits You are dispatched to a residence for a child with respiratory distress. Question Type: General Knowledge A. A. quiet breathing. C. sunken fontanelles. Bacterial infection is a life-threatening complication that sometimes necessitates shunt removal. 16 Signs of vasoconstriction in the infant or child may include a Warm dry skin from MEDICAL TE 24 at North Seattle College B. weak distal pulses. 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 3 seconds. D. 70, Which of the following inquiries should you make in private when obtaining a SAMPLE history from an Early signs of respiratory distress in the child include: A. the growth plate is commonly injured. 46. level of activity is decreased. Hyperthermia differs from fever in that it is an increase in body temperature: Vision. rate is 120 beats/min. D. give 12.5 to 25 g of activated charcoal. A. assume the child is hypertensive. D. ensure that his or her head is in a hyperextended position. Referring to Figure 9.5, state what phase(s) is (are) present at A 2-year-old female has experienced a seizure. Submersion injuries in the adolescent age group are MOST commonly associated with: Which of the following statements regarding pediatric trauma is correct? B. allow the family to observe if they wish. B. the flexible ribs can be compressed without breaking. D. he or she is breathing inadequately. C. restlessness. children have a larger, rounder occiput compared to adults. C. may not be possible if the child's condition is critical. 100. Page: 1179. D. Do you know what substance was ingested? C. caused by inflammation of the spinal cord. Central chest pain following prolonged vomiting usually with circulatory collapse. A. routinely suction the mouth to remove oral secretions. When you arrive at the scene, the child is conscious, crying, and clinging to her mother. 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) Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: A. intercostal muscles are not well developed. C. geriatrics Question Type: General Knowledge What time did the ingestion occur? Findings from the r espiratory system include apnea, cyanosis, grunt- During the attempted resuscitation of an infant with suspected SIDS: B. past medical history Which of the following is NOT a known risk factor of SIDS? You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital.
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