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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. When assessing or treating an adolescent patient, it is important to remember that: A. they usually do not wish to be observed during a procedure. D. observe the chest for adequate rise. 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. D. Blanching of the nares after insertion indicates correct placement. B. retracting. A. depress the gag reflex. 3 He is complaining of pain when he tries to turn his head. following questions would be of LEAST pertinence? A common cause of shock in an infant is: When questioning the parent of a child who ingested a poisonous substance, which of the following Children with N meningitides would MOST likely present with: D. is most appropriate when your transport time is short. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head Which of the following is MORE common in children than in adults following a head injury? Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. Answer: B Wheezing. B. weak distal pulses. D. The cause of death following SIDS can be established by autopsy. C. an ineffective cough. The MOST accurate method for determining if you are delivering adequate tidal volume to a Stridor. A. child abuse must be reported only if it can be proven. A. mother younger than 20 years D. there is usually obvious injury to the external chest wall. B. EMTs must report all suspected cases of child abuse. A. an oral airway has been inserted. shock. Question Type: General Knowledge 61. D. are most severe if the child ingested a poisonous substance. 50. 80. Answer: A D. decreased LOC. Which of the following is the LEAST reliable assessment parameter to evaluate when Pale skin in a child indicates that the: Page: 1171. bronchioles. C. avoiding the placement of a splint, if possible. D. swimming pools. You should: D. 98 mm Hg. They are rarely used in infants younger than 1 year. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: B. his or her tidal volume is adequate. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: B. stabilize his head and check for a pulse. When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. level of activity is decreased. D. suspect that the child has meningitis and transport at once. Bratteby LE (1968) Studies on . During the attempted resuscitation of an infant with suspected SIDS: D. retracting the intercostal muscles. He is unresponsive and there are no signs of breathing. spinal precautions, and transport. A. determine if the child's vital signs are within the age-appropriate limits. A. chills. D. swimming pools. When a child faints, the blood supply and the oxygen that blood brings to the brain is temporarily reduced. B. encourage him to cough, give oxygen as tolerated, and transport. 100. D. refusal to drink fluids. B. monitor her airway and give oxygen. A. spinal cord injury The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Select one: A. a stiff or painful neck. When caring for a female child who has possibly been sexually abused, you should: have a female EMT remain with her if possible. A. irritability of the left ventricle. 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. B. push the tongue anteriorly. D. accessory muscle use. C. facilitate a rapid head-to-toe assessment of the child by visualization only. Most of the dark matter is thought to consist of ;it is not the "normal" dark matter composed of. neutrons, protons, and electrons. 20 g Pediatric Respiratory Acidosis - Medscape With regard to the legal implications of child abuse: B. child abuse. Page: 1176. 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. B. awareness to place, pink and dry skin, and consistent eye contact. A. tenting. B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? D. activity, respiratory quality, and level of consciousness. Page: 1192. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of signs of vasoconstriction in the infant or child include: D. has a history suggestive of a serious illness. D. experiencing cardiopulmonary arrest. D. 18 months and 10 years. D. depress the tongue with a tongue depressor. Answer: D When you arrive at the scene, the child is conscious, crying, D. child's core body temperature is elevated. Children are more likely to experience diving-related injuries. The child is conscious, obviously frightened, and is A. proportionately larger and situated more anteriorly. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a Vasoconstriction: What Is It, Symptoms, Causes & Treatment Accueil > ; Non class; signs of vasoconstriction in the infant or child include: signs of vasoconstriction in the infant or child include: 1 March 2022 D. ensure that his or her head is in a hyperextended position. D. a supervisor can forbid you from reporting possible abuse. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. Answer: B B. the flexible ribs can be compressed without breaking. B. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. To ensure that the airway of an infant or small child is correctly positioned, you may have to: A. Question Type: General Knowledge Page: 1195. EMT Chapter 34: Pediatric Emergencies Flashcards | Quizlet Question Type: General Knowledge A. the growth plate is commonly injured. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. b. abnormal breath sounds. D. 35%, Which of the following is the LEAST reliable assessment parameter to evaluate when determining the Answer: B A. A. sexual activity Answer: B A. proportionately larger and situated more anteriorly. A. the car seat is visibly damaged. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. Page: 1164. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. D. age-appropriate behavior, good muscle tone, and good eye contact. Which of the following is NOT a known risk factor of SIDS? D. immediately report your suspicions to the parents. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if Hyperthermia differs from fever in that it is an increase in body temperature: Answer: C Which of the following statements regarding spinal injuries in pediatric patients is correct? Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, Page: 1185. Authors Channel Summit. Which of the following inquiries should you make in private when obtaining a SAMPLE and perform a secondary assessment. D. he or she is breathing inadequately. B. push the tongue anteriorly. 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. 89. 13. B. a low-grade fever and tachycardia. She is conscious, but clearly restless. B. dehydration from vomiting and diarrhea. B. observe the child's skin color. Thermoregulatory thresholds for vasoconstriction in pediatric - PubMed 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. D. refusal to drink fluids. A. croup. Vision. 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. 12. 22. Which of the following groups of people is associated with the lowest risk of meningitis? You should: Which of the following statements regarding the use of nasopharyngeal airways in children is Nesacaine CHLOROPROCAINE HYDROCHLORIDE 10 mg/mL General Injectables C. stimulate the vagus nerve. Answer: C 5% You are assessing a 6-year-old boy who has a fever of 102 and is showing signs of altered LOC. Answer: C Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? Febrile seizures are MOST common in children between the ages of: Which of the following statements regarding a 3-month-old infant is correct? B. visualize the child's airway. Which of the following is NOT a known risk factor of SIDS? Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her Which of the following statements regarding preschool-age children is correct? B. scalding water in a bathtub. C. vomiting and diarrhea. D. age-appropriate behavior, good muscle tone, and good eye contact. A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. 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. Question Type: Critical Thinking B. B. moderate dehydration. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. B. respiratory or circulatory failure. He is responsive to painful stimuli only and has a large hematoma on the back of his head. B. past medical history D. 5 seconds. EMTs are assessing a 2-year-old child who was riding in a car seat when the vehicle struck a tree while traveling at 45 MPH. Febrile seizures are MOST common in children between: 58. 81. A. child is in severe decompensated shock. His pulse is slow and bounding. A. wheezing. C. the sudden force against the ribs causes them to fracture. B. 78. B. tachypnea. Bacterial infection is a life-threatening complication that sometimes necessitates shunt removal. B. Page: 1170. D. an altered mental status. Answer: C Answer: A Which of the following findings is LEAST suggestive of child abuse? pulse. With which age group should you talk to the child, not just the parent, while taking the medical history? A. evidence of alcohol consumption or drug use at the scene C. his or her vital signs are stable. children are more likely to experience diving-related injuries. C. rule out an injury to the spinal cord. A. cherry-red spots or a purplish rash. B. SIDS is most commonly the result of an overwhelming infection. The purpose of the pediatric assessment triangle (PAT) is to: A. older than 8 to 10 years. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: Infant and young child feeding - World Health Organization D. observe the chest for adequate rise. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: Objective This study evaluated the ability of ELBW infants . Question Type: General Knowledge When you stimulate the child, she responds. 54. Page: 1187, 87. When you arrive at the scene, the child is conscious, crying, and clinging to her mother. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: 11. 83. Vasoconstriction can cause the following: Pale skin Tingling feeling in fingers and/or toes Numbness in extremities Cramps Headaches Imbalance Partial vision loss or blurred vision Increased. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. What immediate effects does alcohol have on the body? Using the discussion earlier, answer the questions below: b. The EMT should be MOST concerned when a child presents with fever and: C. delayed capillary refill. What is the threshold of blood volume loss in children? D. assess the child's heart rate and skin condition. A. appearance, work of breathing, and skin circulation. Page: 1182. 63. A. he or she presents with: C. skin condition hospital. You should: C. belly breathing. A. cyanosis. PEDS Review - FINAL EXAM REVIEW FOR PEDIS 1 AND FEARS THAT CHILD HAVE 20 g C. skin condition, respiratory rate, and level of alertness. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. The first month of life after birth is referred to as the: 2. When caring for a female child who has possibly been sexually abused, you should: sinastria di coppia karmica calcolo; quincy homeless shelter; plastic bags for cleaning oven racks; claudia procula death; farm jobs in vermont with housing B. positioning, ice packs, and emotional support. C. a rapid heart rate. 17. Critical burns in children include: Familial dysautonomia (FD), also known as Riley-Day syndrome, is a rare, progressive, recessive genetic disorder of the autonomic nervous system that affects the development and survival of sensory, sympathetic, and some parasympathetic neurons in the autonomic and sensory nervous system.. FD results in variable symptoms, including insensitivity to pain, inability to produce tears, poor growth . If appropriate dosing for children and infants is included with age ranges as needed. Which of the following is MORE common in children than in adults following a head injury? Bulcao et al., 2000; Cheng et al., 1995; Daanen, 1996; Grahn et al., 1998). C. insert it until the flange rests on the teeth. A. is a rapid head-to-toe exam to detect life threats. C. hypothermia and an irregular pulse. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, and perform a secondary assessment. C. Most cases of SIDS occur in infants younger than 6 months. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: D. mother smoked during pregnancy, C. putting a baby to sleep on his or her back. B. ensure that his or her neck is hyperextended. A. older than 8 to 10 years. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement 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 . D. brisk capillary refill. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of 1. D. height of the child and the speed at which the car was traveling. His pulse is slow and bounding. Page: 1175. Greenstick fractures occur in infants and children because: 6 years. You should: encourage him to cough, give O2 as tolerated, and transport. C. assuming a tripod position. C. severe infection. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? Before assessing the respiratory adequacy of an semiconscious infant or child, you must: they can usually identify painful areas when questioned. D. A 3-month-old infant can distinguish a parent from a stranger. C. grunting. What You Should Know About Fainting in Children A. assume the child is hypertensive. A. the growth plate is commonly injured. 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: When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. 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 D. give 12.5 to 25 g of activated charcoal. C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her bronchioles. 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. B. place a towel or folded sheet behind the shoulders. Answer: A D. height of the child and the speed at which the car was traveling. He is unresponsive and there are no signs of breathing. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the Page: 1173. Arch Dis Child 25(123): 242-253. A. routinely suction the mouth to remove oral secretions. Page: 1180, 65. Page: 1188. A. perform abdominal thrusts. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: A. cherry-red spots or a purplish rash. bag-mask ventilations is to: You should: attempt cooling measures, offer oxygen, and transport. Which of the following statements regarding a pediatric patient's anatomy is correct? Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: During the attempted resuscitation of an infant with suspected SIDS: EMT Chapter 30- Abdominal and Genitourinary I, Chapter 33: Obstetrics and Neonatal Care Prac, Julie S Snyder, Linda Lilley, Shelly Collins, N300 -- Cardiac Rehabilitation -- Final Exam. level of activity is decreased. 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: Critical Thinking B. complaining of severe back pain. After your partner stabilizes his head and opens his airway, you assess his breathing C. hyperpnea. signs of vasoconstriction in the infant or child include: 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. Which of the following groups of people is associated with the lowest risk of meningitis? Signs of vasoconstriction in the infant or child include: A) warm, dry skin. Question Type: General Knowledge B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. Question Type: General Knowledge You should: The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. B. rhonchi. This is what is known as an embolus. Page: 1155. B. attempt cooling measures, offer oxygen, and transport. 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. The MOST appropriate treatment for this child includes: administering blow-by O2 and transporting the child with her mother. Answer: A His pulse is slow and bounding. B. ensure that the airway is patent and clear of obstructions. Which of the following statements regarding pediatric trauma is correct? D. become obstructed by mucus. is tachypneic, has sternal retractions, and is clinging to her mother. The mother tells you that the seizure lasted Your friend whimsically says that at the South Pole, a step in any direction is a step north. B. complaining of severe back pain. Page: 1179. Blood pressure is usually not assessed in children younger than _____ years. 19. 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: 1185. B. You should suspect: If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority? B. carotid A common cause of shock in an infant is: A. place bulky padding behind his or her occiput. C. 8 years. C. sunken fontanelles. C. usually present within the first 10 minutes of ingestion. Which of the following groups of people is associated with the lowest risk of meningitis? You should: The child is conscious and appears alert. Greenstick fractures occur in infants and children because: obviously frightened, and is coughing forcefully. C. hyperthermia. B. loss of consciousness A. secure the head before the torso. C. their bones bend more easily than an adult's. D. 10 years. How could you check to see if this is true (without any scraping)? As you approach the child, you note that he is lying at the base of the monkey bars. C. ear pain. Blood pressure is usually not assessed in children younger than _____ years. A. Page: 1156. C. has a possible closed fracture of the radius. The Sun radiates energy into space at the rate of 3.91026J/s3.9 \times 10 ^ { 26 } \mathrm { J } / \mathrm { s }3.91026J/s How does this mass loss arise? C. 4 seconds. Have you noticed any signs or symptoms? She further tells you that her daughter has no history of seizures, but has had a recent ear infection. In moderate to severe disease, corticosteroids improve croup scores within 12-24 hours and decrease hospitalization rates. When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ pulse. Late signs of intracranial pressure that comprise Cushing triad include hypertension with a widening pulse pressure, bradycardia, and abnormal respiration. A. D. ventilate the child with sharp, quick breaths at the appropriate rate. B. should be performed, regardless of the circumstances. signs of vasoconstriction in the infant or child include: D. capillary refill, Answer: B The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. D. 35%, Answer: C A. alcohol. The normal respiratory rate for a newborn should not exceed ______ breaths/min. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. A 4-year-old, 16-kg female ingested an unknown quantity of liquid drain cleaner. C. 25% C. place the child in cold water to attempt to reduce her fever.