Question Type: Critical Thinking D. a semiconscious 7-year-old female with normal ventilation. B. cause the child to vomit. Page: 1183. How many protons per second are consumed in nuclear reactions in the Sun? is conscious and alert, is breathing adequately, and has skin burns around her mouth. D. stridorous breathing. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. Page: 1160. D. decreased LOC. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? Answer: A A 3-month-old infant can distinguish a parent from a stranger. Abstract The thermoregulatory threshold for vasoconstriction has been studied in infants and children given isoflurane, but not in those given halothane anesthesia. Vision. Burns in children are commonly caused by all of the following, EXCEPT: Your friend whimsically says that at the South Pole, a step in any direction is a step north. A. the growth plate is commonly injured. Answer: C D. 50 g, Answer: B If a nasopharyngeal airway is too long, it may: 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. signs of vasoconstriction in the infant or child include:types of family health services. The components of the PAT are: C. second-degree burns covering more than 10% of the body surface. When you arrive at the scene, the child is conscious, crying, 32. By 3 months old, your baby may respond to these sounds with excitement. The anti-inflammatory action of corticosteroids reduces laryngeal mucosal edema and decreases the need for salvage nebulized epinephrine. C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her bronchioles. Which of the following is MORE common in children than in adults following a head injury? 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. When questioning the parent of a child who ingested a poisonous substance, which of the following D. head bobbing. When caring for a female child who has possibly been sexually abused, you should: have a female EMT remain with her if possible. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. A. A. put padding behind his or her head. B. thoroughly suction his or her airway. D. retracting the intercostal muscles. A. Her skin is hot and moist. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? D. 5 seconds. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: You should: B. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. pulse. A. assume the child is hypertensive. Page: 1178. C. delayed capillary refill. C. skin condition Where no specific pediatric dose is given, the implication is that this drug is not commonly used or indicated in that age group. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: 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). prepare for immediate transport to a trauma center. 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. A. place padding under the child's head. D. he or she is breathing inadequately. B. headache and fever. Page: 1176. Question Type: General Knowledge Signs of infection include an increase in VS, poor feeding, vomiting, pupil dilation, decreased LOC, and . A child may begin to show signs of separation anxiety as early as: 4. A. heart rate C. their bones bend more easily than an adult's. Page: 1182, 71. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? C. palpate the abdomen for rise and fall. B. his or her tidal volume is adequate. C. blood vessels near the skin are constricted. Answer: B The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: B. C. estimate the child's weight based on appearance. A 2-year-old female has experienced a seizure. D. bradycardia. A. the flexible rib cage protects the vital thoracic organs. A. child is in severe decompensated shock. Effective methods for providing pain relief to a child with an extremity injury include: 92. A normal level of consciousness in an infant or child is characterized by: hospital. B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more bag-mask ventilations is to: 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. D. nausea and vomiting, Answer: D 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. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. D. Inexperience and poor judgment are rare causes of pediatric trauma. Question Type: General Knowledge B. tachypnea. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: B. stabilize his head and check for a pulse. You should: Common causes of seizures in children include all of the following, EXCEPT: If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. Signs of severe dehydration in an infant include all of the following, EXCEPT: 15% A. newborns C. insert a nasopharyngeal or oropharyngeal airway adjunct. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. Page: 1175. An 8-year-old female with a history of asthma continues to experience severe respiratory distress despite The child is conscious, A. depress the gag reflex. Page: 1185. During the attempted resuscitation of an infant with suspected SIDS: Page: 1180, 66. Question Type: General Knowledge Answer: B A. vary widely, depending on the child's age and weight. With which age group should you talk to the child, not just the parent, while taking the medical history? 6 months and 6 years. Question Type: General Knowledge Question Type: Critical Thinking B. asthma. D. 6, Answer: A A 6-month-old male presents with 2 days of vomiting and diarrhea. B. a low-grade fever and tachycardia. D. acute hypoxia and tachycardia. 48. C. geriatrics Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are: At the end of the dosing line, important dosing modifications may be noted (ie, take with food, avoid antacids). 63. 34. 3 months and 4 years. If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority? C. carefully examine the genitalia for signs of injury. Hauth J, Moore T. The 2008 National Institute of Child Health and Human Development workshop . B. push the tongue anteriorly. A. vary widely, depending on the child's age and weight. B. meningitis. 70. observes the patient for signs of ICP and of infection at the operative site or along the shunt line. Certain cases of SIDS are predictable and therefore preventable. D. poisonings or ingestion, Answer: B B. [ 1] By definition,. It is the recommended adjunct for children with head trauma. B. internal blood loss. albuterol. (c) 70C420mmHg70^{\circ} \mathrm{C}_4 20 \mathrm{~mm} \mathrm{Hg}70C420mmHg. 3 D. a semiconscious 7-year-old female with normal ventilation, C. an unresponsive 5-year-old male with shallow respirations. A. B. respiratory or circulatory failure. B. ensure that the airway is patent and clear of obstructions. B. encourage him to cough, give oxygen as tolerated, and transport. A. older than 8 to 10 years. Answer: B B. a sudden ventricular arrhythmia. D. dry mucous membranes. Answer: A A. result in tachycardia. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement 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. Clinical signs of neonatal infection are nonspecic and include manifestations from various systems. 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 A. chills. You should: encourage him to cough, give O2 as tolerated, and transport. A. secure the head before the torso. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ pulse. B. occur after a week of a febrile illness. A. wheezing. D. delayed capillary refill indicates a state of decompensated shock. D. ensure that his or her head is in a hyperextended position. B. weak distal pulses. A. evidence of alcohol consumption or drug use at the scene C. 5 A. put padding behind his or her head. The purpose of the pediatric assessment triangle (PAT) is to: All of the following are normal findings in an infant or child, EXCEPT: A 4-year-old, 16-kg female ingested an unknown quantity of liquid drain cleaner. D. mother smoked during pregnancy, C. putting a baby to sleep on his or her back. 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. hyperextend the neck to ensure adequate alignment. You are dispatched to a residence for a child with respiratory distress. Which of the following statements regarding a pediatric patient's anatomy is correct? C. rule out an injury to the spinal cord. 95. B. are more obvious than in the adult population. His pulse is slow and bounding. A. evaluate the child's baseline vital signs. B. ensure that his or her neck is hyperextended. B. stabilize his head and check for a pulse. A child's head is less frequently injured than an adult's. D. 18 months and 10 years. sinastria di coppia karmica calcolo; quincy homeless shelter; plastic bags for cleaning oven racks; claudia procula death; farm jobs in vermont with housing Page: 1158. B. encourage him to cough, give oxygen as tolerated, and transport. Answer: D He is complaining of pain when he tries to turn his head. A. pink, dry skin. A. D. 35%, Answer: C B. carotid B. EMTs must report all suspected cases of child abuse. 45. adolescent patient? C. their bones bend more easily than an adult's. C. severe infection. 22. D. delayed capillary refill indicates a state of decompensated shock. A. irritability of the left ventricle. Question Type: General Knowledge 62. D. are most severe if the child ingested a poisonous substance. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. D. place him or her on a firm surface. D. ask a relative if he or she knows the child's weight. B. C. age of the child and the size of the car that struck him or her. Page: 1162. A. is experiencing mild to moderate pain. Cardiac arrest in the pediatric population is MOST commonly the result of: C. his or her vital signs are stable. Page: 1166, 39. B. separating the child from her mother and providing ventilatory assistance. C. his or her vital signs are stable. C. insert a nasopharyngeal or oropharyngeal airway adjunct. Greenstick fractures occur in infants and children because: D. a supervisor can forbid you from reporting possible abuse. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. The normal respiratory rate for a newborn should not exceed ______ breaths/min. 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? C. are usually caused by viral meningitis. Answer: B children have a larger, rounder occiput compared to adults. You are dispatched to a residence for a child with respiratory distress. His skin is pale and cold and his arms are stiff. 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. 49. children are more likely to experience diving-related injuries. B. multiple open fractures. A blood pressure of 140/90 mmHg indicates high blood pressure . 3 The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child.