prepare for immediate transport to a trauma center. Answer: A Question Type: Critical Thinking Question Type: General Knowledge Answer: D The secondary assessment of a sick or injured child: B. females B. secondary to a severe bacterial infection. Common causes of seizures in children include all of the following, EXCEPT: More importantly, the effect of vasoconstriction on central temperature in pediatric patients remains unknown. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. B. squeeze the bag 40 times/min when ventilating an infant. A. C. your assessment will most often reveal bruising to the abdomen. A. evaluate the child's baseline vital signs. A. radial D. hypovolemic shock. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: severe hypoxia and bradycardia. B. wheezing. 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. lower in the abdominal cavity, where the muscles are not as strong. Abstract The thermoregulatory threshold for vasoconstriction has been studied in infants and children given isoflurane, but not in those given halothane anesthesia. B. positioning, ice packs, and emotional support. Background ELBW infants are vulnerable to cold stress during the transition from delivery room to intensive care. As you approach the child, you note D. lethal cardiac rhythm disturbances. B. females Use the proper word to complete each of the following blanks: Stridor. signs of vasoconstriction in the infant or child include: A 6-month-old male presents with 2 days of vomiting and diarrhea. B. rule out hypoxia if cyanosis is absent. 83. 96. D. child's core body temperature is elevated. Most cases of SIDS occur in infants younger than 6 months. D. popliteal, Answer: C C. 8 months and 8 years. A. cherry-red spots or a purplish rash. D. place the child in a supine position and perform abdominal thrusts. putting a baby to sleep on his or her back. history from an adolescent patient? C. face B. place a towel or folded sheet behind the shoulders. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A) sunken fontanelles. Page: 1180, 65. D. poisonings or ingestion. Question Type: General Knowledge 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. As the heart beats to push blood through these narrowed vessels, the increased pressure and resistance can dislodge a plaque, allowing it to travel through the bloodstream. You are dispatched to a local elementary school for an injured child. D. suspect that the child has meningitis and transport at once. A. assume the child is hypertensive. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. following questions would be of LEAST pertinence? for this exercise will be based on the following: Adhere to 6 months and 6 years. B. weak distal pulses. D. activity, respiratory quality, and level of consciousness. C. Children are more likely to experience diving-related injuries. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: D. a generalized rash with intense itching. Page: 1187. When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. ________ pulse. Clinical #1 Flashcards | Chegg.com Nesacaine CHLOROPROCAINE HYDROCHLORIDE 10 mg/mL General Injectables D. an altered mental status. He is unresponsive and there are no signs of breathing. C. palpate the abdomen for rise and fall. D. 98 mm Hg. C. 60 Answer: B A. a cardiac arrhythmia. signs of vasoconstriction in the infant or child include: D. 18 months and 10 years. Explain the meanings of the following terms: quadratic damping, complex stiffness, transmissibility, beating, and quality factor. Page: 1174. D. give oxygen and transport at once. B. use a length-based resuscitation tape measure. Thousands of new, high-quality pictures added every day. C. bulging fontanelles. B. are more obvious than in the adult population. D. give detailed updates to the infant's parents. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: In moderate to severe disease, corticosteroids improve croup scores within 12-24 hours and decrease hospitalization rates. Death caused by shaken baby syndrome is usually the result of: Page: 1165. C. restlessness. signs of vasoconstriction in the infant or child include: signs of vasoconstriction in the infant or child include: B. 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). should: D. there is usually obvious injury to the external chest wall. C. an unresponsive 5-year-old male with shallow respirations When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. (PDF) Fighting Antimicrobial Resistance in Neonatal Intensive Care Using the discussion earlier, answer the questions below: b. . A. speed at which the car was traveling when impact occurred. 68. B. back an unresponsive 5yearold male with shallow respirations. B. moderate dehydration. Question Type: General Knowledge B. Page: 1192. Answer: D The components of the PAT are: B. What immediate effects does alcohol have on the body? B. allow you to rapidly and visually form a general impression of the child. Answer: D 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? With regard to the legal implications of child abuse: Guiding principles for appropriate complementary feeding are: continue frequent, on-demand breastfeeding until 2 years of age or beyond; 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 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: 1195, 98. 48. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: B. have a female EMT remain with her if possible. C. skin that is cool and dry. Page: 1173. Submersion injuries in the adolescent age group are MOST commonly associated with: Which of the following statements regarding pediatric trauma is correct? 28. A. high fever. When caring for a female child who has possibly been sexually abused, you should: Question Type: General Knowledge 86. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. 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. perform abdominal thrusts. D. 70, Answer: A A. perform abdominal thrusts. Question Type: General Knowledge B. separating the child from her mother and providing ventilatory assistance. D. cardiovascular disease. Question Type: General Knowledge Where no specific pediatric dose is given, the implication is that this drug is not commonly used or indicated in that age group. He is unresponsive and there are no signs of breathing. C. slightly flex the neck to prevent tracheal kinking. C. They are usually not well tolerated in children with a gag reflex. D. an unexplained delay in seeking medical care after the injury, Answer: C The EMTs should: remove the child from the car seat and secure both him and his mother to the stretcher. C. pad underneath the child's head. Answer: B 22. His mother states that she saw him put a small toy into his mouth shortly before the episode began. 33. B. their bones are more brittle than an adult's. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after In general, signs of blood loss include pale mucous membranes, prolonged capillary re-fill time, progressive mental deterioration, tachypnea, hypothermia, poor pulse quality (narrow pulse pressure), and cold extremities and also reflects . C. has a possible closed fracture of the radius. Page: 1161. 1. C. delayed capillary refill. 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. C. monitor the pulse oximeter reading. The normal respiratory rate for a newborn should not exceed ______ breaths/min. The MOST appropriate treatment for this child includes: B. size of the child and the height of the bumper upon impact. vacation rental inspector job description C. a congenital cardiovascular defect. Answer: A D. place the child in a supine position and perform abdominal thrusts. 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) When administering oxygen to a frightened child, it would be MOST appropriate to: place oxygen tubing through a hole in a paper cup. Question Type: Critical Thinking After determining that an infant or child has strong central pulses, you should: The components of the PAT are: D. suspect that the child has meningitis and transport at once. C. their bones bend more easily than an adult's. Greenstick fractures occur in infants and children because: B. dehydration from vomiting and diarrhea. 32. Early signs of respiratory distress in the child include: A 2-year-old female has experienced a seizure. D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. C. have a parent restrain the child as you give oxygen. 5% A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: D. 98 mm Hg. C. delayed capillary refill. The anti-inflammatory action of corticosteroids reduces laryngeal mucosal edema and decreases the need for salvage nebulized epinephrine. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. Infant and young child feeding - World Health Organization 60. A. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. Page: 1183. D. mild respiratory distress. B. past medical history Question Type: General Knowledge D. activity, respiratory quality, and level of consciousness. D. heat compresses and lowering the injured extremity. 88 mm Hg C. perform a hands-on assessment of the ABCs. C. Children are more likely to experience diving-related injuries. D. 35%, Answer: C If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. All of the following are normal findings in an infant or child, EXCEPT: C. severe hypoxia and bradycardia. A. sunken fontanelles. 84. Which of the following is NOT a known risk factor of SIDS? 101. queensland figure skating. Page: 1196, 103. Answer: C and clinging to her mother. C. retractions. B. scalding water in a bathtub. C. They are usually not well tolerated in children with a gag reflex. He is unresponsive and there are no signs of breathing. D. entrapment in a structural fire. Page: 1162. C) A child's chest wall has proportionately more subcutaneous fat on the chest. Answer: D Page: 1180, 66. children have a larger, rounder occiput compared to adults. D. experiencing cardiopulmonary arrest. B. a responsive 6-year-old male who responds appropriately Children are more likely to experience diving-related injuries. Hyperthermia differs from fever in that it is an increase in body temperature: B. his or her blood pressure falls with as little as 5% blood loss. 2, 4 A. excessive tearing. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her These highlights do not include all the information needed to use C. monitor the pulse oximeter reading. B. visualize the child's airway. Question Type: Critical Thinking Answer: B Page: 1176, 57. Answer: B B. B. multiple open fractures. D. abnormal airway noise. C. estimate the child's weight based on appearance. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: What does respiratory syncytial virus (RSV) cause? It is the recommended adjunct for children with head trauma. Page: 1190. D. caused by the inability of the body to cool itself. A. place oxygen tubing through a hole in a paper cup. A. appearance, work of breathing, and skin circulation. B. his or her blood pressure falls with as little as 5% blood loss. D. become obstructed by mucus. Your assessment reveals that she signs of vasoconstriction in the infant or child include Thermoregulatory thresholds for vasoconstriction in pediatric - PubMed A. shins B. C. skin condition, respiratory rate, and level of alertness. D. give oxygen and transport at once. You should: A. B. a sudden ventricular arrhythmia. A. vary widely, depending on the child's age and weight. B. dehydration from vomiting and diarrhea. If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority? The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the Page: 1164, 37. D. caused by the inability of the body to cool itself. Prime Scholars | Open Access Journals | Peer Reviewed Journals being given multiple doses of her prescribed albuterol by her mother. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? After using the pediatric assessment triangle (PAT) to form your general impression of a sick or injured child, you should: perform a hands-on assessment of the ABCs. D. Inexperience and poor judgment are rare causes of pediatric 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. B. tightly secure the oxygen mask straps to the face. signs of vasoconstriction in the infant or child include: She is receiving high-flow oxygen via a nonrebreathing mask. C. have a parent restrain the child as you give oxygen. C. the sudden force against the ribs causes them to fracture. C. exposure to caustic chemicals. 4 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. Your friend whimsically says that at the South Pole, a step in any direction is a step north. Page: 1186. Page: 1171. C. insert it until the flange rests on the teeth. Answer: C A. bleeding in the brain. His mother states that she saw him put a small To ensure that the airway of an infant or small child is correctly positioned, you may have to: Page: 1162. It happens when smooth muscles in blood vessel walls tighten. 18. of the head. B. burns to the hands or feet that involve a glove distribution D. has a history suggestive of a serious illness. Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: 5. pulse. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Common causes of seizures in children include all of the following, EXCEPT: In most children, febrile seizures are characterized by: generalized tonic-clonic activity, a duration of less than 15 minutes, a short/absent postictal phase. b. abnormal breath sounds. D. height of the child and the speed at which the car was traveling. B. (a) 30C,5mmHg-30^{\circ} \mathrm{C}, 5 \mathrm{~mm} \mathrm{Hg}30C,5mmHg C. crying or combativeness, good muscle tone, and awareness to time. 29. D. he or she even has a minor injury. D. child's core body temperature is elevated. C. perform a hands-on assessment of the ABCs. C. his or her vital signs are stable. C. grunting. Before positioning an infant or child's airway, you should: Which of the following statements regarding preschool-age children is correct? Question Type: General Knowledge 6, 12 Page: 1158. B. C. bronchitis. B. ensure that his or her neck is hyperextended. He is responsive to painful stimuli only and has a large hematoma to the back of his head. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: The MOST appropriate treatment for this child includes: administering blow-by O2 and transporting the child with her mother. Question Type: General Knowledge B. oxygen content in the blood is decreased. C. excessive tachycardia. B. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. D. dry mucous membranes. 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.