C. conclude that the child is stable. Question Type: General Knowledge A. monitor the child's heart rate. A. appearance, work of breathing, and skin circulation. C. the sudden force against the ribs causes them to fracture. Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: 5. B. EMTs must report all suspected cases of child abuse. Blood pressure is usually not assessed in children younger than _____ years. After determining that an infant or child has strong central pulses, you should: Effective methods for providing pain relief to a child with an extremity injury include: positioning, ice packs, and emotional support. C. retractions. C. blood vessels near the skin are constricted. 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. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the D. depress the tongue with a tongue depressor. 4 years. A. is a rapid head-to-toe exam to detect life threats. 27. Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: 60. Answer: B D. ensure that his or her head is in a hyperextended position. D. lethal cardiac rhythm disturbances. Peripheral vasoconstriction is more dependent on core than on skin temperature (cf. c. diminished breath sounds. the back of his head. C. stimulate the vagus nerve. Answer: C is conscious and alert, is breathing adequately, and has skin burns around her mouth. B. moist oral mucosa. A 2-year-old female has experienced a seizure. 55. heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. Nursing Care of a Family With a High-Risk New. C. pad underneath the child's head. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. D. mild respiratory distress. Children are more likely to experience diving-related injuries. C. 60 D. fracture of the cervical spine. The signs and symptoms of poisoning in children: C. are usually caused by viral meningitis. As you approach the child, you note that he is lying at the base of the monkey bars. C. vomiting and diarrhea. Question Type: General Knowledge Question Type: General Knowledge The child is conscious, D. has a history suggestive of a serious illness. D. 98 mm Hg. An infant with severe dehydration would be expected to present with: If a nasopharyngeal airway is too long, it may: A. irritability of the left ventricle. B. positioning, ice packs, and emotional support. A. pink, dry skin. A common cause of shock in an infant is: A. proportionately larger and situated more anteriorly. C. an ineffective cough. C. have a parent restrain the child as you give oxygen. D. are most severe if the child ingested a poisonous substance. 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 . Which of the following children would benefit the LEAST from a nonrebreathing mask? B. secondary to a severe bacterial infection. B. B. Question Type: General Knowledge After determining that an infant or child has strong central pulses, you should: Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lbs. 2 seconds. Submersion injuries in the adolescent age group are MOST commonly associated with: Signs of a severe airway obstruction in an infant or child include: Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? B. low birth weight D. 18 months and 10 years. D. superficial burns covering more than 10% to 15% of the body surface. D. a supervisor can forbid you from reporting possible abuse. 18. small toy. A child's head is less frequently injured than an adult's. Answer: B More importantly, the effect of vasoconstriction on central temperature in pediatric patients remains unknown. There are no obvious signs of trauma to the child, and the car seat does not appear to be damaged. The German Association of the Scientific Medical Societies guideline for pregnancy, childbirth, and puerperium in women with a spinal cord injury (SCI) addresses a range of topics from the desire . Which of the following findings is LEAST suggestive of child abuse? A. high fever. A. evidence of alcohol consumption or drug use at the scene A normal level of consciousness in an infant or child is characterized by: You should: The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. Which of the following statements regarding pediatric trauma is correct? Page: 1155. B. use a length-based resuscitation tape measure. B. dehydration from vomiting and diarrhea. When a child experiences a blunt chest injury: D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. B. tightly secure the oxygen mask straps to the face. Page: 1189. 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? C. bulging fontanelles. Page: 1184. Her skin is pink and dry, and her heart rate is 120 beats/min. C. excessive tachycardia. Page: 1182. B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: 11. C. a stiff or painful neck. B. carotid Central chest pain following prolonged vomiting usually with circulatory collapse. 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. geriatrics Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. D. place the child in a supine position and perform abdominal thrusts. Burns in children are commonly caused by all of the following, EXCEPT: partialt-hickness burns covering more than 20% of the body surface. 3 months and 4 years. D. immediately report your suspicions to the parents. D. caused by the inability of the body to cool itself. D. has a history suggestive of a serious illness. He is responsive to painful stimuli only and has a large hematoma to the back of his head. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: A. normal interactiveness, awareness to time, and pink skin color. 23. D. lethal cardiac rhythm disturbances. A. appearance, work of breathing, and skin circulation. 2, 4 A. B. burns to the hands or feet that involve a glove distribution The components of the PAT are: Have you noticed any signs or symptoms? What immediate effects does alcohol have on the body? His pulse is slow and bounding. B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more albuterol. Immediate transport is indicated for a child when he or she: obviously frightened, and is coughing forcefully. A. place her supine and elevate her legs. B. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: Bulcao et al., 2000; Cheng et al., 1995; Daanen, 1996; Grahn et al., 1998). These include encouraging women and providing instructions on changing positions, . 12.5 g Kho St Cng Trnh Ngm kent, wa police news today. Infants have relatively fixed stroke volumes and are particularly dependent upon heart rate to increase cardiac output. 49. D. lower in the abdominal cavity, where the muscles are not as strong. 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. Which of the following groups of people is associated with the lowest risk of meningitis? D. accessory muscle use. C. the sudden force against the ribs causes them to fracture. Page: 1196. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: Page: 1158. Which of the following is MORE common in children than in adults following a head injury? A. place her supine and elevate her legs. Question Type: General Knowledge 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 mixture of sperm and fluids is called _____. 6 years. 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. D. hyperextend the neck to ensure adequate alignment. A. D. place him or her on a firm surface. prepare for immediate transport to a trauma center. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: 69. Question Type: Critical Thinking C. 8 months and 8 years. pain control management is essential. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. Question Type: General Knowledge B. scalding water in a bathtub. A. typically last less than 30 minutes. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. D. he or she is breathing inadequately. You should: Which of the following statements regarding the use of nasopharyngeal airways in children is Page: 1162. B. ensure that the airway is patent and clear of obstructions. 24. To ensure that the airway of an infant or small child is correctly positioned, you may have to: The infant's mother tells you that he has not had a soiled diaper in over 12 hours. 89. A. C. Most cases of SIDS occur in infants younger than 6 months. Research the incidence of skin cancer in different parts of the world. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. Question Type: General Knowledge may indicate a serious underlying illness. C. belly breathing. D. superficial burns covering more than 10% to 15% of the body surface. Answer: D D. head bobbing. D. a generalized rash with intense itching. B. internal blood loss. D) altered mental status. D. give detailed updates to the infant's parents. Question Type: General Knowledge D. acute respiratory distress. D. bradycardia. B. separating the child from her mother and providing ventilatory assistance. Page: 1178. signs of vasoconstriction in the infant or child include: Study Resources. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A) sunken fontanelles. C. has a possible closed fracture of the radius. B. rule out hypoxia if cyanosis is absent. 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. A. quiet breathing. ________ pulse. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. 3 seconds. C. an unresponsive 5-year-old male with shallow respirations Page: 1180, 65. C. insert a nasopharyngeal or oropharyngeal airway adjunct. B. positioning, ice packs, and emotional support. C. his or her respirations are shallow. playing with a small toy. An infant of this age is also developmentally ready for other foods. Her skin is hot and moist. conscious, crying, and clinging to her mother. C. blood vessels near the skin are constricted. Page: 1179. Page: 1188. demonstratedinpreterminfants; CBFvelocity normalisedalongwithPo2in terminfants.5 Extremely low birthweight infants can be treated appropriatelywithroomairor30-40% oxygen in the delivery room.6 Routine use of 80-100%oxygenduringtheinitial stabilisation at birth, as often recommended,7 may there-fore produce hyperoxaemia in some infants. D. a semiconscious 7-year-old female with normal ventilation, C. an unresponsive 5-year-old male with shallow respirations. D. place him or her on a firm surface. C. perform a head tilt-chin lift maneuver. Answer: A A. a cardiac arrhythmia. shock. In most children, febrile seizures are characterized by: When assessing an 8-year-old child, you should: B. talk to the child, not just the caregiver. B. blood pressure B. oxygen content in the blood is decreased. Question Type: General Knowledge bag-mask ventilations is to: Which of the following statements regarding the use of nasopharyngeal airways in children is D. accessory muscle use. Question Type: Critical Thinking Answer: A D. dry mucous membranes. D. 70, Which of the following inquiries should you make in private when obtaining a SAMPLE history from an D. decreased LOC. B. partial-thickness burns covering more than 20% of the body surface. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, and perform a secondary assessment. Guiding principles for appropriate complementary feeding are: continue frequent, on-demand breastfeeding until 2 years of age or beyond; Blood pressure is usually not assessed in children younger than _____ years. 53. C. a congenital cardiovascular defect. When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence? . D. hyperglycemia. an unresponsive 5yearold male with shallow respirations.