C. 25% C. change in bladder habits A. D. 18, 6. Which of the following statements regarding spinal injuries in pediatric patients is correct? C. electrolyte imbalances. Peripheral vasoconstriction is an important autonomic response to cold exposure, which restricts heat transfer from the core to the environment through the skin. When a child experiences a blunt injury to the abdomen: D. Blanching of the nares after insertion indicates correct placement. Early signs of respiratory distress in the child include: An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: A viral infection that may cause obstruction of the upper airway in a child is called: 45. 100. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a What is the threshold of blood volume loss in children? When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ Question Type: General Knowledge b. abnormal breath sounds. You are using JumpSTART in a triage situation involving several children. Nursing Care of a Family With a High-Risk New. Which of the following statements regarding pediatric trauma is correct? B. slide the device under the child. Question Type: General Knowledge After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. This acute mediastinitis from esophageal rupture. Correct Response A) sunken fontanelles. D. bradycardia. B. obtain a SAMPLE history from the parents. signs of vasoconstriction in the infant or child include: Death caused by shaken baby syndrome is usually the result of: B. B. retractions. A. child abuse. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A) sunken fontanelles. 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. C. femoral A. cherry-red spots or a purplish rash. C. skin condition C. immobilized on a long backboard. D. 18 months and 10 years. An infant with severe dehydration would be expected to present with: D. an altered mental status. level of activity is decreased. What should you use the Wong-Baker FACES scale to determine? C. an unresponsive 5-year-old male with shallow respirations Page: 1196. B. he or she has no visible injuries. D. assess his or her respiratory effort. Question Type: General Knowledge C. are usually caused by viral meningitis. Question Type: General Knowledge A. child is in severe decompensated shock. How would you rate a patient who is breathing spontaneously, has a peripheral pulse, and is appropriately responsive to painful stimuli? Question Type: General Knowledge Answer: B Answer: B How could you check to see if this is true (without any scraping)? B. rhonchi. 81. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. He is conscious, but his level of activity When assessing an infant's ventilation status, you should: Page: 1169. C. usually present within the first 10 minutes of ingestion. Submersion injuries in the adolescent age group are MOST commonly associated with: 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 . Question Type: General Knowledge When you arrive at the scene, the child is C. electrolyte imbalances. Page: 1182. D. give oxygen and transport at once. D. nausea and vomiting. Answer: A The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in partial paralysis. When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. B. ensure that the airway is patent and clear of obstructions. Chapter 34 Flashcards | Quizlet A. he or she can compensate for blood loss better than adults. (b) 25C,1atm25^{\circ} \mathrm{C}, 1 \mathrm{~atm}25C,1atm B. D. may indicate a serious underlying illness. Answer: B A normal level of consciousness in an infant or child is characterized by: You are dispatched to a local elementary school for an injured child. D. there is usually obvious injury to the external chest wall. B. tachypnea. You should: The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. B. headache and fever. B. ensure that his or her neck is hyperextended. 76. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the ________ pulse. may indicate a serious underlying illness. He is responsive to painful stimuli only and has a large hematoma to the back of his head. C. nasal flaring. D. children with shunts. C. has a possible closed fracture of the radius. D. a supervisor can forbid you from reporting possible abuse. A child may begin to show signs of separation anxiety as early as: 6 months. B. a low-grade fever and tachycardia. Answer: B The infant's mother tells you that he has not had a soiled diaper in over 12 hours. B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and B. back 72. After using the PAT to form your general impression of a sick or injured child, you should: perform a hands-on assessment of the ABCs. D. allowing the child to remain with her mother and applying a nasal cannula. Question Type: General Knowledge All vital signs are within their normal ranges except for the blood pressure. The EMT should be MOST concerned when a child presents with fever and: Chapter 34: Pediatric Emergencies Flashcards | Quizlet 41. In a normal adult, greater than 30% to 40% of blood volume loss significantly increases the risk of shock. C. consistency in the method of injury reported by the caregiver C. usually present within the first 10 minutes of ingestion. Hauth J, Moore T. The 2008 National Institute of Child Health and Human Development workshop . Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. Answer: A Which of the following inquiries should you make in private when obtaining a SAMPLE A normal level of consciousness in an infant or child is characterized by: A. child is in severe decompensated shock. a 3-month-old infant can distinguish a parent from a stranger. Question Type: General Knowledge 84. C. a congenital cardiovascular defect. 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. B. separating the child from her mother and providing ventilatory assistance. During the attempted resuscitation of an infant with suspected SIDS: D. Do you know what substance was ingested? 85. D. hypovolemic shock. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. C) A child's chest wall has proportionately more subcutaneous fat on the chest. D. The cause of death following SIDS can be established by autopsy. C. rule out an injury to the spinal cord. What is the purpose of a forward declaration of a class? A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. Signs of vasoconstriction in the infant or child include: A) warm, dry skin. A. is a rapid head-to-toe exam to detect life threats. When assessing an 8-year-old child, you should: 7. 23. B. size of the child and the height of the bumper upon impact. 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. Question Type: General Knowledge 3 months and 4 years. Page: 1158. A. chills. You are dispatched to a local elementary school for an injured child. What You Should Know About Fainting in Children His mother states that she saw him put a small A. mother younger than 20 years Drawing in of the muscles between the ribs or of the sternum during inspiration is called: When assessing an infant's ventilation status, you should: 5% B. the flexible ribs can be compressed without breaking. B. a rash. C. a rapid heart rate. C. perform a hands-on assessment of the ABCs. A. older than 8 to 10 years. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: D. 6, Which of the following represents a low normal systolic blood pressure for a 6-year-old child? Question Type: General Knowledge D. is most appropriate when your transport time is short. D. immediately report your suspicions to the parents. Critical burns in children include: A. place padding under the child's head. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: A 6-year-old male presents with acute respiratory distress. correct? After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: All of the following are normal findings in an infant or child, EXCEPT: B. separating the child from her mother and providing ventilatory assistance. B. A. pink, dry skin. When administering oxygen to a frightened child, it would be MOST appropriate to: There are no obvious signs of trauma to the child, and the car seat does not appear to be damaged. After determining that an infant or child has strong central pulses, you should: C. stimulate the vagus nerve. B. B. 1. that he is lying at the base of the monkey bars. Research the incidence of skin cancer in different parts of the world. D. give oxygen if the SpO2 is less than 90%. A. older than 8 to 10 years. Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: 24. Which of the following statements regarding a pediatric patient's anatomy is correct? D. place the child in a supine position and perform abdominal thrusts. C. 5 C. grunting. A. vary widely, depending on the child's age and weight. B. meningitis. C. hyperthermia. prepare for immediate transport to a trauma center. Her skin is hot and moist. 104. A. shins D. experiencing cardiopulmonary arrest. B. a low-grade fever and tachycardia. 6 years. Question Type: General Knowledge C. excessive tachycardia. B. ensure that the airway is patent and clear of obstructions. They are rarely used in infants younger than 1 year. Question Type: General Knowledge B. weak distal pulses. If a nasopharyngeal airway is too long, it may: Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? A 6-year-old male presents with acute respiratory distress. Page: 1187. 5% C. They are usually not well tolerated in children with a gag reflex. D. abnormal airway noise. B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and transport to the closest trauma center. D. may indicate a serious underlying illness. A. profound tachycardia. 13. The child is conscious, Page: 1162-1163. Accessory muscle use. A. allow the mother to drive her daughter to the hospital. His skin is pale and cold and his arms are stiff. A. profound tachycardia. 6 months and 6 years. A. pallor. C. face D. bradycardia. 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. PDF Oxygen atbirth prolonged cerebral vasoconstrictlon in infants A. child abuse. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: D. give 12.5 to 25 g of activated charcoal. B. asthma. Have you noticed any signs or symptoms? 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. 3 seconds. Page: 1165. Children are less likely than adults to be struck by a car. 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 2-year-old female has experienced a seizure. C. pad underneath the child's head. Question Type: General Knowledge Page: 1155. B. C. ear pain. D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. B. partial-thickness burns covering more than 20% of the body surface. and perform a secondary assessment. 17. A. cherry-red spots or a purplish rash. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. B. fear or anxiety. When you arrive at the scene, the child is conscious, crying, and clinging to her mother. B. low birth weight After using the PAT to form your general impression of a sick or injured child, you should: Question Type: General Knowledge D. Do you know what substance was ingested? D. cardiovascular disease. Answer: B A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. Answer: B Croup Medication: Corticosteroids, Nebulized Vasoconstrictors - Medscape D. place him or her on a firm surface. Question Type: General Knowledge Bacterial infection is a life-threatening complication that sometimes necessitates shunt removal. A. tenting. B) Children are belly breathers because they rely heavily on their diaphragms. 18. Blood pressure is usually not assessed in children younger than _____ years. 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. B. fear or anxiety. A. chills. C. a rapid heart rate. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are: proportionately larger and situated more anteriorly. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-mask ventilations is to: Which of the following statements regarding spinal injuries in pediatric patients is correct? C. administering blow-by oxygen and transporting the child with her mother. D. assess the child's heart rate and skin condition. Which of the following is MORE common in children than in adults following a head injury? C. determine why the ingestion occurred. signs of vasoconstriction in the infant or child include:types of family health services. C. perform a head tilt-chin lift maneuver. B. his or her tidal volume is adequate. D. mother smoked during pregnancy. What immediate effects does alcohol have on the body? C. you should document your perceptions on the run form. A. the flexible rib cage protects the vital thoracic organs. A. grunting. C. intra-abdominal hemorrhage. Page: 1158-1159. D. lethal cardiac rhythm disturbances. D. caused by the inability of the body to cool itself. immobilization device if: A. Page: 1182, 71. 3 20 g When ventilating a pediatric patient with a bag-mask device, the EMT should: 6, 12 B. monitor her airway and give oxygen. D. he or she even has a minor injury. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if C. your assessment will most often reveal bruising to the abdomen. A 6-month-old male presents with 2 days of vomiting and diarrhea. Question Type: General Knowledge D. twisting injuries are more common in children. Late signs of intracranial pressure that comprise Cushing triad include hypertension with a widening pulse pressure, bradycardia, and abnormal respiration. Page: 1168. As you approach the child, you note that he is lying at the base of the monkey bars. CASE STUDY (PRELIM) Final.pdf - CASE STUDY (PELIM) NCM Which of the following inquiries should you make in private when obtaining a SAMPLE he or she presents with: B. their bones are more brittle than an adult's. B. allow the family to observe if they wish. B. past medical history D. capillary refill. The secondary assessment of a sick or injured child: B. blood pressure A. wheezing. 12.5 g The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. D. hypovolemic shock. Immediate transport is indicated for a child when he or she: Her skin is hot and moist. C. his or her respirations are shallow. C. nasal flaring. D) Retractions are less obvious in children owing to their noncompliant rib cages. Question Type: General Knowledge Page: 1176. 2, 4 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. newborns Which of the following statements regarding pediatric trauma is correct? D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement B. allow the family to observe if they wish. C. Why did your child ingest the poison? Her skin is hot and moist. Answer: C Answer: C Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: A. cyanosis. Answer: B 83. EMT Chapter34 Flashcards | Quizlet A. B. Page: 1192. C. may not be possible if the child's condition is critical. C. 12, 4 2 seconds. D. are most severe if the child ingested a poisonous substance. C. bronchitis. signs of vasoconstriction in the infant or child include weak distal pulses which of the following statement regarding spinal injuries in pediatric patients is correct? 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. 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? Chapter 34 Pediatric Emergencies Test Flashcards | Quizlet A. determine if the child's vital signs are within the age-appropriate limits. D. secure the torso before the head. C. severe hypoxia and bradycardia. D. depress the tongue with a tongue depressor. julia child recipes chicken. 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? ma volume in newborn infants. B. crying and anxiety. B. weak distal pulses. Page: 1164, 37. B. use a length-based resuscitation tape measure. A. observe the chest for rise and fall. 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. 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 3-month-old infant can distinguish a parent from a stranger. Infant development: Birth to 3 months - Mayo Clinic - Mayo Clinic They are rarely used in infants younger than 1 year. You respond to a skate park where a 10-year-old male fell from his skateboard and struck his head on the ground; he was not wearing a helmet. B. females B. push the tongue anteriorly. C. his or her vital signs are stable. 82 mm Hg With regard to the legal implications of child abuse: The child is conscious, 4 years. D. he or she is breathing inadequately. Question Type: General Knowledge A. place padding under the child's head. D. an unexplained delay in seeking medical care after the injury, C. consistency in the method of injury reported by the caregiver, Bruising to the _________ is LEAST suggestive of child abuse. EMTs are called for an unresponsive infant. Chapter 20 - Cardiovascular Diseases | PDF | Echocardiography | Heart Valve D. ventilate the child with sharp, quick breaths at the appropriate rate. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. C. delayed capillary refill. A. place oxygen tubing through a hole in a paper cup. A. radial D. 6, Answer: A D. delayed capillary refill indicates a state of decompensated shock. B. rule out hypoxia if cyanosis is absent. C. may not be possible if the child's condition is critical. hospital. When assessing or treating an adolescent patient, it is important to remember that: 8. A. begin immediate rescue breathing. Bruising to the _________ is LEAST suggestive of child abuse. Question Type: General Knowledge The MOST appropriate treatment for this child includes: Compensatory mechanisms that improve stroke volume include increased venous smooth muscle tone (improves preload by shunting blood to the Referring to Figure 9.5, state what phase(s) is (are) present at 52. C. slightly flex the neck to prevent tracheal kinking. Page: 1167, 40. His mother states that she saw him put a small toy into his mouth shortly before the episode began. 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: Which of the following statements regarding preschool-age children is correct? D. sunken fontanelles. correct? 16 Signs of vasoconstriction in the infant or child may include a Warm determining the presence of shock in infants and children? When caring for a female child who has possibly been sexually abused, you should: Question Type: General Knowledge Page: 1168. When immobilizing an injured child in a pediatric immobilization device, you should: