The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: 15% A. B. multiple open fractures. B. thoroughly suction his or her airway. 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. If complementary foods are not introduced around the age of 6 months, or if they are given inappropriately, an infant's growth may falter. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. C. have a parent restrain the child as you give oxygen. 9. D. a headache. D. 10 years. Answer: A When caring for a female child who has possibly been sexually abused, you should: B. dehydration from vomiting and diarrhea. C. second-degree burns covering more than 10% of the body surface. coughing forcefully. When a child experiences a blunt chest injury: D. The cause of death following SIDS can be established by autopsy. 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. A child's head is less frequently injured than an adult's. C. 4 seconds. This is what is known as an embolus. D. are most severe if the child ingested a poisonous substance. and perform a secondary assessment. and determine that it is slow and irregular. 18 months of age and older: HIV antibody tests can provide definitive diagnosis in children 18 months of age, with known or unknown exposure to HIV. 85. 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. Or your baby may quiet to listen to your voice. D. give oxygen and transport at once. D. entrapment in a structural fire. B. separating the child from her mother and providing ventilatory assistance. playing with a small toy. Bruising to the _________ is LEAST suggestive of child abuse. D. swimming pools. D. activity, respiratory quality, and level of consciousness. 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? They can usually identify painful areas when questioned. The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. B. EMTs must report all suspected cases of child abuse. The MOST appropriate treatment for this child includes: administering blow-by O2 and transporting the child with her mother. Which of the following is true about a child's breathing? D. They can usually identify painful areas when questioned. D. ventilate the child with sharp, quick breaths at the appropriate rate. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: C. a rapid heart rate. The anti-inflammatory action of corticosteroids reduces laryngeal mucosal edema and decreases the need for salvage nebulized epinephrine. D. gather critical data by performing a rapid hands-on assessment of the child. Answer: D Common causes of seizures in children include all of the following, EXCEPT: Febrile seizures are MOST common in children between: In most children, febrile seizures are characterized by: generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. 92. Page: 1158. 16. 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. place a towel or folded sheet behind the shoulders. A. stridor. C. 60 C. a rapid heart rate. Page: 1196, 103. B. SIDS is most commonly the result of an overwhelming infection. His pulse is slow and bounding. B. their bones are more brittle than an adult's. Question Type: General Knowledge A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. The secondary assessment of a sick or injured child: B. visualize the child's airway. The first month of life after birth is referred to as the: 2. Her skin is hot and moist. Write a test program that displays m(i) for i = 1, 2, . Thousands of new, high-quality pictures added every day. A. a complete airway obstruction. B. the flexible ribs can be compressed without breaking. posterior fontanelle is typically closed by _____ months of age. The normal respiratory rate for a newborn should not exceed ______ breaths/min. Children with N meningitides would MOST likely present with: C. delayed capillary refill. 43. Signs of a severe airway obstruction in an infant or child include: due to compensatory vasoconstriction and constriction. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: 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. Death caused by shaken baby syndrome is usually the result of: A. Page: 1164, 37. A. bleeding in the brain. Question Type: Critical Thinking 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. Which of the following findings is LEAST suggestive of child abuse? A. discourage the family from observing. 4 Question Type: General Knowledge C) A child's chest wall has proportionately more subcutaneous fat on the chest. A. high fever. The secondary assessment of a sick or injured child: Drawing in of the muscles between the ribs or of the sternum during inspiration is called: 72. 73. B. toddler period. B. stabilize his head and check for a pulse. D. Inexperience and poor judgment are rare causes of pediatric trauma. C. you should document your perceptions on the run form. A. place oxygen tubing through a hole in a paper cup. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: 15% A. child is in severe decompensated shock. A. extreme restlessness. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. She is receiving high-flow oxygen via a nonrebreathing mask. Answer: B Page: 1169. Immediate transport is indicated for a child when he or she: A. perform abdominal thrusts. B. push the tongue anteriorly. B) Children are belly breathers because they rely heavily on their diaphragms. D. place him or her on a firm surface. With which age group should you talk to the child, not just the parent, while taking the medical history? The normal respiratory rate for a newborn should not exceed ______ breaths/min. B. weak distal pulses. Page: 1167, 40. B. moderate dehydration. A. secure the head before the torso. B. back ma volume in newborn infants. B. moist oral mucosa. D. cardiovascular disease. conscious, but clearly restless. 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. of the head. A. a complete airway obstruction. C) a stiff or painful neck. C. their bones bend more easily than an adult's. B. allow you to rapidly and visually form a general impression of the child. A. speed at which the car was traveling when impact occurred. Burns in children are commonly caused by all of the following, EXCEPT: 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. 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. Which of the following groups of people is associated with the lowest risk of meningitis? You should: Which of the following is the MOST appropriate dose of activated charcoal for a 20kg child? Question Type: General Knowledge Increased respiratory effort is often the distinguishing characteristic that sets cardiogenic shock apart from other forms of shock. A. wheezing. C. his or her respirations are shallow. The mother tells you that the seizure lasted B. bradycardia. A. tenting. rate is 120 beats/min. they can usually identify painful areas when questioned. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of The Answer The answer is C. Seizure. m(i)=31+52+73+94+115+136++2i+1i. 104. C. geriatrics Page: 1192. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and Page: 1155. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her Effective methods for providing pain relief to a child with an extremity injury include: What time did the ingestion occur? Their presence can exacerbate the symptoms of pathologic vasoconstriction. C. your assessment will most often reveal bruising to the abdomen. D. give detailed updates to the infant's parents. D. duration of symptoms, Answer: A B. have a female EMT remain with her if possible. C. insert it until the flange rests on the teeth. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. He is unresponsive and there are no signs of breathing. 3 months and 4 years. A 2-month-old infant was found unresponsive in his crib by his mother. B. headache and fever. C. a congenital cardiovascular defect. Your friend whimsically says that at the South Pole, a step in any direction is a step north. Hyperthermia differs from fever in that it is an increase in body temperature: 21. B. meningitis. C. skin condition, respiratory rate, and level of alertness. C. result in airway swelling. Answer: C children are more likely to experience diving-related injuries. B. burns to the hands or feet that involve a glove distribution A. 5% B. fear or anxiety. Before assessing the respiratory adequacy of an semiconscious infant or child, you must: C. usually present within the first 10 minutes of ingestion. D. acute hypoxia and tachycardia. If a nasopharyngeal airway is too long, it may: Question Type: General Knowledge Which of the following statements regarding a pediatric patient's anatomy is correct? Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. When ventilating a pediatric patient with a bag-mask device, the EMT should: B. Page: 1184. C. a law enforcement officer must be present. because less air is exchanged with each breath, detection of poor air movement or complete absence of breath sounds in a child can be difficult, appearance, work of breathing, circulation. B. occur after a week of a febrile illness. Question Type: General Knowledge C. change in bladder habits A. requesting a paramedic ambulance to insert an advanced airway device. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. D. experiencing cardiopulmonary arrest. Answer: D Respiratory acidosis occurs when the arterial partial pressure of carbon dioxide (P a CO 2) is elevated above the normal range (>44 mmHg) leading to a blood pH lower than 7.35. D. 98 mm Hg. C. exposure to caustic chemicals. 20. Page: 1196. A. any superficial or partial-thickness burn that involves the legs or arms. You should: Before positioning an infant or child's airway, you should: When assessing an infant's ventilation status, you should: All of the following are normal findings in an infant or child, EXCEPT: Drawing in of the muscles between the ribs or of the sternum during inspiration is called: A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or Her skin is hot and moist. She further tells you that her daughter has no history of seizures, but has had a Most of the dark matter is thought to consist of ;it is not the "normal" dark matter composed of. neutrons, protons, and electrons. B. monitor her airway and give oxygen. Page: 1195. Page: 1184, 77. A. an oral airway has been inserted. A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: 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. When you stimulate the child, she responds. A. a cardiac arrhythmia. 12.5 g Answer: D C. skin that is cool and dry. His pulse is slow and bounding. C. skin condition A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. B. a low-grade fever and tachycardia. 44. Which of the following statements regarding a pediatric patient's anatomy is correct? This means that the patient has: a. normal breath sounds. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? After determining that an infant or child has strong central pulses, you should: You should: attempt cooling measures, offer oxygen, and transport. A child may begin to show signs of separation anxiety as early as: 4. 47. D. wheezing. A. appearance, work of breathing, and skin circulation. An infant of this age is also developmentally ready for other foods. D. stridorous breathing. Answer: A In moderate to severe disease, corticosteroids improve croup scores within 12-24 hours and decrease hospitalization rates. A. begin immediate rescue breathing. B. C. 12, 4 and clinging to her mother. A. wheezing. After using the PAT to form your general impression of a sick or injured child, you should: 94. D. poisonings or ingestion, Answer: B B. oxygen content in the blood is decreased. C. bronchitis. B. a sudden ventricular arrhythmia. Page: 1162. His pulse is slow and bounding. He is responsive to painful stimuli only and has a large hematoma to the back of his head. B. 3 seconds. B. place a towel or folded sheet behind the shoulders. C. their bones bend more easily than an adult's. EMTs are called for an unresponsive infant. Question Type: General Knowledge Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: C. may not be possible if the child's condition is critical. Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: You should: Answer: D Question Type: General Knowledge A. is experiencing mild to moderate pain. D. a semiconscious 7-year-old female with normal ventilation. When administering oxygen to a frightened child, it would be MOST appropriate to: place oxygen tubing through a hole in a paper cup. Page: 1168. C. result in airway swelling. Answer: B A. pink, dry skin. B. complaining of severe back pain. C. Children are more likely to experience diving-related injuries. D. 98 mm Hg. Question Type: General Knowledge When a child is struck by a car, the area of greatest injury depends MOSTLY on the: B. his or her tidal volume is adequate. You respond to a skate park where a 10-year-old male fell from his skateboard and struck his head on the Most cases of SIDS occur in infants younger than 6 months. When ventilating a pediatric patient with a bag-mask device, the EMT should: C. carefully examine the genitalia for signs of injury. 2, 4 86. Question Type: General Knowledge D. he or she even has a minor injury. Which of the following is MORE common in children than in adults following a head injury? he or she presents with: Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: intercostal muscles are not well developed, blood vessels near the skin are constricted. 95. Stridor. All of the following are normal findings in an infant or child, EXCEPT: C. administering blow-by oxygen and transporting the child with her mother. A. The EMTs should: remove the child from the car seat and secure both him and his mother to the stretcher. How could you check to see if this is true (without any scraping)? 41. Study Resources. Question Type: General Knowledge You are dispatched to a residence for a child with respiratory distress. D. give 12.5 to 25 g of activated charcoal. C. blood vessels near the skin are constricted. B. drooling or congestion. In most children, febrile seizures are characterized by: D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement Present your findings in a written or oral report. Question Type: Critical Thinking observes the patient for signs of ICP and of infection at the operative site or along the shunt line. B. should be performed, regardless of the circumstances. Answer: B B. slowed level of activity. C. face C. may not be possible if the child's condition is critical. D. is most appropriate when your transport time is short. D. superficial burns covering more than 10% to 15% of the body surface. Page: 1178. D. head bobbing. You should: attempt cooling measures, offer O2, transport. 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. There may be . Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: 5. Certain cases of SIDS are predictable and therefore preventable. Stroke volume is determined by preload, cardiac contractility, and afterload. Which of the following children would benefit the LEAST from a nonrebreathing mask? A. alcohol. C. determine why the ingestion occurred. B. scalding water in a bathtub. C. grunting. The MOST appropriate treatment for this child includes: administering blow-by oxygen and transporting the child with her mother. 88. Peripheral vasoconstriction is an important autonomic response to cold exposure, which restricts heat transfer from the core to the environment through the skin. is tachypneic, has sternal retractions, and is clinging to her mother. C. neonatal period. Page: 1183. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. Blood flow is delayed or halted as blood vessels close. C. palpate the abdomen for rise and fall. Page: 1182. A. D. child's core body temperature is elevated. When administering oxygen to a frightened child, it would be MOST appropriate to: Question Type: General Knowledge Page: 1193. 5. A. proportionately larger and situated more anteriorly. C. blood vessels near the skin are constricted. D. nausea and vomiting. B. past medical history 10. Which of the following statements regarding the use of nasopharyngeal airways in children is correct? A. routinely suction the mouth to remove oral secretions. Page: 1175. B. C. restlessness. D. dry mucous membranes. Infants produce heat by non-shivering thermogenesis (NST) and should exhibit peripheral vasoconstriction when cold, but little empirical evidence confirms that ELBW infants are capable of peripheral vasoconstriction. b. abnormal breath sounds. You should: A. typically last less than 30 minutes. following questions would be of LEAST pertinence? C. caused by inflammation of the spinal cord. C. hypothermia and an irregular pulse. obviously frightened, and is coughing forcefully. A. place her supine and elevate her legs. Most trials have used dexamethasone at 0.6 mg/kg (intramuscular or oral), but oral . Page: 1185. A. older than 8 to 10 years. B. size of the child and the height of the bumper upon impact. D. capillary refill, Answer: B After using the PAT to form your general impression of a sick or injured child, you should: D. epiglottitis. Question Type: General Knowledge Central chest pain following prolonged vomiting usually with circulatory collapse. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement Explain the meanings of the following terms: quadratic damping, complex stiffness, transmissibility, beating, and quality factor. D. Blanching of the nares after insertion indicates correct placement. 62. C. severe infection. They are rarely used in infants younger than 1 year. signs of vasoconstriction in the infant or child include: Home; american dad steve runs away; signs of vasoconstriction in the infant or child include: Question Type: General Knowledge C. are usually caused by viral meningitis. A. cherry-red spots or a purplish rash. an unresponsive 5yearold male with shallow respirations. Question Type: General Knowledge Background ELBW infants are vulnerable to cold stress during the transition from delivery room to intensive care. Which of the following statements regarding a 3-month-old infant is correct? C. 25% D. height of the child and the speed at which the car was traveling. B. tachypnea. 2. A sound heard in the upper airway when the child breathes in. C. conclude that the child is stable. A. speed at which the car was traveling when impact occurred. You should: assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and prepare for immediate transport to a trauma center. A. heart rate B. retracting. When administering oxygen to a frightened child, it would be MOST appropriate to: D. delayed capillary refill indicates a state of decompensated shock. 82. C. his or her vital signs are stable. Signs of vasoconstriction in the infant or child include: A. warm, dry skin. Answer: D D. bradycardia. Answer: B ________ pulse. A. sexual activity When you arrive, you determine that the infant is apneic and pulseless. D. poisonings or ingestion. A. child abuse must be reported only if it can be proven. A. cyanosis. Answer: D Critical burns in children include: The signs and symptoms of poisoning in children: D. are most severe if the child ingested a poisonous substance. Signs of vasoconstriction in the infant or child include: A) warm, dry skin. C. perform a head tilt-chin lift maneuver. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. Febrile seizures in a child: If a nasopharyngeal airway is too long, it may: The components of the PAT are: Signs of vasoconstriction in the infant or child include: D. caused by the inability of the body to cool itself. A. excessive tearing. Question Type: General Knowledge B. rule out hypoxia if cyanosis is absent. B. 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. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? You should: The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the C. determine why the ingestion occurred. When immobilizing an injured child in a pediatric immobilization device, you should: B. ensure that the airway is patent and clear of obstructions. C. nasal flaring. C. a cough that resembles the bark of a seal. Answer: D D. place him or her on a firm surface. A. appearance, work of breathing, and skin circulation. D. there is usually obvious injury to the external chest wall. Page: 1192. 6 months and 6 years. A. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. A. cyanosis. D. has a history suggestive of a serious illness. D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. Early signs of respiratory distress in the child include: C. estimate the child's weight based on appearance. A. croup. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. D. an unexplained delay in seeking medical care after the injury, Answer: C 96. A. chills. 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. sunken fontanelles. You should: Inform the child's mother that her son is deceased. Answer: A 35. 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. A. pallor. Authors Channel Summit. B. ensure that his or her neck is hyperextended. D. he or she is breathing inadequately.

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