B. attempt cooling measures, offer oxygen, and transport. being given multiple doses of her prescribed albuterol by her mother. A. C. administering blow-by oxygen and transporting the child with her mother. C. bronchitis. How many protons per second are consumed in nuclear reactions in the Sun? D. 10 years. D. brisk capillary refill. A. discourage the family from observing. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. A. carefully look into his mouth and remove the object if you see it. blood pressure The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: The presence of those signs indicates very late signs of brain stem dysfunction and that cerebral blood flow has been significantly inhibited. The purpose of the pediatric assessment triangle (PAT) is to: Whenever your blood vessels need to be tightened or widened, your vasomotor nerves (part of your sympathetic nervous system) can tell your muscles to adjust the amount of space inside your blood vessels. 69. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if 3 months and 4 years. C. their bones bend more easily than an adult's. coughing forcefully. D. use a nasal cannula instead of a nonrebreathing mask. D. give oxygen and transport at once. If complementary foods are not introduced around the age of 6 months, or if they are given inappropriately, an infant's growth may falter. D. mother smoked during pregnancy. B. a sudden ventricular arrhythmia. 18. The components of the PAT are: D. epiglottitis. After using the PAT to form your general impression of a sick or injured child, you should: Common causes of seizures in children include all of the following, EXCEPT: C. Most cases of SIDS occur in infants younger than 6 months. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? Which of the following represents a low normal systolic blood pressure for a 6-year-old child? A. infection. D. are most severe if the child ingested a poisonous substance. D. result in a soft-tissue injury. A. Page: 1187, 87. C. consistency in the method of injury reported by the caregiver How would you rate a patient who is breathing spontaneously, has a peripheral pulse, and is appropriately responsive to painful stimuli? B. allow the family to observe if they wish. 81. A tight, whistling or musical sound heard with each breath may indicate that the air passages may be smaller, making it more difficult to breathe. A. quiet breathing. D. accessory muscle use. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: spinal precautions, and transport. B. falls from a height greater than 5. Blood pressure is usually not assessed in children younger than _____ years. via a nonrebreathing mask. C. Children have a larger, rounder occiput compared to adults. Page: 1186. Page: 1184, 77. You should: 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. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. Which of the following statements regarding a pediatric patient's anatomy is correct? 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: Which of the following statements regarding a pediatric patient's anatomy is correct? D. absent urine output. children are more likely to experience diving-related injuries. B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and transport to the closest trauma center. C. your assessment will most often reveal bruising to the abdomen. 67. Question Type: General Knowledge B. Answer: A julia child recipes chicken. Signs and symptoms are usually intermittent and mild; however, very rare sequelae include digital ulceration and/or soft tissue breakdown. 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. Question Type: General Knowledge immobilization device if: A 2-year-old female has experienced a seizure. B. tachypnea. C. Most cases of SIDS occur in infants younger than 6 months. A 2-year-old female has experienced a seizure. D. The cause of death following SIDS can be established by autopsy. B. ensure that his or her neck is hyperextended. B. mental status, heart rate, and systolic blood pressure. D. swimming pools. C. 5 A. separating the child from his or her parents. C. rule out an injury to the spinal cord. Answer: A A. requesting a paramedic ambulance to insert an advanced airway device. The normal respiratory rate for a newborn should not exceed ______ breaths/min. Page: 1164, 37. B. hyperglycemia. D. buttocks. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. posterior fontanelle is typically closed by _____ months of age. 34. A. place her supine and elevate her legs. D. bradycardia. You are dispatched to a local elementary school for an injured child. Cardiac arrest in the pediatric population is MOST commonly the result of: Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: A. child abuse must be reported only if it can be proven. C. result in airway swelling. D. give detailed updates to the infant's parents. Her skin is pink and dry, and her heart rate is 120 beats/min. If a nasopharyngeal airway is too long, it may: Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: Answer: A C. insert a nasopharyngeal or oropharyngeal airway adjunct. Which of the following statements regarding pediatric trauma is correct? C. avoiding the placement of a splint, if possible. 84. B. his or her blood pressure falls with as little as 5% blood loss. D. popliteal, Answer: C Page: 1162-1163. 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. 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. sinastria di coppia karmica calcolo; quincy homeless shelter; plastic bags for cleaning oven racks; claudia procula death; farm jobs in vermont with housing Question Type: General Knowledge The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the She is receiving high-flow oxygen via a nonrebreathing mask. The child is conscious, Page: 1185. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? Question Type: General Knowledge When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ pulse. Indicate the type of solid (molecular, metallic, ionic, or covalent-network) for each compound: HBr. Answer: B What time did the ingestion occur? C. 5 Answer: C 12.5 g C. rule out an injury to the spinal cord. A. By 3 months old, your baby may respond to these sounds with excitement. 15% Question Type: General Knowledge 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. D. 35%, Which of the following is the LEAST reliable assessment parameter to evaluate when determining the D. an altered mental status. In most children, febrile seizures are characterized by: B. a low-grade fever and tachycardia. Immediate transport is indicated for a child when he or she: B. allow you to rapidly and visually form a general impression of the child. A 2-month-old infant was found unresponsive in his crib by his mother. Which of the following children would benefit the LEAST from a nonrebreathing mask? 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. ensure that the airway is patent and clear of obstructions. D. gather critical data by performing a rapid hands-on assessment of the child. Question Type: General Knowledge 4 years. This means that the patient has: a. normal breath sounds. The vital signs of Patient X include a body temperature of 37 degrees Celsius, heart rate of 80 bpm, a pulse of 80 bpm, respiratory rate of 20 breaths per minute, and blood pressure of 140/90 mmHg. Your assessment reveals that she Her skin is hot and moist. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. A. proportionately larger and situated more anteriorly. Page: 1180, 65. B. a rash. 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. Cardiac arrest in the pediatric population is MOST commonly the result of: D. popliteal. 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. Page: 1164, 36. B. squeeze the bag 40 times/min when ventilating an infant. A. appearance, work of breathing, and skin circulation. 40 hospital. With regard to the legal implications of child abuse: Page: 1192. B. partial-thickness burns covering more than 20% of the body surface. A. bleeding in the brain. B. fear or anxiety. To ensure that the airway of an infant or small child is correctly positioned, you may have to: A child's head is less frequently injured than an adult's. Children are less likely than adults to be struck by a car. . D. 98 mm Hg. Arch Dis Child 25(123): 242-253. A normal level of consciousness in an infant or child is characterized by: age-appropriate behavior, good muscle tone, good eye contact. Question Type: General Knowledge toy into his mouth shortly before the episode began. A. the car seat is visibly damaged. A common cause of shock in an infant is: approximately 5 minutes. B. moist oral mucosa. C. altered mental status. D. stridorous breathing. A. stridor. A) Lung sounds are difficult to hear because of the thick intercostal muscles. Answer: D The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child. The infant's Write a test program that displays m(i) for i = 1, 2, . You When inserting an oropharyngeal airway in an infant or child, you should: 82 mm Hg Which of the following statements regarding a pediatric patient's anatomy is correct? Question Type: General Knowledge Which of the following statements regarding a 3-month-old infant is correct? C. his or her respirations are shallow. B. A 6-month-old male presents with 2 days of vomiting and diarrhea. B. a low-grade fever and tachycardia. A. a cardiac arrhythmia. D. a semiconscious 7-year-old female with normal ventilation. A child may begin to show signs of separation anxiety as early as: 4. They are rarely used in infants younger than 1 year. A. he or she can compensate for blood loss better than adults. When assessing or treating an adolescent patient, it is important to remember that: A. they usually do not wish to be observed during a procedure. Hyperthermia differs from fever in that it is an increase in body temperature: B. rule out hypoxia if cyanosis is absent. A. he or she can compensate for blood loss better than adults. C. avoiding the placement of a splint, if possible. Answer: C C. usually present within the first 10 minutes of ingestion. D. retracting the intercostal muscles. Page: 1158. 89. Before positioning an infant or child's airway, you should: B. loss of consciousness B. separating the child from her mother and providing ventilatory assistance. Question Type: General Knowledge A. extreme restlessness. D. mild respiratory distress. A 2-year-old female has experienced a seizure. This is an example of what condition? B. females A. allow the mother to drive her daughter to the hospital. He is responsive to painful stimuli only and has a large hematoma to the back of his head. Vision. Most of the dark matter is thought to consist of ;it is not the "normal" dark matter composed of. neutrons, protons, and electrons. 96. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a C. assuming a tripod position. B. rule out hypoxia if cyanosis is absent. Question Type: General Knowledge B. observe the child's skin color. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: 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. Which of the following is MORE common in children than in adults following a head injury? Page: 1171. A. the flexible rib cage protects the vital thoracic organs. Page: 1168. A. C. a rapid heart rate. B. fear or anxiety. 101. Page: 1186. C. conclude that the child is stable. B. the flexible ribs can be compressed without breaking. B. weak distal pulses. adolescent patient? A. evidence of alcohol consumption or drug use at the scene A common cause of shock in an infant is: She is 88 mm Hg B. awareness to place, pink and dry skin, and consistent eye contact. Which of the following inquiries should you make in private when obtaining a SAMPLE 4 years. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. You should suspect: A. Children are more likely to experience diving-related injuries. 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. Answer: A B. drooling or congestion. Question Type: Critical Thinking Answer: D Page: 1196. D. Do you know what substance was ingested? C. exposure to caustic chemicals. You should: Death caused by shaken baby syndrome is usually the result of: C. spaced further apart, which causes them to shift following trauma. Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: B. wheezing. C) A child's chest wall has proportionately more subcutaneous fat on the chest. following questions would be of LEAST pertinence? correct? C. estimate the child's weight based on appearance. 50 if the cervical spine is injured, it most likely to be an injury to the ligaments because of rapid movement to the head. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. B. child abuse. A. is experiencing mild to moderate pain. B. use a length-based resuscitation tape measure. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. 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 C. hyperpnea. Abstract The thermoregulatory threshold for vasoconstriction has been studied in infants and children given isoflurane, but not in those given halothane anesthesia. B. B. cause the child to vomit. A. typically last less than 30 minutes. 95. 16 Signs of vasoconstriction in the infant or child may include a Warm dry skin from MEDICAL TE 24 at North Seattle College She is receiving high-flow oxygen via a nonrebreathing mask. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. Question Type: General Knowledge B. more vascular despite the fact that they are proportionately smaller. D. 18, 6. B. child abuse. 5% He is responsive to painful stimuli only and has a large hematoma to the back of his head. Compression of the cord results in vasoconstriction and resultant fetal hypoxia, which can lead to fetal death or disability if not rapidly diagnosed and managed. Signs of vasoconstriction in the infant or child include: B. positioning, ice packs, and emotional support. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. Question Type: General Knowledge (c) 70C420mmHg70^{\circ} \mathrm{C}_4 20 \mathrm{~mm} \mathrm{Hg}70C420mmHg. 49. 6 years. C. bulging fontanelles. Early signs of respiratory distress in the child include: Page: 1184. D. ensure that his or her head is in a hyperextended position. 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 . 2. B. C. a law enforcement officer must be present. Answer: B Question Type: General Knowledge C. 4 seconds. Page: 1185. His pulse is slow and bounding. B. awareness to place, pink and dry skin, and consistent eye contact. When caring for a female child who has possibly been sexually abused, you should: have a female EMT remain with her if possible.