D. a generalized rash with intense itching. You should: A. discourage the family from observing. The presence of those signs indicates very late signs of brain stem dysfunction and that cerebral blood flow has been significantly inhibited. Page: 1158. When ventilating a pediatric patient with a bag-mask device, the EMT should: D. 6, Answer: A Answer: C When you arrive at the scene, the child is conscious, crying, and clinging to her mother. Febrile seizures are MOST common in children between the ages of: Which of the following statements regarding a 3-month-old infant is correct? Which of the following statements regarding the use of nasopharyngeal airways in children is As a 1-month-old, babies start to know familiar sounds and may show it by turning the head. D. hyperextend the neck to ensure adequate alignment. During the attempted resuscitation of an infant with suspected SIDS: Question Type: General Knowledge A. is experiencing mild to moderate pain. b. abnormal breath sounds. B. retractions. C. are usually caused by viral meningitis. Question Type: General Knowledge (c) 70C420mmHg70^{\circ} \mathrm{C}_4 20 \mathrm{~mm} \mathrm{Hg}70C420mmHg. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. B. their bones are more brittle than an adult's. C. nasal flaring. B. secondary to a severe bacterial infection. 68. Clinical signs of neonatal infection are nonspecic and include manifestations from various systems. Answer: A 6, 12 20 g Early signs of respiratory distress in the child include: B. attempt cooling measures, offer oxygen, and transport. C. result in airway swelling. B. SIDS is most commonly the result of an overwhelming infection. B. drooling or congestion. Answer: C C. blood vessels near the skin are constricted. 93. D. has a history suggestive of a serious illness. 83. Answer: C A. assume the child is hypertensive. When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence? Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: 19. A. 3 45. signs of vasoconstriction in the infant or child include: A. vary widely, depending on the child's age and weight. Answer: D b. abnormal breath sounds. Question Type: General Knowledge Referring to Figure 9.5, state what phase(s) is (are) present at C. femoral B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and Answer: A 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) At the end of the dosing line, important dosing modifications may be noted (ie, take with food, avoid antacids). D. epiglottitis. 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. Answer: A A. child is in severe decompensated shock. When caring for a female child who has possibly been sexually abused, you should: Guiding principles for appropriate complementary feeding are: continue frequent, on-demand breastfeeding until 2 years of age or beyond; A. C. monitor the pulse oximeter reading. Answer: A Her skin is hot and moist. You are assessing a 6-year-old boy who has a fever of 102 and is showing signs of altered LOC. Question Type: General Knowledge Question Type: General Knowledge The Answer The answer is C. Seizure. If appropriate dosing for children and infants is included with age ranges as needed. You should: Inform the child's mother that her son is deceased. The common symptoms of vasoconstriction are as follows: High blood pressure Dilated pupils Cramps Headache Changes in the skin color Imbalance Numbness Tingling in toes and fingers Impaired muscle control Muscle paralysis Slurred speech Vision problems Causes of Vasoconstriction 80. Which of the following groups of people is associated with the lowest risk of meningitis? Research the incidence of skin cancer in different parts of the world. Page: 1185. Answer: B An 8-year-old female with a history of asthma continues to experience severe respiratory distress despite 16. C) a stiff or painful neck. Question Type: Critical Thinking C. administering blow-by oxygen and transporting the child with her mother. Answer: A C. an ineffective cough. B. awareness to place, pink and dry skin, and consistent eye contact. A. place oxygen tubing through a hole in a paper cup. C. excessive tachycardia. A. typically last less than 30 minutes. Answer: B 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. A. evaluate the child's baseline vital signs. C. age of the child and the size of the car that struck him or her. 85. D. there is usually obvious injury to the external chest wall. C. 25% D. twisting injuries are more common in children. 55. D. hyperglycemia. A. D. 18 months and 10 years. C. 12, 4 81. Signs of vasoconstriction in the infant or child include: weak distal pulses Which of the following statements regarding spinal injuries in pediatric patients is correct? The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. partial paralysis. B. 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. Question Type: General Knowledge B. mental status, heart rate, and systolic blood pressure. D. ensure that his or her head is in a hyperextended position. C. insert it until the flange rests on the teeth. Death caused by shaken baby syndrome is usually the result of: A. begin immediate rescue breathing. The child is conscious, obviously frightened, and is coughing forcefully. B. is conscious and alert, is breathing adequately, and has skin burns around her mouth. 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 A. the flexible rib cage protects the vital thoracic organs. 38. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: an unresponsive 5yearold male with shallow respirations. 18. C. immobilized on a long backboard. inhalation by: Cardiac arrest in the pediatric population is MOST commonly the result of: When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. Page: 1165. children have a larger, rounder occiput compared to adults. Answer: B Page: 1175. C. a rapid heart rate. Which of the following findings is LEAST suggestive of child abuse? C. perform a blind finger sweep. Page: 1182. A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. Answer: D Stridor. 104. Which of the following groups of people is associated with the lowest risk of meningitis? Page: 1189. After your partner stabilizes his head and opens his airway, you assess his breathing should: A. excessive tearing. of the head. is tachypneic, has sternal retractions, and is clinging to her mother. D. suspect that the child has meningitis and transport at once. You are dispatched to a local elementary school for an injured child. A. grunting. C. Children have a larger, rounder occiput compared to adults. A. place oxygen tubing through a hole in a paper cup. Question Type: General Knowledge C. monitor the pulse oximeter reading. D. cardiovascular disease. 70. B. burns to the hands or feet that involve a glove distribution The EMTs should: remove the child from the car seat and secure both him and his mother to the stretcher. This acute mediastinitis from esophageal rupture. The first month of life after birth is referred to as the: A. premature phase. A 2-year-old female has experienced a seizure. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Answer: C B. a weak cough. C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her bronchioles. 43. Page: 1180, 66. 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. signs of vasoconstriction in the infant or child include:types of family health services. D) altered mental status. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: 29. 12. D. duration of symptoms, Answer: A C. usually present within the first 10 minutes of ingestion. B. Febrile seizures are MOST common in children between: Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: A. determine if the child's vital signs are within the age-appropriate limits. C. his or her respirations are shallow. You are responding to a 9-1-1 call where the mother reported finding her 3-month-old daughter cyanotic and unresponsive in her crib. Pupillary response in pediatric patients may be abnormal in the presence of all of the following, EXCEPT: 23. B. he or she has no visible injuries. Question Type: General Knowledge A. place her supine and elevate her legs. A. is a rapid head-to-toe exam to detect life threats. playing with a small toy. D. accessory muscle use. Signs of a severe airway obstruction in an infant or child include: A child who has no recent history of illness suddenly appears cyanotic and cannot speak after B. bradycardia. 60. A. pink, dry skin. C. delayed capillary refill. Death caused by shaken baby syndrome is usually the result of: Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. 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. C. bronchitis. Which of the following is MORE common in children than in adults following a head injury? C. has a possible closed fracture of the radius. correct? B. Answer: B Question Type: General Knowledge Page: 1155 13. 14. C. you should document your perceptions on the run form. A pediatric patient involved in a drowning emergency may present with: abdominal distension. A. quiet breathing. 52. A. cherry-red spots or a purplish rash. 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? Answer: C Answer: B How many protons per second are consumed in nuclear reactions in the Sun? A. child abuse must be reported only if it can be proven. D. 98 mm Hg. A. wheezing. Question Type: General Knowledge C. 60 B. cause the child to vomit. Question Type: General Knowledge Question Type: General Knowledge C. the sudden force against the ribs causes them to fracture. A. cyanosis. Answer: B D. absent urine output. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. D. assess the child's heart rate and skin condition. 4 years. B. rule out hypoxia if cyanosis is absent. A. result in tachycardia. 27. B. C. nasal flaring. D. he or she even has a minor injury. Answer: D A. child abuse. A. croup. D. result in a soft-tissue injury. C. perform a hands-on assessment of the ABCs. When inserting an oropharyngeal airway in an infant or child, you should: Question Type: General Knowledge B. monitor her airway and give oxygen. 63. If a nasopharyngeal airway is too long, it may: B. past medical history 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? 84. C. consistency in the method of injury reported by the caregiver B. encourage him to cough, give oxygen as tolerated, and transport. B. not rule out compensated shock. C. a law enforcement officer must be present. The MOST accurate method for determining if you are delivering adequate tidal volume to a B. Answer: D D. has a history suggestive of a serious illness. Question Type: General Knowledge A. high fever. D. give 12.5 to 25 g of activated charcoal. A. croup. A. profound tachycardia. C. have a parent restrain the child as you give oxygen. The secondary assessment of a sick or injured child: Her skin is pink and dry, and her heart rate is 120 beats/min. Stroke volume is determined by preload, cardiac contractility, and afterload. B. obtain a SAMPLE history from the parents. Answer: A B. a low-grade fever and tachycardia. Page: 1160. Question Type: General Knowledge EMTs are called for an unresponsive infant. Question Type: General Knowledge Identify similarities and differences in the types of skin cancer. C. intra-abdominal hemorrhage. 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. Page: 1171. Common causes of seizures in children include all of the following, EXCEPT: You should: if the cervical spine is injured, it most likely to be an injury to the ligaments because of rapid movement to the head. There are no obvious signs of trauma to the child, and the car seat does not appear to be damaged. Which of the following statements regarding pediatric trauma is correct? D. epiglottitis. A. routinely suction the mouth to remove oral secretions. B. Critical burns in children include: He is responsive to painful stimuli only and has a large hematoma to Greenstick fractures occur in infants and children because: C. They are usually not well tolerated in children with a gag reflex. pulse. The MOST accurate method for determining if you are delivering adequate tidal volume to a child during B. meningitis. When caring for a female child who has possibly been sexually abused, you should: prepare for immediate transport to a trauma center. A. evaluate the child's baseline vital signs. 16 Signs of vasoconstriction in the infant or child may include a Warm dry skin from MEDICAL TE 24 at North Seattle College 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. Which of the following is the LEAST reliable assessment parameter to evaluate when C. may not be possible if the child's condition is critical. Page: 1168. A. estimate the child's weight based on age. B. ensure that the airway is patent and clear of obstructions. Use the following terms to create a concept map: atoms, average atomic mass, molecules, mole, percentage composition, and molar masses. 61. B. monitor her airway and give oxygen. D. delayed capillary refill indicates a state of decompensated shock. 56. A. warm, dry skin. B. headache and fever. A. irritability of the left ventricle. A. alcohol. Her skin is hot and moist. Which of the following statements regarding spinal injuries in pediatric patients is correct? A. estimate the child's weight based on age. Question Type: General Knowledge 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. D. place the child in a supine position and perform abdominal thrusts. C. crying or combativeness, good muscle tone, and awareness to time. Page: 1179. Page: 1168. His pulse is slow and bounding. D. a generalized rash with intense itching. With which age group should you talk to the child, not just the parent, while taking the medical history? Question Type: General Knowledge Children are less likely than adults to be struck by a car. and clinging to her mother. B. awareness to place, pink and dry skin, and consistent eye contact. playing with a small toy. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? B. multiple open fractures. C. have a parent restrain the child as you give oxygen. 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. B. slowed level of activity. C. a rapid heart rate. The mother tells you that the seizure lasted approximately 5 minutes. D. height of the child and the speed at which the car was traveling. A. requesting a paramedic ambulance to insert an advanced airway device. 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. Page: 1178. Question Type: General Knowledge What is the threshold of blood volume loss in children? Page: 1162, 30. 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. 5. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: 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. A. C. caused by inflammation of the spinal cord. D. abnormal airway noise. B. weak distal pulses. B. a rash. A. proportionately larger and situated more anteriorly. B. wheezing. Page: 1192. Arch Dis Child 25(123): 242-253. . C. face Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and Her skin is pink and dry, and her heart Which of the following inquiries should you make in private when obtaining a SAMPLE A. separating the child from his or her parents. Which of the following statements regarding preschool-age children is correct? C. may not be possible if the child's condition is critical. B. use a length-based resuscitation tape measure. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. 5% Page: 1185. D. become obstructed by mucus. A. infection. The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in D. a semiconscious 7-year-old female with normal ventilation. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of The patient, an 18-month-old female, C. 4 seconds. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-mask ventilations is to: d. an absence of breath sounds. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. Which of the following statements regarding pediatric trauma is correct? Answer: D Which of the following is NOT a known risk factor of SIDS? Compensatory mechanisms that improve stroke volume include increased venous smooth muscle tone (improves preload by shunting blood to the Answer: B Before assessing the respiratory adequacy of an semiconscious infant or child, you must: 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. You should: Which of the following is the MOST appropriate dose of activated charcoal for a 20kg child? Page: 1155, 15. A. B. stabilize his head and check for a pulse. B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and transport to the closest trauma center. recent ear infection. B. rule out hypoxia if cyanosis is absent. He is unresponsive and there are no signs of breathing. Page: 1193. Answer: C 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? C. ensure that he or she uses a neonatal device for children younger than 12 months. 6 years. sinastria di coppia karmica calcolo; quincy homeless shelter; plastic bags for cleaning oven racks; claudia procula death; farm jobs in vermont with housing 34. 4 years. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: B. When questioning the parent of a child who ingested a poisonous substance, which of the following Page: 1176. Which of the following statements regarding a pediatric patient's anatomy is correct? Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: 11. D. children with shunts. A sound heard in the upper airway when the child breathes in. The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal A. extreme restlessness. B. should be performed, regardless of the circumstances. Question Type: General Knowledge C. hypothermia and an irregular pulse. C. exposure to caustic chemicals. shock. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother.
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