A. encourage the child to urinate and take a shower. Early signs of respiratory distress in the child include: of the head. EMTs are called for an unresponsive infant. B. occur after a week of a febrile illness. C. skin condition Signs of vasoconstriction in the infant or child include: A. warm, dry skin. Which of the following statements regarding pediatric trauma is correct? Page: 1164, 36. C. palpate the abdomen for rise and fall. A. child is in severe decompensated shock. A. begin immediate rescue breathing. spinal precautions, and transport. 69. C. blood vessels near the skin are constricted. C. hyperthermia. Signs of severe dehydration in an infant include all of the following, EXCEPT: unrecognized. In a normal adult, greater than 30% to 40% of blood volume loss significantly increases the risk of shock. Bratteby LE (1968) Studies on . 34. B. attempt cooling measures, offer oxygen, and transport. Question Type: General Knowledge If a nasopharyngeal airway is too long, it may: 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. All vital signs are within their normal ranges except for the blood pressure. Question Type: General Knowledge C. consistency in the method of injury reported by the caregiver The studies that have found beneficial effects from omega-3 supplementation for symptoms and signs of dry eye disease include one showing that daily supplementation with 1,000 mg omega-3s (650 mg EPA plus 350 mg DHA) for 3 months in 518 men and women (mean age about 40 years) living in northern India reduced symptoms and some signs of dry eye . D. 10 years. D. swimming pools. A. proportionately larger and situated more anteriorly. Page: 1168. Laser range finders used by surveyors determine the distance traveled to a reflecting target by means of a pulse of laser light, which travels from the range finder to the target and back. Question Type: General Knowledge 82. sinastria di coppia karmica calcolo; quincy homeless shelter; plastic bags for cleaning oven racks; claudia procula death; farm jobs in vermont with housing Drawing in of the muscles between the ribs or of the sternum during inspiration is called: D. he or she even has a minor injury. Page: 1160. C. administering blow-by oxygen and transporting the child with her mother. adolescent patient? D. 50 g, Answer: B Page: 1170. You should: Hyperthermia differs from fever in that it is an increase in body temperature: heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. B. mental status, heart rate, and systolic blood pressure. He is unresponsive and there are no signs of breathing. A. a cardiac arrhythmia. recent ear infection. Answer: A Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: In the first three months babies pay most attention to faces. A. vary widely, depending on the child's age and weight. B. B. tightly secure the oxygen mask straps to the face. A 2-month-old infant was found unresponsive in his crib by his mother. You should: encourage him to cough, give oxygen as tolerated, and transport. B. a responsive 6-year-old male who responds appropriately D. a semiconscious 7-year-old female with normal ventilation, C. an unresponsive 5-year-old male with shallow respirations. B. slide the device under the child. B. allow the family to observe if they wish. C. nasal flaring. 70. signs of vasoconstriction in the infant or child include: post oak toyota commercial actors . When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ pulse. A. tenting. CHLOROPROCAINE HCI CHLOROPROCAINE HYDROCHLORIDE 10 mg/mL HF Acquisition Co LLC, DBA HealthFirst HF Acquisition Co LLC, DBA HealthFirst C. place the child in cold water to attempt to reduce her fever. You are dispatched to a local elementary school for an injured child. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: 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. C. severe hypoxia and bradycardia. You are dispatched to a residence for a child with respiratory distress. A. put padding behind his or her head. Blood pressure is usually not assessed in children younger than _____ years. B. ensure that his or her neck is hyperextended. Page: 1186. conscious, but clearly restless. 15% A. begin immediate rescue breathing. C. a law enforcement officer must be present. D. swimming pools. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and C. blood vessels near the skin are constricted. C. grunting. C. palpate the abdomen for rise and fall. Answer: C 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. A. mother younger than 20 years Guiding principles for appropriate complementary feeding are: continue frequent, on-demand breastfeeding until 2 years of age or beyond; 72. Signs of vasoconstriction in the infant or child include weak distal pulses What is meant by vasoconstriction ? You should: encourage him to cough, give O2 as tolerated, and transport. An infant with severe dehydration would be expected to present with: B. have a female EMT remain with her if possible. Page: 1193. Objective This study evaluated the ability of ELBW infants . If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. A sound heard in the upper airway when the child breathes in. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and D. 35%, Which of the following is the LEAST reliable assessment parameter to evaluate when determining the B. C. excessive tachycardia. m(i)=31+52+73+94+115+136++2i+1i. C. an unresponsive 5-year-old male with shallow respirations As a 1-month-old, babies start to know familiar sounds and may show it by turning the head. Which of the following statements regarding preschool-age children is correct? Immediate transport is indicated for a child when he or she: Chapter 34 Pediatric Emergencies. 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? Answer: D The anti-inflammatory action of corticosteroids reduces laryngeal mucosal edema and decreases the need for salvage nebulized epinephrine. C) a stiff or painful neck. She is conscious, but clearly restless. D. secure the torso before the head. A. bleeding in the brain. D. give detailed updates to the infant's parents. A. sexual activity Answer: C C. your assessment will most often reveal bruising to the abdomen. A 2-year-old female has experienced a seizure. 63. Answer: D A. put padding behind his or her head. C. determine why the ingestion occurred. A. appearance, work of breathing, and skin circulation. playing with a small toy. Before positioning an infant or child's airway, you should: C. 90 mm Hg C. conclude that the child is stable. Question Type: General Knowledge Before assessing the respiratory adequacy of an semiconscious infant or child, you must: A. D. refusal to drink fluids. Question Type: Critical Thinking Page: 1156. Answer: B A. radial You should: Inform the child's mother that her son is deceased. Page: 1185. C. his or her vital signs are stable. Background ELBW infants are vulnerable to cold stress during the transition from delivery room to intensive care. signs of vasoconstriction in the infant or child include: The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. Page: 1182. imagine kit homes reviews nz; . ground; he was not wearing a helmet. C. skin condition, respiratory rate, and level of alertness. You are assessing a 6-year-old boy who has a fever of 102 and is showing signs of altered LOC. A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. C. femoral B. loss of consciousness 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. D. They can usually identify painful areas when questioned. A 2-year-old female has experienced a seizure. A child's head is less frequently injured than an adult's. Answer: C Page: 1188. 60. 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. You should: Which of the following statements regarding spinal injuries in pediatric patients is correct? You are dispatched to a residence for a child with respiratory distress. A. wheezing. C. you should document your perceptions on the run form. D) Retractions are less obvious in children owing to their noncompliant rib cages. Page: 1185. The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal The normal respiratory rate for a newborn should not exceed ______ breaths/min. A. shins B. visualize the child's airway. Answer: A As you approach the child, you note that he is lying at the base of the monkey bars. 16 Signs of vasoconstriction in the infant or child may include a Warm dry skin from MEDICAL TE 24 at North Seattle College pain control management is essential. 43. Which of the following statements regarding preschool-age children is correct? D. caused by the inability of the body to cool itself. B. crying and anxiety. 20 g Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: Before assessing the respiratory adequacy of an semiconscious infant or child, you must: ensure that the airway is patent and clear of obstructions. C. hyperpnea. The MOST common cause of dehydration in pediatric patients is: D. lethal cardiac rhythm disturbances. D. duration of symptoms, Answer: A A. carefully look into his mouth and remove the object if you see it. C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her bronchioles. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: A. intercostal muscles are not well developed. Signs of vasoconstriction in the infant or child include: A. warm, dry skin. 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 D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. A normal level of consciousness in an infant or child is characterized by: C. estimate the child's weight based on appearance. C. you should document your perceptions on the run form. 96. D. poisonings or ingestion. Answer: D A. is experiencing mild to moderate pain. 48. A. observe the chest for rise and fall. Which of the following statements regarding a pediatric patient's anatomy is correct? A. pink, dry skin. Answer: A Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? How could you check to see if this is true (without any scraping)? Question Type: General Knowledge D. nausea and vomiting, Answer: D A. You are using JumpSTART in a triage situation involving several children. The EMT should be MOST concerned when a child presents with fever and: 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. C. a rapid heart rate. D. allowing the child to remain with her mother and applying a nasal cannula. B. a low-grade fever and tachycardia. 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? Page: 1158. When assessing an infant's ventilation status, you should: Question Type: General Knowledge C. vomiting and diarrhea. albuterol. C. spaced further apart, which causes them to shift following trauma. B. a sudden ventricular arrhythmia. D. buttocks. Page: 1160. B. With which age group should you talk to the child, not just the parent, while taking the medical history? What should you use the Wong-Baker FACES scale to determine? inhalation by: C. administering blow-by oxygen and transporting the child with her mother. B. separating the child from her mother and providing ventilatory assistance. B. positioning, ice packs, and emotional support. When caring for a female child who has possibly been sexually abused, you should: have a female EMT remain with her if possible. A. the car seat is visibly damaged. D. A 3-month-old infant can distinguish a parent from a stranger. Which of the following findings is LEAST suggestive of child abuse? Which of the following groups of people is associated with the lowest risk of meningitis? A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. Answer: B D. he or she is breathing inadequately. D. give 12.5 to 25 g of activated charcoal. D. ensure that his or her head is in a hyperextended position. conscious, crying, and clinging to her mother. A. vary widely, depending on the child's age and weight. B. ensure that his or her neck is hyperextended. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A) sunken fontanelles. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. The first month of life after birth is referred to as the: A. premature phase. A. and determine that it is slow and irregular. It happens when smooth muscles in blood vessel walls tighten. Question Type: General Knowledge A. sunken fontanelles. B. a rash. Death caused by shaken baby syndrome is usually the result of: D. The cause of death following SIDS can be established by autopsy. There may be . Which of the following is the LEAST reliable assessment parameter to evaluate when D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. B. complaining of severe back pain. Answer: B Answer: C C. Children have a larger, rounder occiput compared to adults. The components of the PAT are: D. children with shunts. In most children, febrile seizures are characterized by: An infant of this age is also developmentally ready for other foods. B. allow you to rapidly and visually form a general impression of the child. Page: 1158. Answer: A B. blood pressure 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 is decreased. Question Type: General Knowledge C. caused by inflammation of the spinal cord. D. height of the child and the speed at which the car was traveling. signs of vasoconstriction in the infant or child include:types of family health services. When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. B. B. secondary to a severe bacterial infection. Page: 1184. 91. B. Answer: D 2 seconds. A. is a rapid head-to-toe exam to detect life threats. 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 D. hyperextend the neck to ensure adequate alignment. A. determine if the child's vital signs are within the age-appropriate limits. 6, 12 C. an ineffective cough. Effective methods for providing pain relief to a child with an extremity injury include: B. partial-thickness burns covering more than 20% of the body surface. Page: 1187. A. high fever. D. depress the tongue with a tongue depressor. When you stimulate the child, she responds. 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. The patient, an 18-month-old female, Increased respiratory effort is often the distinguishing characteristic that sets cardiogenic shock apart from other forms of shock. A. croup. 6 months and 6 years. You are dispatched to a residence for a child with respiratory distress. A. appearance, work of breathing, and skin circulation. A. chills. immobilization device if: A. allow the mother to drive her daughter to the hospital. A. the growth plate is commonly injured. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: You should: attempt cooling measures, offer O2, transport. Which of the following is NOT a known risk factor of SIDS? Which of the following is MORE common in children than in adults following a head injury? C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, Page: 1155. 52. Question Type: General Knowledge Accessory muscle use. B. more vascular despite the fact that they are proportionately smaller. B. D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. (a) 30C,5mmHg-30^{\circ} \mathrm{C}, 5 \mathrm{~mm} \mathrm{Hg}30C,5mmHg B. The normal respiratory rate for a newborn should not exceed ______ breaths/min. He is conscious, but his level of activity is decreased. Question Type: General Knowledge D. brisk capillary refill. D. The cause of death following SIDS can be established by autopsy. He is unresponsive and there are no signs of breathing. A. a conscious 4-year-old male with adequate tidal volume His pulse is slow and bounding. 10. D. ask a relative if he or she knows the child's weight. B. use a length-based resuscitation tape measure. Which of the following statements regarding a pediatric patient's anatomy is correct? 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. C. vomiting and diarrhea. C. are usually caused by viral meningitis. B. their bones are more brittle than an adult's. 40 She is receiving high-flow oxygen She further tells you that her daughter has no history of seizures, but has had a recent ear infection. A. estimate the child's weight based on age. C. ensure that he or she uses a neonatal device for children younger than 12 months. A. 46. When you arrive, you determine that the infant is apneic and pulseless. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. Which of the following statements regarding the use of nasopharyngeal airways in children is correct? B. cause the child to vomit. She is conscious, but clearly restless. 20 g C. avoiding the placement of a splint, if possible. C. pad underneath the child's head. . Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A. headache and fever. 88. A. radial 2. Question Type: General Knowledge D. caused by the inability of the body to cool itself. C. Children are more likely to experience diving-related injuries. All of the following are normal findings in an infant or child, EXCEPT: 3 C. 12, 4 that he is lying at the base of the monkey bars. B. Page: 1184. Signs of vasoconstriction in the infant or child include: A) warm, dry skin. C. his or her vital signs are stable. D. epiglottitis. A 2-year-old female has experienced a seizure. This . D. entrapment in a structural fire. B. weak distal pulses. B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and 51. B) Children are belly breathers because they rely heavily on their diaphragms. Page: 1182. B. moist oral mucosa. Signs and symptoms are usually intermittent and mild; however, very rare sequelae include digital ulceration and/or soft tissue breakdown. 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. The MOST appropriate treatment for this child includes: After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. C. severe dehydration. C. assuming a tripod position. correct? C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. C. nasal flaring. D. acute respiratory distress. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct?