Which of the following inquiries should you make in private when obtaining a SAMPLE She is conscious, but clearly restless. 3 seconds. 72. D. hypovolemic shock. C. assuming a tripod position. B. their bones are more brittle than an adult's. D. hyperglycemia. 12. A. typically last less than 30 minutes. A. observe the chest for rise and fall. D. fracture of the cervical spine. Blood flow is delayed or halted as blood vessels close. A. a cardiac arrhythmia. conscious, crying, and clinging to her mother. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: When inserting an oropharyngeal airway in an infant or child, you should: depress the tongue with a tongue depressor. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. D. mild respiratory distress. Increased respiratory effort is often the distinguishing characteristic that sets cardiogenic shock apart from other forms of shock. When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. An infant with severe dehydration would be expected to present with: If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head B. attempt cooling measures, offer oxygen, and transport. B. 49. C. a stiff or painful neck. When a child experiences a blunt injury to the abdomen: The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: The purpose of the pediatric assessment triangle (PAT) is to: 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. 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. D. he or she even has a minor injury. B. falls from a height greater than 5. D. retracting the intercostal muscles. Page: 1182, 71. Answer: C Correct D. start of infancy. D. age-appropriate behavior, good muscle tone, and good eye contact. D. is most appropriate when your transport time is short. Answer: D an unresponsive 5yearold male with shallow respirations. D. 98 mm Hg. Which of the following statements regarding spinal injuries in pediatric patients is correct? A. bleeding in the brain. D. caused by the inability of the body to cool itself. 4 84. The anti-inflammatory action of corticosteroids reduces laryngeal mucosal edema and decreases the need for salvage nebulized epinephrine. 100. B. scalding water in a bathtub. C. may not be possible if the child's condition is critical. Hauth J, Moore T. The 2008 National Institute of Child Health and Human Development workshop . A. appearance, work of breathing, and skin circulation. C. Most cases of SIDS occur in infants younger than 6 months. 48. You should: 19. Answer: D B. D. child's core body temperature is elevated. Question Type: General Knowledge Answer: C Question Type: General Knowledge Question Type: General Knowledge The signs and symptoms of poisoning in children: Hyperthermia differs from fever in that it is an increase in body temperature: A. child is in severe decompensated shock. Which of the following statements regarding a 3-month-old infant is correct? Cardiac arrest in the pediatric population is MOST commonly the result of: If appropriate dosing for children and infants is included with age ranges as needed. 75. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. unrecognized. B. a weak cough. B. scalding water in a bathtub. A. discourage the family from observing. C. a law enforcement officer must be present. B. carotid 67. C. ear pain. 45. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: C. the sudden force against the ribs causes them to fracture. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. C. their bones bend more easily than an adult's. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. D. brisk capillary refill. C. skin condition, respiratory rate, and level of alertness. history from an adolescent patient? B. use a length-based resuscitation tape measure. A. Page: 1186. A. newborns D. a generalized rash with intense itching. Answer: D D. place the child in a supine position and perform abdominal thrusts. B. attempt cooling measures, offer oxygen, and transport. B. burns to the hands or feet that involve a glove distribution Page: 1179. D. sunken fontanelles. C. hyperpnea. B. SIDS is most commonly the result of an overwhelming infection. Children have a larger, rounder occiput compared to adults. Before positioning an infant or child's airway, you should: C. skin condition, respiratory rate, and level of alertness. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. Page: 1169. 29. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: 9. 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? A. heart rate B. respiratory or circulatory failure. A. place her supine and elevate her legs. You respond to a skate park where a 10year-old male fell from his skateboard and struck his head on the ground; he was not wearing a helmet. Page: 1175. D. bradycardia. Answer: B Answer: B A. cyanosis. A. Background ELBW infants are vulnerable to cold stress during the transition from delivery room to intensive care. Which of the following statements regarding pediatric trauma is correct? D. absent urine output. Question Type: General Knowledge B. moist oral mucosa. Page: 1184. B. weak distal pulses. D. he or she even has a minor injury. A. sexual activity You should: The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. B. meningitis. C. skin condition C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. A 4-year-old, 16-kg female ingested an unknown quantity of liquid drain cleaner. Answer: B C. restlessness. A 2-month-old infant was found unresponsive in his crib by his mother. 34. A. place padding under the child's head. C. 12, 4 the back of his head. D. twisting injuries are more common in children. Blood pressure is usually not assessed in children younger than _____ years. B. back Question Type: General Knowledge Which of the following groups of people is associated with the lowest risk of meningitis? Cardiac arrest in the pediatric population is MOST commonly the result of: Early signs of respiratory distress in the child include: C. hyperpnea. 68. His pulse is slow and bounding. 25. C. perform a hands-on assessment of the ABCs. B. thoroughly suction his or her airway. B. 85. 56. C. his or her respirations are shallow. Question Type: General Knowledge A. irritability of the left ventricle. B. bradycardia. D. a supervisor can forbid you from reporting possible abuse. due to compensatory vasoconstriction and constriction. B. EMTs must report all suspected cases of child abuse. B. (a) 30C,5mmHg-30^{\circ} \mathrm{C}, 5 \mathrm{~mm} \mathrm{Hg}30C,5mmHg Findings from the r espiratory system include apnea, cyanosis, grunt- B. She is receiving high-flow oxygen via a nonrebreathing mask. Burns in children are commonly caused by all of the following, EXCEPT: D. brisk capillary refill. Study Resources. B. a responsive 6-year-old male who responds appropriately If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. How could you check to see if this is true (without any scraping)? C. hypothermia and an irregular pulse. B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more albuterol. bronchioles. 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. 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 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. A. place bulky padding behind his or her occiput. C. nasal flaring. 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. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. Page: 1196. 6, 12 D. a headache. A. irritability of the left ventricle. B. wheezing. A. speed at which the car was traveling when impact occurred. Answer: C An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of C. altered mental status. A. grunting. Blood pressure is usually not assessed in children younger than _____ years. C. his or her vital signs are stable. signs of vasoconstriction in the infant or child include:types of family health services. Page: 1155. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her If such a range finder is to determine a distance of 100m100 \mathrm{~m}100m to within 1cm1 \mathrm{~cm}1cm, what is the maximum permitted error in the measurement of the travel time? A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. D. ask a relative if he or she knows the child's weight. C. 5 Stroke volume is determined by preload, cardiac contractility, and afterload. The mother tells you that the seizure lasted approximately 5 minutes. Using the discussion earlier, answer the questions below: b. When administering oxygen to a frightened child, it would be MOST appropriate to: 81. A. mother younger than 20 years Answer: B When you arrive at the scene, the child is When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. It is the recommended adjunct for children with head trauma. B. child abuse. B. Answer: B A. B. dehydration from vomiting and diarrhea. Page: 1158. 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. 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? A. monitor the child's heart rate. Children are less likely than adults to be struck by a car. D. suspect that the child has meningitis and transport at once. Before positioning an infant or child's airway, you should: Which of the following findings is LEAST suggestive of child abuse? The mother tells you that the seizure lasted B. ensure that the airway is patent and clear of obstructions. D. a headache. A. 88 mm Hg 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. Question Type: General Knowledge a 3-month-old infant can distinguish a parent from a stranger. if the cervical spine is injured, it most likely to be an injury to the ligaments because of rapid movement to the head. Answer: C Answer: B These include encouraging women and providing instructions on changing positions, . Question Type: General Knowledge b. abnormal breath sounds. 2. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. B. encourage him to cough, give oxygen as tolerated, and transport. Page: 1182. . D. give oxygen if the SpO2 is less than 90%. A. result in tachycardia. The narrowing (constriction) of blood arteries by tiny muscles in their walls is known as vasoconstriction. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: D. an unexplained delay in seeking medical care after the injury, Answer: C pain control management is essential. Answer: C When assessing an infant's ventilation status, you should: She further tells you that her daughter has no history of seizures, but has had a recent ear infection. C. an unresponsive 5-year-old male with shallow respirations 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. A. carefully look into his mouth and remove the object if you see it. 92. By 3 months old, your baby may respond to these sounds with excitement. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. dropshipping shipping policy template aliexpress. children have a larger, rounder occiput compared to adults. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: Pale skin in a child indicates that the: C. perform a hands-on assessment of the ABCs. Answer: B Febrile seizures in a child: Question Type: General Knowledge You are dispatched to a local elementary school for an injured child. 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. and determine that it is slow and irregular. A. D. has a history suggestive of a serious illness. A. 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 . When questioning the parent of a child who ingested a poisonous substance, which of the Question Type: General Knowledge D. 70, Which of the following inquiries should you make in private when obtaining a SAMPLE history from an (b) 25C,1atm25^{\circ} \mathrm{C}, 1 \mathrm{~atm}25C,1atm B. retracting. 6, 12 You B. his or her tidal volume is adequate. B. his or her blood pressure falls with as little as 5% blood loss. A. You are assessing a 6-year-old boy who has a fever of 102 and is showing signs of altered LOC. D. They can usually identify painful areas when questioned. EMTs are assessing a 2-year-old child who was riding in a car seat when the vehicle struck a tree while traveling at 45 MPH. vacation rental inspector job description they are rarely used in infants younger than 1 y.a. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: What does respiratory syncytial virus (RSV) cause? B. tachypnea. D. The cause of death following SIDS can be established by autopsy. B. allow the family to observe if they wish. Signs of vasoconstriction in the infant or child include: When immobilizing an injured child in a pediatric immobilization device, you should: Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: When a child experiences a blunt chest injury: the flexible ribs can be compressed without breaking. Immediate transport is indicated for a child when he or she: D. acute hypoxia and tachycardia. Answer: D If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. toy into his mouth shortly before the episode began. Certain cases of SIDS are predictable and therefore preventable. D. result in a soft-tissue injury. 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. B. visualize the child's airway. C. 5 Which of the following groups of people is associated with the lowest risk of meningitis? 99. B. a low-grade fever and tachycardia. C. 25 g Before assessing the respiratory adequacy of an semiconscious infant or child, you must: conscious, crying, and clinging to her mother. B. partial-thickness burns covering more than 20% of the body surface. D. hyperglycemia. The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. D. immediately report your suspicions to the parents. D. The cause of death following SIDS can be established by autopsy. Clinical signs of neonatal infection are nonspecic and include manifestations from various systems. You are dispatched to a residence for a child with respiratory distress. Answer: A During the attempted resuscitation of an infant with suspected SIDS: C. hyperthermia. ground; he was not wearing a helmet. The first month of life after birth is referred to as the: 2. B. slowed level of activity. Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: He is unresponsive and there are no signs of breathing. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: D. use a nasal cannula instead of a nonrebreathing mask. 5% Question Type: General Knowledge B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: A 2-year-old female has experienced a seizure. Signs of a severe airway obstruction in an infant or child include: The instrument that measures the velocity of a vibrating body is called a(n) _______. Your assessment reveals that she Answer: B They can usually identify painful areas when questioned. Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? A. is a rapid head-to-toe exam to detect life threats. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement B. allow you to rapidly and visually form a general impression of the child. C. 60 A. place oxygen tubing through a hole in a paper cup. D. may indicate a serious underlying illness. All of the following are normal findings in an infant or child, EXCEPT: C. caused by inflammation of the spinal cord. A. excessive tearing. Question Type: General Knowledge You should: Inform the child's mother that her son is deceased. This is what is known as an embolus. D. ensure that his or her head is in a hyperextended position. B. a weak cough. B. allow you to rapidly and visually form a general impression of the child. 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. 27. Answer: A correct? C. second-degree burns covering more than 10% of the body surface. Burns in children are commonly caused by all of the following, EXCEPT: After using the pediatric assessment triangle (PAT) to form your general impression of a sick or injured child, you should: perform a hands-on assessment of the ABCs. Question Type: General Knowledge B. slide the device under the child. Question Type: General Knowledge 14. It is the recommended adjunct for children with head trauma. B. place a towel or folded sheet behind the shoulders. C. age of the child and the size of the car that struck him or her. B. bradycardia. B. loss of consciousness The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the D. accessory muscle use. Page: 1177. A. result in tachycardia. Answer: B Question Type: General Knowledge Page: 1155 13. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. D. experiencing cardiopulmonary arrest. Question Type: General Knowledge A. D. 5 seconds. determining the presence of shock in infants and children? obviously frightened, and is coughing forcefully. D. lower in the abdominal cavity, where the muscles are not as strong. questions would be of LEAST pertinence? C. electrolyte imbalances. C. perform a hands-on assessment of the ABCs. A. D. has a history suggestive of a serious illness. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: C. exposure to caustic chemicals. 96. He is conscious, but his level of activity Page: 1159. D. height of the child and the speed at which the car was traveling. D. open his airway and look in his mouth. C. spaced further apart, which causes them to shift following trauma. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. Most cases of SIDS occur in infants younger than 6 months. wreck in west monroe, la today. B. visualize the child's airway. Answer: D Guiding principles for appropriate complementary feeding are: continue frequent, on-demand breastfeeding until 2 years of age or beyond; D. give 12.5 to 25 g of activated charcoal. rate is 120 beats/min. C. bronchitis. C. your assessment will most often reveal bruising to the abdomen. A. mother younger than 20 years B. toddler period. C. ensure that he or she uses a neonatal device for children younger than 12 months. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: 69. They are rarely used in infants younger than 1 year. Which of the following is NOT a known risk factor of SIDS? Which of the following groups of people is associated with the lowest risk of meningitis? C. stimulate the vagus nerve. The MOST appropriate treatment for this child includes: B. internal blood loss. Answer: D B. headache and fever. Question Type: General Knowledge There are no obvious signs of trauma to the child, and the car seat does not appear to be damaged. He is conscious, but his A. proportionately larger and situated more anteriorly. level of activity is decreased. His pulse is slow and bounding. A. child abuse. Signs of severe dehydration in an infant include all of the following, EXCEPT: In a normal adult, greater than 30% to 40% of blood volume loss significantly increases the risk of shock. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? Question Type: General Knowledge they can usually identify painful areas when questioned. A. wheezing. 80. Wheezing. D. ventilate the child with sharp, quick breaths at the appropriate rate. A. 47. Answer: C 3 seconds. C. skin that is cool and dry. Page: 1164. She is receiving high-flow oxygen via a nonrebreathing mask. Which of the following findings is LEAST suggestive of child abuse? 6 months and 6 years. correct? C. face D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. D. there is usually obvious injury to the external chest wall. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. 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. A. alcohol. Use the proper word to complete each of the following blanks: The infant's mother tells you that he has not had a soiled diaper in over 12 hours. D. brisk capillary refill. C. facilitate a rapid head-to-toe assessment of the child by visualization only. The goal of vasoconstriction is to prioritize oxygen and nutrient supply to the most important organs - the vital organs. they are: C. carefully examine the genitalia for signs of injury. B. crying and anxiety. You should: C. consistency in the method of injury reported by the caregiver You should: Which of the following is the MOST appropriate dose of activated charcoal for a 20kg child? A. determine if the child's vital signs are within the age-appropriate limits. D. ventilate the child with sharp, quick breaths at the appropriate rate. Page: 1196, 103. You should: Before positioning an infant or child's airway, you should: To ensure that the airway of an infant or small child is correctly positioned, you may have to: place a towel or folded sheet behind the shoulders. When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ pulse. D. poisonings or ingestion. A. pallor. 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. tachypnea. d. an absence of breath sounds. D. cardiovascular disease. Pupillary response in pediatric patients may be abnormal in the presence of all of the following, EXCEPT: C. vomiting and diarrhea. ., 10. You are dispatched to a local elementary school for an injured child. B. drooling or congestion. Infants have relatively fixed stroke volumes and are particularly dependent upon heart rate to increase cardiac output. C. excessive tachycardia. B. mental status, heart rate, and systolic blood pressure. if the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. D. 18, 6, Answer: D B. awareness to place, pink and dry skin, and consistent eye contact. B. observe the child's skin color. C. sunken fontanelles. 82 mm Hg A. the flexible rib cage protects the vital thoracic organs. B. obtain a SAMPLE history from the parents. C. stimulate the vagus nerve. A. extreme restlessness. Page: 1185. Answer: B 2 seconds. of the head. D. give 12.5 to 25 g of activated charcoal. A. radial Effects of peripheral vasculopathy, including Raynaud's phenomenon, were observed in post-marketing reports at different times and at therapeutic doses in all age groups throughout the course of treatment. A. is experiencing mild to moderate pain. The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in partial paralysis. C. administering blow-by oxygen and transporting the child with her mother. B. oxygen content in the blood is decreased.