A. 102. Page: 1158. D. give detailed updates to the infant's parents. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? Page: 1196. B. headache and fever. A. shins Question Type: General Knowledge 61. D. mild respiratory distress. D. Inexperience and poor judgment are rare causes of pediatric trauma. When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. 3 After using the PAT to form your general impression of a sick or injured child, you should: C. a congenital cardiovascular defect. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? Answer: B A. Page: 1160. When assessing an infant's ventilation status, you should: level of activity is decreased. Question Type: General Knowledge and clinging to her mother. When you arrive at the scene, the child is B. respiratory or circulatory failure. Submersion injuries in the adolescent age group are MOST commonly associated with: C. exposure to caustic chemicals. The secondary assessment of a sick or injured child: 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. A. child is in severe decompensated shock. Answer: B Correct D. altered mental status. B. toddler period. A. the flexible rib cage protects the vital thoracic organs. C. face 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. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. 76. A. he or she can compensate for blood loss better than adults. the back of his head. C. has a possible closed fracture of the radius. may indicate a serious underlying illness. 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. Stridor. B. more vascular despite the fact that they are proportionately smaller. Which of the following statements regarding a pediatric patient's anatomy is correct? D. 70, Which of the following inquiries should you make in private when obtaining a SAMPLE history from an Which of the following statements regarding a pediatric patient's anatomy is correct? 60. B. a weak cough. B. are more obvious than in the adult population. Page: 1185. CHLOROPROCAINE HCI CHLOROPROCAINE HYDROCHLORIDE 10 mg/mL HF Acquisition Co LLC, DBA HealthFirst HF Acquisition Co LLC, DBA HealthFirst playing with a small toy. D. suspect that the child has meningitis and transport at once. C. blood vessels near the skin are constricted. B. hyperglycemia. A. warm, dry skin. Page: 1160. C. his or her respirations are shallow. 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. Page: 1182. C. Why did your child ingest the poison? D. lower in the abdominal cavity, where the muscles are not as strong. 21. A. vary widely, depending on the child's age and weight. imagine kit homes reviews nz; . A. routinely suction the mouth to remove oral secretions. Page: 1155. A. cyanosis. 88. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. D. fracture of the cervical spine. A. A. requesting a paramedic ambulance to insert an advanced airway device. Question Type: General Knowledge Page: 1158. 40 Answer: A 40 B. place a towel or folded sheet behind the shoulders. 26. A. older than 8 to 10 years. D. give oxygen and transport at once. is decreased. When ventilating a pediatric patient with a bag-mask device, the EMT should: 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? 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? Children with N meningitides would MOST likely present with: He is complaining of pain when he tries to turn his head. A 6-year-old male presents with acute respiratory distress. C. consistency in the method of injury reported by the caregiver Page: 1160. You should: transport to the closest trauma center. Answer: D Question Type: General Knowledge 34. B. obtain a SAMPLE history from the parents. Write a test program that displays m(i) for i = 1, 2, . You are dispatched to a residence for a child with respiratory distress. A. the car seat is visibly damaged. D. immediately report your suspicions to the parents. 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: A. C. slightly flex the neck to prevent tracheal kinking. When you arrive at the scene, the child is conscious, crying, Answer: A When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. You are dispatched to a local elementary school for an injured child. D. Do you know what substance was ingested? As you approach the child, you note that he is lying at the base of the monkey bars. You are dispatched to a residence for a child with respiratory distress. C. conclude that the child is stable. Page: 1169. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. Which of the following is MORE common in children than in adults following a head injury? conscious, crying, and clinging to her mother. Nursing Care of a Family With a High-Risk New. A. Page: 1162. Page: 1171. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: B. should be performed, regardless of the circumstances. Pupillary response in pediatric patients may be abnormal in the presence of all of the following, EXCEPT: Page: 1186. B. retracting. Correct D. start of infancy. D. give oxygen if the SpO2 is less than 90%. Which of the following statements regarding a 3-month-old infant is correct? Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if You C. ear pain. presence of shock in infants and children? He is unresponsive and there are no signs of breathing. Her skin is pink and dry, and her heart rate is 120 beats/min. Which of the following children would benefit the LEAST from a nonrebreathing mask? Present your findings in a written or oral report. In the first three months babies pay most attention to faces. A. sexual activity After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: Answer: B Question Type: General Knowledge Page: 1155 13. C. belly breathing. She is She further tells you that her daughter has no history of seizures, but has had a children have a larger, rounder occiput compared to adults. consistency in the method of injury reported by the caregiver. A. heart rate Page: 1189. Blood pressure is usually not assessed in children younger than _____ years. If complementary foods are not introduced around the age of 6 months, or if they are given inappropriately, an infant's growth may falter. A. extreme restlessness. 2 seconds. A. Question Type: General Knowledge A. encourage the child to urinate and take a shower. Answer: A D. absent urine output. A. excessive tearing. B. separating the child from her mother and providing ventilatory assistance. Question Type: General Knowledge A. heart rate D. poisonings or ingestion, Answer: B A. A. grunting. A. 20 g 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. Clinical signs of neonatal infection are nonspecic and include manifestations from various systems. Signs of vasoconstriction in the infant or child include: C. weak distal pulses. Blood pressure is usually not assessed in children younger than _____ years. Page: 1169. A. cyanosis. B. B. ensure that his or her neck is hyperextended. Answer: A B. rule out hypoxia if cyanosis is absent. Febrile seizures are MOST common in children between the ages of: Which of the following statements regarding a 3-month-old infant is correct? 42. 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. D) Retractions are less obvious in children owing to their noncompliant rib cages. Which of the following groups of people is associated with the lowest risk of meningitis? D. he or she even has a minor injury. Page: 1185. D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. C. severe infection. Burns in children are commonly caused by all of the following, EXCEPT: A. child abuse must be reported only if it can be proven. Question Type: General Knowledge C. spaced further apart, which causes them to shift following trauma. d. an absence of breath sounds. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. B. partial-thickness burns covering more than 20% of the body surface. C. rule out an injury to the spinal cord. D. lower in the abdominal cavity, where the muscles are not as strong. D. lethal cardiac rhythm disturbances. The mother tells you that the seizure lasted approximately 5 minutes. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: The child is conscious and appears alert. A. estimate the child's weight based on age. Answer: A D. has a history suggestive of a serious illness. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: B. moist oral mucosa. Peripheral vasoconstriction is an important autonomic response to cold exposure, which restricts heat transfer from the core to the environment through the skin. A. tenting. Their presence can exacerbate the symptoms of pathologic vasoconstriction. A. a conscious 4-year-old male with adequate tidal volume 93. being given multiple doses of her prescribed albuterol by her mother. C. you should document your perceptions on the run form. Page: 1171. The normal respiratory rate for a newborn should not exceed ______ breaths/min. D. superficial burns covering more than 10% to 15% of the body surface. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. Write a recursive method to compute the following series: m(i)=13+25+37+49+511+613++i2i+1m(i)=\frac{1}{3}+\frac{2}{5}+\frac{3}{7}+\frac{4}{9}+\frac{5}{11}+\frac{6}{13}+\ldots+\frac{i}{2 i+1} B. falls from a height greater than 5. A. proportionately larger and situated more anteriorly. D. allowing the child to remain with her mother and applying a nasal cannula. 15% The MOST appropriate treatment for this child includes: A. block the pop-off valve if needed to achieve adequate chest rise. 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? A. Children with N meningitides would MOST likely present with: B. use a length-based resuscitation tape measure. Page: 1192. Page: 1170. D. an altered mental status. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. Answer: C D. lethal cardiac rhythm disturbances. Which of the following is the LEAST reliable assessment parameter to evaluate when C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: When a child is struck by a car, the area of greatest injury depends MOSTLY on the: A. child is in severe decompensated shock. Answer: C C) a stiff or painful neck. How could you check to see if this is true (without any scraping)? A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. Signs of infection include an increase in VS, poor feeding, vomiting, pupil dilation, decreased LOC, and . A. B. retracting. D. 5 seconds. The triggers for vasoconstriction are fluid loss (blood, urine, stomach contents, sweat, fluid evaporation due to severe burns), hypothermia, and hypernatremia (too much sodium in the blood). If a nasopharyngeal airway is too long, it may: A 2-year-old female has experienced a seizure. c. diminished breath sounds. Page: 1184. Immediate transport is indicated for a child when he or she: B. Question Type: General Knowledge She further tells you that her daughter has no history of seizures, but has had a recent ear infection. C. Children are more likely to experience diving-related injuries. 50 4 years. C. age of the child and the size of the car that struck him or her. Page: 1193. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. 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. D. he or she is breathing inadequately. D. caused by the inability of the body to cool itself. bronchioles. A viral infection that may cause obstruction of the upper airway in a child is called: 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. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her Burns in children are commonly caused by all of the following, EXCEPT: partialt-hickness burns covering more than 20% of the body surface. D. a supervisor can forbid you from reporting possible abuse. A. high fever. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? The child is conscious, obviously frightened, and is coughing forcefully. C. Most cases of SIDS occur in infants younger than 6 months. Page: 1187, 87. C. insert a nasopharyngeal or oropharyngeal airway adjunct. A. warm, dry skin. Which of the following findings is LEAST suggestive of child abuse? A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full This is what is known as an embolus. When inserting an oropharyngeal airway in an infant or child, you should:

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