B. oxygen content in the blood is decreased. C. vomiting and diarrhea. Blood pressure is usually not assessed in children younger than _____ years. D. sunken fontanelles. D) altered mental status. EMT - Chapter 34: Pediatric Emergencies Flashcards | Quizlet 78. 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. C. their bones bend more easily than an adult's. A 6-month-old male presents with 2 days of vomiting and diarrhea. 6 years. B. a responsive 6-year-old male who responds appropriately When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ pulse. A. older than 8 to 10 years. B. rule out hypoxia if cyanosis is absent. D. poisonings or ingestion. B. stabilize his head and check for a pulse. A. separating the child from his or her parents. A common cause of shock in an infant is: The MOST appropriate treatment for this child includes: administering blow-by oxygen and transporting the child with her mother. A child's head is less frequently injured than an adult's. C. avoiding the placement of a splint, if possible. D. caused by the inability of the body to cool itself. B. dehydration from vomiting and diarrhea. B. cause the child to vomit. You should: b. abnormal breath sounds. via a nonrebreathing mask. Signs of severe dehydration in an infant include all of the following, EXCEPT: C. your assessment will most often reveal bruising to the abdomen. A. place oxygen tubing through a hole in a paper cup. A. is a rapid head-to-toe exam to detect life threats. C. excessive tachycardia. She is receiving high-flow oxygen via a nonrebreathing mask. 23. A. presence of shock in infants and children? The signs and symptoms of poisoning in children: C. femoral Answer: D C. perform a head tilt-chin lift maneuver. 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 the airway is patent and clear of obstructions. Page: 1171. 105. A. sexual activity Page: 1193-1194, 97. Answer: B D. head bobbing. D. brisk capillary refill. D. is most appropriate when your transport time is short. C. monitor the pulse oximeter reading. D. experiencing cardiopulmonary arrest. Stridor. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. Referring to Figure 9.5, state what phase(s) is (are) present at What time did the ingestion occur? Answer: C C. belly breathing. D. Blanching of the nares after insertion indicates correct placement. 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. A. is experiencing mild to moderate pain. The purpose of the pediatric assessment triangle (PAT) is to: D. observe the chest for adequate rise. C. stimulate the vagus nerve. B. 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. Nurses Pocket Drug Guide 2015 [PDF] [1riu50qtm8ao] - vdoc.pub A. hot items on a stovetop. The MOST appropriate treatment for this child includes: administering blow-by O2 and transporting the child with her mother. B. asthma. Authors Channel Summit. 12. C. skin that is cool and dry. D. may indicate a serious underlying illness. Part 14: Pediatric Advanced Life Support | Circulation is tachypneic, has sternal retractions, and is clinging to her mother. Study Resources. Critical burns in children include: The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. D. 35%, Which of the following is the LEAST reliable assessment parameter to evaluate when determining the 14. D. caused by the inability of the body to cool itself. Pediatric Emergencies, Ch. C. palpate the abdomen for rise and fall. D. A 3-month-old infant can distinguish a parent from a stranger. When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. A. When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. Answer: C D. 18 months and 10 years. unrecognized. He is conscious, but his level of activity is decreased. You should: The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. b. abnormal breath sounds. Question Type: General Knowledge D. stridorous breathing. A. cyanosis. C. a law enforcement officer must be present. Guiding principles for appropriate complementary feeding are: continue frequent, on-demand breastfeeding until 2 years of age or beyond; Question Type: General Knowledge D. lethal cardiac rhythm disturbances. If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority? Her skin is pink and dry, and her heart rate is 120 beats/min. 34. A. bleeding in the brain. You should: Which of the following is the MOST appropriate dose of activated charcoal for a 20kg child? Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: D. 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. You should: attempt cooling measures, offer oxygen, and transport. Which of the following statements regarding pediatric trauma is correct? A. depress the gag reflex. D. epiglottitis. B. more vascular despite the fact that they are proportionately smaller. Question Type: General Knowledge C. 8 years. C. caused by inflammation of the spinal cord. c. Based on alcohol's effect on the nervous system, explain why drinking and driving is extremely dangerous. When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence? B. push the tongue anteriorly. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. B. drooling or congestion. An 8-year-old female with a history of asthma continues to experience severe respiratory distress despite Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? D. mild respiratory distress. heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. B. a low-grade fever and tachycardia. C. bulging fontanelles. C. 5 B. Answer: C B. wheezing. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. Page: 1164, 37. B. females C. Why did your child ingest the poison? C. a rapid heart rate. rate is 120 beats/min. C. skin condition, respiratory rate, and level of alertness. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. You are dispatched to a local elementary school for an injured child. They are rarely used in infants younger than 1 year. B. burns to the hands or feet that involve a glove distribution B. use a length-based resuscitation tape measure. Page: 1196, 103. C. avoiding the placement of a splint, if possible. Question Type: General Knowledge hospital. C. vomiting and diarrhea. Using the discussion earlier, answer the questions below: b. Which of the following is true about a child's breathing? D. delayed capillary refill indicates a state of decompensated shock. C. immobilized on a long backboard. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. D. dry mucous membranes. Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: 5. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. 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: 1158. Page: 1173. 88 mm Hg A. wheezing. Page: 1176, 57. Children are less likely than adults to be struck by a car. The EMTs should: remove the child from the car seat and secure both him and his mother to the stretcher. A. Signs of vasoconstriction in the infant or child include: C. hypothermia and an irregular pulse. C. their bones bend more easily than an adult's. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. D. duration of symptoms. D. immediately report your suspicions to the parents. C. immobilized on a long backboard. 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: 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. B. stabilize his head and check for a pulse. A. child abuse must be reported only if it can be proven. Page: 1186. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. Pale skin in a child indicates that the: 100. C. his or her respirations are shallow. A. encourage the child to urinate and take a shower. B. B. dehydration from vomiting and diarrhea. C. perform a blind finger sweep. A. normal interactiveness, awareness to time, and pink skin color. D. place the child in a supine position and perform abdominal thrusts. C. severe infection. C. 8 months and 8 years. 76. Page: 1158-1159. hospital. B. asthma. B. slowed level of activity. D. 70, Answer: A A. Answer: A B. attempt cooling measures, offer oxygen, and transport. His skin is pale and cold and his arms are stiff. D. nausea and vomiting. Question Type: General Knowledge 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. D. popliteal. B. a responsive 6-year-old male who responds appropriately D. nausea and vomiting, Answer: D B. observe the child's skin color. C. usually present within the first 10 minutes of ingestion. Signs of infection include an increase in VS, poor feeding, vomiting, pupil dilation, decreased LOC, and . B. obtain a SAMPLE history from the parents. B. monitor her airway and give oxygen. prepare for immediate transport to a trauma center. The anti-inflammatory action of corticosteroids reduces laryngeal mucosal edema and decreases the need for salvage nebulized epinephrine. conscious, crying, and clinging to her mother. Pupillary response in pediatric patients may be abnormal in the presence of all of the following, EXCEPT: B. meningitis. Which of the following statements regarding a pediatric patient's anatomy is correct? Effective methods for providing pain relief to a child with an extremity injury include: positioning, ice packs, and emotional support. A. requesting a paramedic ambulance to insert an advanced airway device. C. a law enforcement officer must be present. 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. allowing the child to remain with her mother and applying a nasal cannula. Question Type: General Knowledge Compensatory mechanisms that improve stroke volume include increased venous smooth muscle tone (improves preload by shunting blood to the Which of the following children would benefit the LEAST from a nonrebreathing mask? His mother states that she saw him put a small toy into his mouth shortly before the episode began. A. the flexible rib cage protects the vital thoracic organs. Answer: B Question Type: General Knowledge Page: 1155 13. Page: 1156. A. child abuse must be reported only if it can be proven. Question Type: General Knowledge D. accessory muscle use. B. obtain a SAMPLE history from the parents. A. pink, dry skin. A. infection. Question Type: General Knowledge A. vary widely, depending on the child's age and weight. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: Vasoconstriction - an overview | ScienceDirect Topics B. respiratory or circulatory failure. Answer: A She is receiving high-flow oxygen via a non-rebreathing mask. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. D. may indicate a serious underlying illness. C. intra-abdominal hemorrhage. toy into his mouth shortly before the episode began. Chapter 43 Pediatric Emergencies Flashcards by Bruce Wayne - Brainscape A. proportionately larger and situated more anteriorly. B. encourage him to cough, give oxygen as tolerated, and transport. B. he or she has no visible injuries. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? 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. Answer: A Abstract The thermoregulatory threshold for vasoconstriction has been studied in infants and children given isoflurane, but not in those given halothane anesthesia. B. mental status, heart rate, and systolic blood pressure. Peripheral vasoconstriction is an important autonomic response to cold exposure, which restricts heat transfer from the core to the environment through the skin. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. Question Type: Critical Thinking B. place a towel or folded sheet behind the shoulders. Before assessing the respiratory adequacy of an semiconscious infant or child, you must: Page: 1192. Which of the following is the LEAST reliable assessment parameter to evaluate when Question Type: Critical Thinking 61. B. rule out hypoxia if cyanosis is absent. C. perform a head tilt-chin lift maneuver. When inserting an oropharyngeal airway in an infant or child, you should: C. a cough that resembles the bark of a seal. You should: Inform the child's mother that her son is deceased. Question Type: General Knowledge They are rarely used in infants younger than 1 year. A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. D. Inexperience and poor judgment are rare causes of pediatric trauma. The EMT should be MOST concerned when a child presents with fever and: A. place padding under the child's head. C. rule out an injury to the spinal cord. Which of the following statements regarding preschool-age children is correct? Question Type: General Knowledge An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based D. 50 g, Answer: B Death caused by shaken baby syndrome is usually the result of: After determining that an infant or child has strong central pulses, you should: After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: immediate transport is indicated for a child when he or she: has a history suggestive of a serious illness. C. pad underneath the child's head. Page: 1176. A. cyanosis. C. altered mental status. He is conscious, but his level of activity partial paralysis. D. acute hypoxia and tachycardia. Question Type: General Knowledge Which of the following findings is LEAST suggestive of child abuse? It is the recommended adjunct for children with head trauma. Page: 1184. B. B. have a female EMT remain with her if possible. Page: 1190. observes the patient for signs of ICP and of infection at the operative site or along the shunt line. There may be . Page: 1161. 102. Page: 1158. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? B. toddler period. More importantly, the effect of vasoconstriction on central temperature in pediatric patients remains unknown. 73. In the first three months babies pay most attention to faces. Vasoconstriction: Causes, Symptoms & Treatment - All Health Post Which of the following is NOT a known risk factor of SIDS? Which of the following is NOT a known risk factor of SIDS? When inserting an oropharyngeal airway in an infant or child, you should: C. bronchitis. B. A. appearance, work of breathing, and skin circulation. A. croup. C. change in bladder habits A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full spinal precautions, and transport. D. 10 years. Answer: B Answer: A Answer: B D. twisting injuries are more common in children. Answer: B D. 98 mm Hg. C. your assessment will most often reveal bruising to the abdomen. Question Type: General Knowledge Infant and young child feeding - World Health Organization B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. A. evaluate the child's baseline vital signs. D. lower in the abdominal cavity, where the muscles are not as strong. Which of the following is MORE common in children than in adults following a head injury? Question Type: General Knowledge What condition should you suspect? B. encourage him to cough, give oxygen as tolerated, and transport. D. abnormal airway noise. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: A. intercostal muscles are not well developed. C. severe hypoxia and bradycardia. A. place bulky padding behind his or her occiput.