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. 32. 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. B. fear or anxiety. C. may not be possible if the child's condition is critical. C. a law enforcement officer must be present. C. stimulate the vagus nerve. B. A. child is in severe decompensated shock. A. wheezing. 88. They are rarely used in infants younger than 1 year. A. In the first three months babies pay most attention to faces. Most cases of SIDS occur in infants younger than 6 months. C. ensure that he or she uses a neonatal device for children younger than 12 months. Page: 1168. You are using JumpSTART in a triage situation involving several children. B. place a towel or folded sheet behind the shoulders. More importantly, the effect of vasoconstriction on central temperature in pediatric patients remains unknown. Kho St Cng Trnh Ngm kent, wa police news today. Early signs of respiratory distress in the child include: Page: 1186. vacation rental inspector job description This is what is known as an embolus. Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: 5. 81. B. should be performed, regardless of the circumstances. 12.5 g She further tells you that her daughter has no history of seizures, but has had a pain control management is essential. C. a rapid heart rate. Greenstick fractures occur in infants and children because: C. facilitate a rapid head-to-toe assessment of the child by visualization only. Page: 1164, 36. C. hyperthermia. 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? A child may begin to show signs of separation anxiety as early as: 4. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. Which of the following statements regarding a 3-month-old infant is correct? Which of the following statements regarding pediatric trauma is correct? A. perform abdominal thrusts. 6 years. C. a cough that resembles the bark of a seal. A. he or she can compensate for blood loss better than adults. B. encourage him to cough, give oxygen as tolerated, and transport. When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. A. cyanosis. A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. A. the car seat is visibly damaged. When administering oxygen to a frightened child, it would be MOST appropriate to: B. their bones are more brittle than an adult's. D. A 3-month-old infant can distinguish a parent from a stranger. B. secondary to a severe bacterial infection. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? Page: 1192. D. duration of symptoms. D. capillary refill, Answer: B Page: 1185. D. a supervisor can forbid you from reporting possible abuse. 56. Question Type: General Knowledge She is conscious, but clearly restless. Which of the following groups of people is associated with the lowest risk of meningitis? When a child experiences a blunt injury to the abdomen: The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: A. requesting a paramedic ambulance to insert an advanced airway device. Answer: A 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? C. 4 seconds. Question Type: General Knowledge Effective methods for providing pain relief to a child with an extremity injury include: Before positioning an infant or child's airway, you should: A viral infection that may cause obstruction of the upper airway in a child is called: The patient, an 18-month-old female, Which of the following statements regarding a pediatric patient's anatomy is correct? 44. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: In most children, febrile seizures are characterized by: Page: 1186. Answer: A B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. D. may indicate a serious underlying illness. D. retracting the intercostal muscles. Common causes of seizures in children include all of the following, EXCEPT: The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a C. Children have a larger, rounder occiput compared to adults. A. Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: B. C. a congenital cardiovascular defect. D. They can usually identify painful areas when questioned. obviously frightened, and is coughing forcefully. She is receiving high-flow oxygen via a nonrebreathing mask. C. excessive tachycardia. Signs and symptoms are usually intermittent and mild; however, very rare sequelae include digital ulceration and/or soft tissue breakdown. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement Answer: C C. perform a blind finger sweep. D. swimming pools. Certain cases of SIDS are predictable and therefore preventable. D. a generalized rash with intense itching. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after C. Children are more likely to experience diving-related injuries. C. estimate the child's weight based on appearance. B. stabilize his head and check for a pulse. A. B. a stiff or painful neck. Page: 1162, 30. C. blood vessels near the skin are constricted. They are rarely used in infants younger than 1 year. B. a rash. Question Type: General Knowledge A. place padding under the child's head. C. a rapid heart rate. 69. 28. 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. D. height of the child and the speed at which the car was traveling. His mother states that she saw him put a small toy into his mouth shortly before the episode began. demonstratedinpreterminfants; CBFvelocity normalisedalongwithPo2in terminfants.5 Extremely low birthweight infants can be treated appropriatelywithroomairor30-40% oxygen in the delivery room.6 Routine use of 80-100%oxygenduringtheinitial stabilisation at birth, as often recommended,7 may there-fore produce hyperoxaemia in some infants. child during bag-mask ventilations is to: Cardiac arrest in the pediatric population is MOST commonly the result of: In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. 94. 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). A. bleeding in the brain. B. mental status, heart rate, and systolic blood pressure. C. bronchitis. Answer: B Question Type: General Knowledge Page: 1155 13. Signs of severe dehydration in an infant include all of the following, EXCEPT: The Answer The answer is C. Seizure. Death caused by shaken baby syndrome is usually the result of: C. 5 Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? 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 . is tachypneic, has sternal retractions, and is clinging to her mother. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. C. spaced further apart, which causes them to shift following trauma. (b) 25C,1atm25^{\circ} \mathrm{C}, 1 \mathrm{~atm}25C,1atm A. block the pop-off valve if needed to achieve adequate chest rise. D. lethal cardiac rhythm disturbances. they are: This is an example of what condition? C. They are usually not well tolerated in children with a gag reflex. C. 8 years. B. monitor her airway and give oxygen. You should: attempt cooling measures, offer O2, transport. Answer: A B. SIDS is most commonly the result of an overwhelming infection. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. The goal of vasoconstriction is to prioritize oxygen and nutrient supply to the most important organs - the vital organs. C. perform a hands-on assessment of the ABCs. B. obtain a SAMPLE history from the parents. 15% When you arrive at the scene, the child is 6, 12 B. falls from a height greater than 5. A. heart rate A. encourage the child to urinate and take a shower. The secondary assessment of a sick or injured child: A. B. attempt cooling measures, offer oxygen, and transport. B. observe the child's skin color. Page: 1158. A. tenting. Answer: B Question Type: General Knowledge C. pad underneath the child's head. B. slide the device under the child. A. profound tachycardia. 3 seconds. level of activity is decreased. B. his or her tidal volume is adequate. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. D. decreased LOC. Answer: B C. severe dehydration. A. sunken fontanelles. A 3-month-old infant can distinguish a parent from a stranger. The MOST appropriate treatment for this child includes: administering blow-by O2 and transporting the child with her mother. A. a conscious 4-year-old male with adequate tidal volume 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. intra-abdominal hemorrhage. C. blood vessels near the skin are constricted. C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her Signs of severe dehydration in an infant include all of the following, EXCEPT: He is unresponsive and there are no signs of breathing. D. there is usually obvious injury to the external chest wall. 42. The mother tells you that the seizure lasted approximately 5 minutes. Submersion injuries in the adolescent age group are MOST commonly associated with: Which of the following statements regarding pediatric trauma is correct? A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. Answer: B an unresponsive 5yearold male with shallow respirations. C. 60 C. They are usually not well tolerated in children with a gag reflex. A. stridor. C. usually present within the first 10 minutes of ingestion. B. slowed level of activity. Answer: B Page: 1192. D. 18, 6, Answer: D Question Type: General Knowledge 100. A. child abuse must be reported only if it can be proven. Question Type: General Knowledge Answer: D Page: 1162. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: A. the flexible rib cage protects the vital thoracic organs. D. result in a soft-tissue injury. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. A. he or she can compensate for blood loss better than adults. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: EMT Chapter 34 - Pediatric Emergencies Quiz, EMT-B Chapter 34 - Pediatric Emergencies (Mul, AAOS EMT Eleventh Edition Chapter 34 Pediatri, EMT: Chapter 33 [obstetrics & neonatal care], EMT: Chapter 32 [environmental emergencies], Julie S Snyder, Linda Lilley, Shelly Collins, Stanwick Managerial Accounting T/F & MC for E, Captulo 23: Aparato reproductor femenino. When you stimulate the child, she responds. You are assessing a 6-year-old boy who has a fever of 102 and is showing signs of altered LOC. D. delayed capillary refill indicates a state of decompensated shock. Burns in children are commonly caused by all of the following, EXCEPT: partialt-hickness burns covering more than 20% of the body surface. B. headache and fever. Answer: B Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: As you approach the child, you note B. monitor her airway and give oxygen. D. result in a soft-tissue injury. D. a supervisor can forbid you from reporting possible abuse. conscious, crying, and clinging to her mother. B. Write a test program that displays m(i) for i = 1, 2, . 89. Signs of a severe airway obstruction in an infant or child include: an ineffective cough Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? C. 8 months and 8 years. A. extreme restlessness. B. thoroughly suction his or her airway. Which of the following statements regarding the use of nasopharyngeal airways in children is Answer: B A. 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. The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the D. mild respiratory distress. C. restlessness. A 6-year-old male presents with acute respiratory distress. A. any superficial or partial-thickness burn that involves the legs or arms. The normal respiratory rate for a newborn should not exceed ______ breaths/min. A. bleeding in the brain. B. not rule out compensated shock. Which of the following groups of people is associated with the lowest risk of meningitis? A. place bulky padding behind his or her occiput. b. abnormal breath sounds. Answer: D A. a cardiac arrhythmia. A 4-year-old, 16-kg female ingested an unknown quantity of liquid drain cleaner. C. place the child in cold water to attempt to reduce her fever. Answer: A A. D. heat compresses and lowering the injured extremity. Page: 1186. What immediate effects does alcohol have on the body? Page: 1170. 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. C) a stiff or painful neck. D. assess his or her respiratory effort. 50 Page: 1188. 6 years. C. blood vessels near the skin are constricted. immobilization device if: C. place the child in cold water to attempt to reduce her fever. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? B. D. Inexperience and poor judgment are rare causes of pediatric trauma. Answer: A Page: 1185. A. assume the child is hypertensive. The mother tells you that the seizure lasted approximately 5 minutes. 68. The anti-inflammatory action of corticosteroids reduces laryngeal mucosal edema and decreases the need for salvage nebulized epinephrine. B. partial-thickness burns covering more than 20% of the body surface. A. irritability of the left ventricle. Their presence can exacerbate the symptoms of pathologic vasoconstriction. 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. D. superficial burns covering more than 10% to 15% of the body surface. D. 98 mm Hg. Common causes of seizures in children include all of the following, EXCEPT: Febrile seizures are MOST common in children between: In most children, febrile seizures are characterized by: generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. C. skin condition, respiratory rate, and level of alertness. 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. D. give detailed updates to the infant's parents. Study Resources. signs of vasoconstriction in the infant or child include: B. not rule out compensated shock. Question Type: General Knowledge A. carefully look into his mouth and remove the object if you see it. may indicate a serious underlying illness. A. 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. Question Type: General Knowledge Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are: Question Type: General Knowledge D. hypovolemic shock. hospital. Question Type: General Knowledge Dose: Adults. B. C. estimate the child's weight based on appearance. 88 mm Hg Children are less likely than adults to be struck by a car. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A) sunken fontanelles. Page: 1176. 54. B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and transport to the closest trauma center. 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. Page: 1161. B. partial-thickness burns covering more than 20% of the body surface. 3 seconds. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, C. altered mental status. 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. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full B. They are rarely used in infants younger than 1 year. What time did the ingestion occur? C. his or her respirations are shallow. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement A. alcohol. Signs of vasoconstriction in the infant or child include: A. warm, dry skin. B. awareness to place, pink and dry skin, and consistent eye contact. presence of shock in infants and children? C. avoiding the placement of a splint, if possible. D. superficial burns covering more than 10% to 15% of the body surface. You should suspect: Which of the following is the LEAST reliable assessment parameter to evaluate when C. restlessness. An 8-year-old female with a history of asthma continues to experience severe respiratory distress despite B. headache and fever. B. are more obvious than in the adult population. When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence? Accessory muscle use. A. D. allowing the child to remain with her mother and applying a nasal cannula. C. change in bladder habits A. vary widely, depending on the child's age and weight. When assessing an infant's ventilation status, you should: Page: 1180. 82. D. 70, Which of the following inquiries should you make in private when obtaining a SAMPLE history from an Question Type: General Knowledge You should: D. place the child in a supine position and perform abdominal thrusts. C. bulging fontanelles. C. Children are more likely to experience diving-related injuries. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? 5. D. accessory muscle use. D. open his airway and look in his mouth. A. a complete airway obstruction. A. proportionately larger and situated more anteriorly. bronchioles. 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 Pupillary response in pediatric patients may be abnormal in the presence of all of the following, EXCEPT: You should: B. past medical history Heart rate may not reflect the severity of blood loss due to compensatory vasoconstriction and constriction. The MOST appropriate treatment for this child includes: administering blow-by oxygen and transporting the child with her mother. A. begin immediate rescue breathing. B. a weak cough. 33. D. height of the child and the speed at which the car was traveling. A. cyanosis. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. B. thoroughly suction his or her airway. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. B. a low-grade fever and tachycardia. Pediatric Emergencies, Ch. A. child is in severe decompensated shock. Question Type: General Knowledge Page: 1174. B. This . A. quiet breathing. Question Type: General Knowledge C. severe dehydration. Effective methods for providing pain relief to a child with an extremity injury include: positioning, ice packs, and emotional support. Question Type: General Knowledge The MOST accurate method for determining if you are delivering adequate tidal volume to a D. a headache. Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: Answer: A 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. A. shins 51. Use the following terms to create a concept map: atoms, average atomic mass, molecules, mole, percentage composition, and molar masses. A. mother younger than 20 years D. nausea and vomiting, Answer: D When immobilizing an injured child in a pediatric immobilization device, you should: Question Type: General Knowledge She is receiving high-flow oxygen He is responsive to painful stimuli only and has a large hematoma to the back of his head. Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: A. evaluate the child's baseline vital signs. A. extreme restlessness. If appropriate dosing for children and infants is included with age ranges as needed. C. spaced further apart, which causes them to shift following trauma. D. secure the torso before the head. 3. C. may not be possible if the child's condition is critical. B. slowed level of activity. B. secondary to a severe bacterial infection. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: B. stabilize his head and check for a pulse. C. are usually caused by viral meningitis. A. the growth plate is commonly injured. 47. A. stridor. Children with N meningitides would MOST likely present with: D. may indicate a serious underlying illness. A. assume the child is hypertensive. A. spinal cord injury C. administering blow-by oxygen and transporting the child with her mother. Which of the following is MORE common in children than in adults following a head injury? A. place oxygen tubing through a hole in a paper cup. B. multiple open fractures. B. burns to the hands or feet that involve a glove distribution B. a sudden ventricular arrhythmia. B. asthma. He is responsive to painful stimuli only and has a large hematoma to the back of his head. 63. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. D. gather critical data by performing a rapid hands-on assessment of the child. Submersion injuries in the adolescent age group are MOST commonly associated with: B. a low-grade fever and tachycardia. D. delayed capillary refill indicates a state of decompensated shock. You should: 82 mm Hg How could you check to see if this is true (without any scraping)? You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. Common causes of seizures in children include all of the following, EXCEPT: Chapter 34 Pediatric Emergencies. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of A. cherry-red spots or a purplish rash. Page: 1160. D. 35%, Answer: C C. have a parent restrain the child as you give oxygen. A. mild dehydration. When inserting an oropharyngeal airway in an infant or child, you should: 96. Effective methods for providing pain relief to a child with an extremity injury include: C. insert a nasopharyngeal or oropharyngeal airway adjunct. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. Question Type: Critical Thinking The German Association of the Scientific Medical Societies guideline for pregnancy, childbirth, and puerperium in women with a spinal cord injury (SCI) addresses a range of topics from the desire . Page: 1175. B. drooling or congestion. C. conclude that the child is stable. B. Which of the following is NOT a known risk factor of SIDS? Her skin is hot and moist. C. a rapid heart rate. 6, 12 D. 50 g. The MOST common cause of dehydration in pediatric patients is: D. Do you know what substance was ingested? Answer: B A. D. mother smoked during pregnancy, C. putting a baby to sleep on his or her back. signs of vasoconstriction in the infant or child include weak distal pulses which of the following statement regarding spinal injuries in pediatric patients is correct? Answer: A A. perform abdominal thrusts. Page: 1176, 57. C. a stiff or painful neck. Which of the following inquiries should you make in private when obtaining a SAMPLE history from an adolescent patient? A. of more than 2F to 3F per hour. The child is conscious, obviously frightened, and is C. hypothermia and an irregular pulse. A. sunken fontanelles. Page: 1180, 66. B. have a female EMT remain with her if possible. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. C. severe hypoxia and bradycardia. C. exposure to caustic chemicals. Answer: A B. use a length-based resuscitation tape measure. Submersion injuries in the adolescent age group are MOST commonly associated with: A. the flexible rib cage protects the vital thoracic organs. You should: encourage him to cough, give O2 as tolerated, and transport. 24. recent ear infection. Page: 1160. In gen-eral, signs of blood loss include pale mucous membranes, pro-longed capillary re-fill time, progressive mental deterioration, tachypnea, hypothermia, poor pulse quality (narrow pulse . C. retractions. 75. playing with a small toy. 2. B. dehydration from vomiting and diarrhea. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT:
Medicare Part B Reimbursement 2021 Nyc Retirees,
Cervical Precautions Occupational Therapy,
Nypd Intelligence Research Specialist,
Keith Carter Ole Miss Salary,
Articles S
