B. meningitis. D. are most severe if the child ingested a poisonous substance. C. deliver a series of five back blows and then reassess his condition. 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. B. are more obvious than in the adult population. D. give oxygen if the SpO2 is less than 90%. A. separating the child from his or her parents. A. mild dehydration. Page: 1170. B. asthma. 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). Page: 1176. A. extreme restlessness. The secondary assessment of a sick or injured child: D. has a history suggestive of a serious illness. D. age-appropriate behavior, good muscle tone, and good eye contact. 102. D. there is usually obvious injury to the external chest wall. D. a headache. She is receiving high-flow oxygen via a nonrebreathing mask. D. has a history suggestive of a serious illness. 94. When you arrive at the scene, the child is The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child. 84. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. A. assume the child is hypertensive. You should: 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. Answer: D B. retracting. Greenstick fractures occur in infants and children because: What time did the ingestion occur? Question Type: General Knowledge Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. Before assessing the respiratory adequacy of an semiconscious infant or child, you must: Before positioning an infant or child's airway, you should: Objective This study evaluated the ability of ELBW infants . A. monitor the child's heart rate. If a nasopharyngeal airway is too long, it may: Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: Which of the following children would benefit the LEAST from a nonrebreathing mask? D. A 3-month-old infant can distinguish a parent from a stranger. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based Page: 1185. Question Type: General Knowledge 10. A. normal interactiveness, awareness to time, and pink skin color. A. You should: 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. B. C. have a parent restrain the child as you give oxygen. You should: C. perform a hands-on assessment of the ABCs. C. severe infection. 50. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? Blood flow is delayed or halted as blood vessels close. C. severe infection. There are no obvious signs of trauma to the child, and the car seat does not appear to be damaged. Question Type: General Knowledge D. a semiconscious 7-year-old female with normal ventilation, C. an unresponsive 5-year-old male with shallow respirations. She further tells you that her daughter has no history of seizures, but has had a Question Type: Critical Thinking 4 years. unrecognized. following questions would be of LEAST pertinence? Which of the following statements regarding a pediatric patient's anatomy is correct? A. the growth plate is commonly injured. D. open his airway and look in his mouth. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. You should: A. Peripheral vasoconstriction is an important autonomic response to cold exposure, which restricts heat transfer from the core to the environment through the skin. Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: 5. A. cyanosis. His mother states that she saw him put a small toy into his mouth shortly before the episode began. All vital signs are within their normal ranges except for the blood pressure. inhalation by: B. stabilize his head and check for a pulse. B. past medical history C. nasal flaring. A. stridor. A. C. determine why the ingestion occurred. C. have a parent restrain the child as you give oxygen. He is conscious, but his C. avoiding the placement of a splint, if possible. C. determine why the ingestion occurred. Her skin is hot and moist. Page: 1160. D. assess the child's heart rate and skin condition. D. an altered mental status. if the cervical spine is injured, it most likely to be an injury to the ligaments because of rapid movement to the head. C. Most cases of SIDS occur in infants younger than 6 months. 9. 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. dry mucous membranes. Submersion injuries in the adolescent age group are MOST commonly associated with: posterior fontanelle is typically closed by _____ months of age. A. irritability of the left ventricle. Page: 1167, 40. C. Why did your child ingest the poison? Page: 1156. being given multiple doses of her prescribed albuterol by her mother. C. seizures and hypoxia D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement D. an unexplained delay in seeking medical care after the injury, Answer: C Burns in children are commonly caused by all of the following, EXCEPT: Page: 1173. You are dispatched to a local elementary school for an injured child. The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: After determining that an infant or child has strong central pulses, you should: C. stimulate the vagus nerve. This is what is known as an embolus. 54. A. C. 25% It is the recommended adjunct for children with head trauma. Answer: B Her skin is hot and moist. Page: 1170. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. Answer: D 6 months and 6 years. Question Type: General Knowledge Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. Page: 1184. Answer: A Question Type: General Knowledge B. drooling or congestion. A. a complete airway obstruction. C. retractions. Question Type: General Knowledge D. poisonings or ingestion. D. head bobbing. A. wheezing. You should: encourage him to cough, give oxygen as tolerated, and transport. A. any superficial or partial-thickness burn that involves the legs or arms. A. evaluate the child's baseline vital signs. A. D. refusal to drink fluids. Page: 1192. 56. B. obtain a SAMPLE history from the parents. He is responsive to painful stimuli only and has a large hematoma to the back of his head. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A. headache and fever. A. any superficial or partial-thickness burn that involves the legs or arms. B. oxygen content in the blood is decreased. D. immediately report your suspicions to the parents. A. child is in severe decompensated shock. A. obviously frightened, and is coughing forcefully. C. ear pain. C. vomiting and diarrhea. Blood pressure is usually not assessed in children younger than _____ years. B. EMTs must report all suspected cases of child abuse. Page: 1168. D. 5 seconds. She is conscious, but clearly restless. heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. D. heat compresses and lowering the injured extremity. He is unresponsive and there are no signs of breathing. A. child abuse must be reported only if it can be proven. As a 1-month-old, babies start to know familiar sounds and may show it by turning the head. A. hot items on a stovetop. signs of vasoconstriction in the infant or child include: Answer: A B. use a length-based resuscitation tape measure. D. children with shunts. B. tightly secure the oxygen mask straps to the face. 75. Nursing Care of a Family With a High-Risk New. 48. D. observe the chest for adequate rise. He is complaining of pain when he tries to turn his head. children have a larger, rounder occiput compared to adults. B. headache and fever. C. 25 g Signs of vasoconstriction in the infant or child include: C. weak distal pulses. C. They are usually not well tolerated in children with a gag reflex. B. asthma. Answer: A A. put padding behind his or her head. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Common causes of seizures in children include all of the following, EXCEPT: In most children, febrile seizures are characterized by: generalized tonic-clonic activity, a duration of less than 15 minutes, a short/absent postictal phase. A. alcohol. D. delayed capillary refill indicates a state of decompensated shock. Page: 1171. B. rule out hypoxia if cyanosis is absent. 82 mm Hg 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 . 88. She is conscious but clearly restless. The signs and symptoms of poisoning in children: Page: 1158. D. observe the chest for adequate rise. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. A. begin immediate rescue breathing. D. swimming pools. 89. C. delayed capillary refill. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. D. he or she even has a minor injury. 19. B. a weak cough. Answer: A They are rarely used in infants younger than 1 year. imagine kit homes reviews nz; . history from an adolescent patient? Page: 1185. Question Type: General Knowledge D. Blanching of the nares after insertion indicates correct placement. When a child experiences a blunt injury to the abdomen: B. tachypnea. Page: 1186. C. grunting. bronchioles. C. 8 years. D. child's core body temperature is elevated. Signs of vasoconstriction in the infant or child include: 26. C. their bones bend more easily than an adult's. Answer: C D. cardiovascular disease. B. slowed level of activity. 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. B. thoroughly suction his or her airway. Answer: A 18. More importantly, the effect of vasoconstriction on central temperature in pediatric patients remains unknown. The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. Where no specific pediatric dose is given, the implication is that this drug is not commonly used or indicated in that age group. When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. A. heart rate A. typically last less than 30 minutes. The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-mask ventilations is to: C. hyperthermia. D. give oxygen if the SpO2 is less than 90%. A Answer: C D. may indicate a serious underlying illness. D. entrapment in a structural fire. Question Type: General Knowledge A. evidence of alcohol consumption or drug use at the scene D. assess his or her respiratory effort. C. a stiff or painful neck. Page: 1162. B. ensure that his or her neck is hyperextended. Late signs of intracranial pressure that comprise Cushing triad include hypertension with a widening pulse pressure, bradycardia, and abnormal respiration. B. rhonchi. Answer: D Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: Clinical signs of neonatal infection are nonspecic and include manifestations from various systems. D. experiencing cardiopulmonary arrest. C. may not be possible if the child's condition is critical. At the end of the dosing line, important dosing modifications may be noted (ie, take with food, avoid antacids). Page: 1180, 65. Answer: B 82. D. an unexplained delay in seeking medical care after the injury, C. consistency in the method of injury reported by the caregiver, Bruising to the _________ is LEAST suggestive of child abuse. B. headache and fever. Answer: B Answer: B 41. A. spinal cord injury The child is conscious, Vision. D. bradycardia. The MOST common cause of dehydration in pediatric patients is: 99. Most trials have used dexamethasone at 0.6 mg/kg (intramuscular or oral), but oral . Question Type: General Knowledge C. an ineffective cough. 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. His mother states that she saw him put a small toy into his mouth shortly before the episode began. Signs of vasoconstriction in the infant or child include: weak distal pulses The EMT should be MOST concerned when a child presents with fever and: a rash The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-valve mask ventilations is to: observe the chest for adequate rise 96. 15% Question Type: General Knowledge D. refusal to drink fluids. D. use a nasal cannula instead of a nonrebreathing mask. Question Type: General Knowledge Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her C. pad underneath the child's head. C. insert it until the flange rests on the teeth. Which of the following groups of people is associated with the lowest risk of meningitis? Question Type: General Knowledge conscious, but clearly restless. B. hyperglycemia. B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more She further tells you that her daughter has no history of seizures, but has had a recent ear infection. 44. 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} 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. 62. D. 6, Answer: A D. retracting the intercostal muscles. conscious, crying, and clinging to her mother. hospital. partial paralysis. C. electrolyte imbalances. A. place bulky padding behind his or her occiput. A. the car seat is visibly damaged. Answer: B Question Type: General Knowledge Page: 1155 13. C. a rapid heart rate. Question Type: General Knowledge The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: C. his or her respirations are shallow. D. The cause of death following SIDS can be established by autopsy.
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