You should: C. 12, 4 100. 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. D. may indicate a serious underlying illness. A 6-year-old male presents with acute respiratory distress. imagine kit homes reviews nz; . D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. B. the flexible ribs can be compressed without breaking. A. begin immediate rescue breathing. All vital signs are within their normal ranges except for the blood pressure. D. result in a soft-tissue injury. D. gather critical data by performing a rapid hands-on assessment of the child. c. Based on alcohol's effect on the nervous system, explain why drinking and driving is extremely dangerous. To ensure that the airway of an infant or small child is correctly positioned, you may have to: C. 90 mm Hg A. mother younger than 20 years 62. A. a complete airway obstruction. C. insert a nasopharyngeal or oropharyngeal airway adjunct. 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. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: spinal precautions, and transport. A. child is in severe decompensated shock. More importantly, the effect of vasoconstriction on central temperature in pediatric patients remains unknown. C. severe hypoxia and bradycardia. adolescent patient? Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? When a child experiences a blunt injury to the abdomen: D. children with shunts. Her skin is pink and dry, and her heart rate is 120 beats/min. Question Type: General Knowledge A. vary widely, depending on the child's age and weight. may indicate a serious underlying illness. 55. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. 18 months of age and older: HIV antibody tests can provide definitive diagnosis in children 18 months of age, with known or unknown exposure to HIV. 24. Answer: C D. hyperextend the neck to ensure adequate alignment. Greenstick fractures occur in infants and children because: This is an example of what condition? B. thoroughly suction his or her airway. Question Type: General Knowledge If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. pain control management is essential. A. begin immediate rescue breathing. It is the recommended adjunct for children with head trauma. B. encourage him to cough, give oxygen as tolerated, and transport. C. may not be possible if the child's condition is critical. D. acute hypoxia and tachycardia. A. typically last less than 30 minutes. C. slightly flex the neck to prevent tracheal kinking. B. stabilize his head and check for a pulse. D. capillary refill, Answer: B Wheezing. The narrowing (constriction) of blood arteries by tiny muscles in their walls is known as vasoconstriction. 16 Signs of vasoconstriction in the infant or child may include a Warm dry skin from MEDICAL TE 24 at North Seattle College D. acute hypoxia and tachycardia. B. ensure that the airway is patent and clear of obstructions. and clinging to her mother. Study Resources. C. 25 g D. nausea and vomiting, Answer: D Answer: C D. become obstructed by mucus. Answer: A 46. Page: 1184. D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. A. evaluate the child's baseline vital signs. C. the sudden force against the ribs causes them to fracture. A. cyanosis. Page: 1193-1194, 97. C. perform a head tilt-chin lift maneuver. A. evidence of alcohol consumption or drug use at the scene B. a low-grade fever and tachycardia. A. child abuse. When caring for a female child who has possibly been sexually abused, you should: D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and C. second-degree burns covering more than 10% of the body surface. Answer: D 102. B. ensure that his or her neck is hyperextended. Answer: B Burns in children are commonly caused by all of the following, EXCEPT: C. 90 mm Hg D. an altered mental status. When a child experiences a blunt chest injury: level of activity is decreased. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? A. secure the head before the torso. D. immediately report your suspicions to the parents. The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. B. His mother states that she saw him put a small B. encourage him to cough, give oxygen as tolerated, and transport. C. administering blow-by oxygen and transporting the child with her mother. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: A. encourage the child to urinate and take a shower. Question Type: General Knowledge A. When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ A. 51. D. a supervisor can forbid you from reporting possible abuse. 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. A. sunken fontanelles. 2. 13. A. bleeding in the brain. 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. 89. His pulse is slow and bounding. When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence? Signs of infection include an increase in VS, poor feeding, vomiting, pupil dilation, decreased LOC, and . If complementary foods are not introduced around the age of 6 months, or if they are given inappropriately, an infant's growth may falter. Question Type: General Knowledge To ensure that the airway of an infant or small child is correctly positioned, you may have to: You should: She further tells you that her daughter has no history of seizures, but has had a recent ear infection. D. Blanching of the nares after insertion indicates correct placement. B. have a female EMT remain with her if possible. Question Type: General Knowledge Page: 1168. Answer: C Write a test program that displays m(i) for i = 1, 2, . D. give detailed updates to the infant's parents. 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 When you arrive at the scene, the child is Or your baby may quiet to listen to your voice. Which of the following statements regarding a 3-month-old infant is correct? His skin is pale and cold and his arms are stiff. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? B. back Page: 1185. His pulse is slow and bounding. Before positioning an infant or child's airway, you should: Question Type: Critical Thinking They are rarely used in infants younger than 1 year. Question Type: General Knowledge A. proportionately larger and situated more anteriorly. A mixture of sperm and fluids is called _____. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: D. give 12.5 to 25 g of activated charcoal. Page: 1193. Arch Dis Child 25(123): 242-253. Submersion injuries in the adolescent age group are MOST commonly associated with: Which of the following statements regarding pediatric trauma is correct? B. attempt cooling measures, offer oxygen, and transport. D. Do you know what substance was ingested? signs of vasoconstriction in the infant or child include: Home; american dad steve runs away; signs of vasoconstriction in the infant or child include: A. quiet breathing. b. abnormal breath sounds. Question Type: General Knowledge C. deliver a series of five back blows and then reassess his condition. His mother states that she saw him put a small toy into his mouth shortly before the episode began. B. slowed level of activity. D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. C. immobilized on a long backboard. Febrile seizures in a child: 85. When you arrive at the scene, the child is conscious, crying, B. multiple open fractures. D. accessory muscle use. Question Type: General Knowledge Question Type: General Knowledge Stridor. C. his or her vital signs are stable. C. delayed capillary refill. A. estimate the child's weight based on age. B. weak distal pulses. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: D. The cause of death following SIDS can be established by autopsy. A. child is in severe decompensated shock. B. blood pressure B. EMTs must report all suspected cases of child abuse. B. separating the child from her mother and providing ventilatory assistance. Answer: A Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A. headache and fever. The child is conscious, Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. A. appearance, work of breathing, and skin circulation. hospital. C. exposure to caustic chemicals. A. block the pop-off valve if needed to achieve adequate chest rise. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: Page: 1164. C. place the child in cold water to attempt to reduce her fever. B. fear or anxiety. D. Blanching of the nares after insertion indicates correct placement. C. Why did your child ingest the poison? B. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: C. Why did your child ingest the poison? Bratteby LE (1968) Studies on . Question Type: General Knowledge A. place padding under the child's head. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: 11. albuterol. The instrument that measures the velocity of a vibrating body is called a(n) _______. Page: 1176. sinastria di coppia karmica calcolo; quincy homeless shelter; plastic bags for cleaning oven racks; claudia procula death; farm jobs in vermont with housing Research the incidence of skin cancer in different parts of the world. 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? When ventilating a pediatric patient with a bag-mask device, the EMT should: A 4-year-old female ingested an unknown quantity of liquid drain cleaner. 32. Question Type: General Knowledge 35. His pulse is slow and bounding. When a child experiences a blunt chest injury: Which of the following findings is LEAST suggestive of child abuse? 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. Page: 1158. Which of the following statements regarding spinal injuries in pediatric patients is correct? This means that the patient has: a. normal breath sounds. C. facilitate a rapid head-to-toe assessment of the child by visualization only. Authors Channel Summit. 34. C. excessive tachycardia. D. height of the child and the speed at which the car was traveling. B. toddler period. The child is conscious, obviously frightened, and is coughing forcefully. Question Type: Critical Thinking A. assume the child is hypertensive. Submersion injuries in the adolescent age group are MOST commonly associated with: A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: recent ear infection. A. block the pop-off valve if needed to achieve adequate chest rise. You should: Which of the following statements regarding the use of nasopharyngeal airways in children is 104. C. 4 seconds. D. a headache. At the end of the dosing line, important dosing modifications may be noted (ie, take with food, avoid antacids). Page: 1180, 64. When immobilizing an injured child in a pediatric immobilization device, you should: D. 18 months and 10 years. B. monitor her airway and give oxygen. A. 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 and symptoms are usually intermittent and mild; however, very rare sequelae include digital ulceration and/or soft tissue breakdown. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. B. mental status, heart rate, and systolic blood pressure. Correct D. start of infancy. Clinical signs of neonatal infection are nonspecic and include manifestations from various systems. b. abnormal breath sounds. Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: 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. 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. A. chills. You are dispatched to a local elementary school for an injured child. C. a rapid heart rate. A. chills. C. skin that is cool and dry. Question Type: General Knowledge Signs of vasoconstriction in the infant or child include: A. proportionately larger and situated more anteriorly. C. have a parent restrain the child as you give oxygen. product because it may: B. squeeze the bag 40 times/min when ventilating an infant. A. the flexible rib cage protects the vital thoracic organs. 83. A. result in tachycardia. A. mild dehydration. 5% CHLOROPROCAINE HCI CHLOROPROCAINE HYDROCHLORIDE 10 mg/mL HF Acquisition Co LLC, DBA HealthFirst HF Acquisition Co LLC, DBA HealthFirst Page: 1160. Certain cases of SIDS are predictable and therefore preventable. The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in partial paralysis. Critical burns in children include: B. Which of the following statements regarding pediatric trauma is correct? A. wheezing. A. Which of the following inquiries should you make in private when obtaining a SAMPLE 61. 93. B. occur after a week of a febrile illness. You should: B. partial-thickness burns covering more than 20% of the body surface. C. 12, 4 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: When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. Question Type: General Knowledge You should: C. you should document your perceptions on the run form. Question Type: General Knowledge unrecognized. B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. D. place him or her on a firm surface. C. 4 seconds. D. wheezing. D. secure the torso before the head. C. belly breathing. Which of the following statements regarding the use of nasopharyngeal airways in children is correct? C. avoiding the placement of a splint, if possible. B. ensure that the airway is patent and clear of obstructions. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: B. push the tongue anteriorly. 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. D. hyperextend the neck to ensure adequate alignment. Blood pressure is usually not assessed in children younger than _____ years. C. perform a blind finger sweep. Question Type: General Knowledge A. A. put padding behind his or her head. The infant's They are rarely used in infants younger than 1 year. A. bleeding in the brain. C. usually present within the first 10 minutes of ingestion. 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. He is responsive to painful stimuli only and has a large hematoma to the back of his head. that he is lying at the base of the monkey bars. Question Type: General Knowledge 40 A. place oxygen tubing through a hole in a paper cup. C. rule out an injury to the spinal cord. D. age-appropriate behavior, good muscle tone, and good eye contact. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. A. any superficial or partial-thickness burn that involves the legs or arms. When interventions are not provided to prevent hypothermia, the infant exhibits irritability, excessive motor activity, tachycardia, bradycardia, respiratory distress, cyanosis, skin mottling, or. A. is experiencing mild to moderate pain. B. squeeze the bag 40 times/min when ventilating an infant. A 2-year-old female has experienced a seizure. C. immobilized on a long backboard. playing with a small toy. D. hyperglycemia. B. visualize the child's airway. C. a rapid heart rate. A. an oral airway has been inserted. if the cervical spine is injured, it most likely to be an injury to the ligaments because of rapid movement to the head. A. allow the mother to drive her daughter to the hospital. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. B. wheezing. A. sexual activity Answer: B D. retracting the intercostal muscles. C. insert it until the flange rests on the teeth. 2 seconds. C. a stiff or painful neck. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A) sunken fontanelles. Answer: D Familial dysautonomia (FD), also known as Riley-Day syndrome, is a rare, progressive, recessive genetic disorder of the autonomic nervous system that affects the development and survival of sensory, sympathetic, and some parasympathetic neurons in the autonomic and sensory nervous system.. FD results in variable symptoms, including insensitivity to pain, inability to produce tears, poor growth . What immediate effects does alcohol have on the body? Blood pressure is usually not assessed in children younger than _____ years. Bruising to the _________ is LEAST suggestive of child abuse. C. his or her respirations are shallow. 33. D. poisonings or ingestion, Answer: B of the head. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. they are: Before assessing the respiratory adequacy of an semiconscious infant or child, you must: A. pallor. Which of the following is MORE common in children than in adults following a head injury? transport to the closest trauma center. C. bulging fontanelles. Page: 1187. Which of the following children would benefit the LEAST from a nonrebreathing mask? When inserting an oropharyngeal airway in an infant or child, you should: D. children with shunts. D. a semiconscious 7-year-old female with normal ventilation, C. an unresponsive 5-year-old male with shallow respirations. Question Type: Critical Thinking Pale skin in a child indicates that the: queensland figure skating. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement D. delayed capillary refill indicates a state of decompensated shock. Answer: A 11 Common signs and symptoms of hypothermia include: Shivering (the first and the most common sign) Slow, shallow breathing Drowsiness Weak pulse Cold palms and feet Clumsy movements Loss of consciousness Slurred speech Transient memory loss A confused state of mind Bright red, cold skin (in babies) 18. Question Type: General Knowledge You are dispatched to a residence for a child with respiratory distress. Page: 1171. D. brisk capillary refill. Answer: B 43, AAOS 7th Ed. B. secondary to a severe bacterial infection. A. result in tachycardia. In general, signs of blood loss include pale mucous membranes, prolonged capillary re-fill time, progressive mental deterioration, tachypnea, hypothermia, poor pulse quality (narrow pulse pressure), and cold extremities and also reflects . Page: 1162-1163. A. of more than 2F to 3F per hour. D. place the child in a supine position and perform abdominal thrusts. Question Type: General Knowledge Page: 1195, 98. D. absent urine output. 92. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, A. child abuse. 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. Page: 1180. C. a rapid heart rate. A. 2, 4 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: The signs and symptoms of poisoning in children: vary widely, depending on the child's age and weight. Blood pressure is usually not assessed in children younger than _____ years. After using the PAT to form your general impression of a sick or injured child, you should: perform a hands-on assessment of the ABCs. 60. Question Type: General Knowledge A. cherry-red spots or a purplish rash. Page: 1182. small toy. D. absent urine output. A. high fever. A. vary widely, depending on the child's age and weight. B. mental status, heart rate, and systolic blood pressure. A. warm, dry skin. Question Type: General Knowledge These include encouraging women and providing instructions on changing positions, . Dose: Adults. B. weak distal pulses. You are dispatched to a local elementary school for an injured child. B. moderate dehydration. 25. 28. C. their bones bend more easily than an adult's. D. 18, 6. The child is conscious, obviously frightened, and is Page: 1161. (b) 25C,1atm25^{\circ} \mathrm{C}, 1 \mathrm{~atm}25C,1atm B. D. accessory muscle use. A. place bulky padding behind his or her occiput. A. high fever. You respond to a skate park where a 10-year-old male fell from his skateboard and struck his head on the A. determine if the child's vital signs are within the age-appropriate limits. Page: 1187, 87. B. push the tongue anteriorly. C. nasal flaring. 29. In most children, febrile seizures are characterized by: A. is a rapid head-to-toe exam to detect life threats. Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: 5. via a nonrebreathing mask. D. cardiovascular disease. conscious, crying, and clinging to her mother. 6 months and 6 years. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, and perform a secondary assessment. Answer: A When questioning the parent of a child who ingested a poisonous substance, which of the following Guiding principles for appropriate complementary feeding are: continue frequent, on-demand breastfeeding until 2 years of age or beyond; B. SIDS is most commonly the result of an overwhelming infection. The distance is automatically calculated from the travel time of this pulse. Answer: D Which of the following is NOT a known risk factor of SIDS? 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. When you arrive at the scene, the child is Pupillary response in pediatric patients may be abnormal in the presence of all of the following, EXCEPT: You should: Before positioning an infant or child's airway, you should: When assessing an infant's ventilation status, you should: All of the following are normal findings in an infant or child, EXCEPT: Drawing in of the muscles between the ribs or of the sternum during inspiration is called: A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or D. may indicate a serious underlying illness. B. more vascular despite the fact that they are proportionately smaller. Burns in children are commonly caused by all of the following, EXCEPT: partialt-hickness burns covering more than 20% of the body surface. D. has a history suggestive of a serious illness. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Select one: A. a stiff or painful neck. Accessory muscle use. A. radial Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? B. low birth weight A. the car seat is visibly damaged. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. 79. The purpose of the pediatric assessment triangle (PAT) is to: level of activity is decreased. A 6-month-old male presents with 2 days of vomiting and diarrhea. B. hyperglycemia. Question Type: General Knowledge Febrile seizures are MOST common in children between: B. loss of consciousness D. caused by the inability of the body to cool itself. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? prepare for immediate transport to a trauma center. A 6-month-old male presents with 2 days of vomiting and diarrhea. D. experiencing cardiopulmonary arrest. C. severe dehydration. A. an oral airway has been inserted. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. D. entrapment in a structural fire. The normal respiratory rate for a newborn should not exceed ______ breaths/min. C. restlessness. C. severe dehydration. C. 8 years. an unresponsive 5yearold male with shallow respirations. The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in Page: 1192. A. spinal cord injury c. diminished breath sounds. A child's head is less frequently injured than an adult's. D. assess his or her respiratory effort. 96. Which of the following statements regarding spinal injuries in pediatric patients is correct? Page: 1160. Which of the following is NOT a known risk factor of SIDS? A. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and The signs and symptoms of poisoning in children: A. tenting. Hyperthermia differs from fever in that it is an increase in body temperature: C. femoral 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.