Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. You should: ma volume in newborn infants. D. Inexperience and poor judgment are rare causes of pediatric trauma. A. mild dehydration. The child is conscious, All of the following are normal findings in an infant or child, EXCEPT: C. palpate the abdomen for rise and fall. Before assessing the respiratory adequacy of an semiconscious infant or child, you must: Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. C. seizures and hypoxia A 6-year-old male presents with acute respiratory distress. Her skin is pink and dry, and her heart rate is 120 beats/min. C. have a parent restrain the child as you give oxygen. Late signs of intracranial pressure that comprise Cushing triad include hypertension with a widening pulse pressure, bradycardia, and abnormal respiration. If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority? B. retracting. Page: 1160. Answer: D A. bleeding in the brain. You should: B. tightly secure the oxygen mask straps to the face. A. proportionately larger and situated more anteriorly. PEDS Review - FINAL EXAM REVIEW FOR PEDIS 1 AND FEARS THAT CHILD HAVE B. a weak cough. Question Type: General Knowledge D. duration of symptoms, Answer: A Question Type: General Knowledge Page: 1180, 64. Page: 1160. 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. Answer: C C. perform a head tilt-chin lift maneuver. signs of vasoconstriction in the infant or child include: C. insert a nasopharyngeal or oropharyngeal airway adjunct. D. brisk capillary refill. Answer: B Which of the following is NOT a known risk factor of SIDS? Question Type: General Knowledge When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. 21. Signs of vasoconstriction in the infant or child include: A. a cardiac arrhythmia. Which of the following statements regarding spinal injuries in pediatric patients is correct? Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A) sunken fontanelles. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: C. grunting. C. geriatrics D. The cause of death following SIDS can be established by autopsy. 85. The MOST accurate method for determining if you are delivering adequate tidal volume to a C. your assessment will most often reveal bruising to the abdomen. Signs of a severe airway obstruction in an infant or child include: Page: 1159. B. the flexible ribs can be compressed without breaking. When a child experiences a blunt chest injury: Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Select one: A. a stiff or painful neck. A. of more than 2F to 3F per hour. D. result in a soft-tissue injury. Answer: D 15% B. B. place a towel or folded sheet behind the shoulders. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: D. They can usually identify painful areas when questioned. D. 50 g. The MOST common cause of dehydration in pediatric patients is: Answer: C Your friend whimsically says that at the South Pole, a step in any direction is a step north. an unresponsive 5yearold male with shallow respirations. Page: 1180, 65. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? signs of vasoconstriction in the infant or child include: When immobilizing an injured child in a pediatric immobilization device, you should: Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: When a child experiences a blunt chest injury: the flexible ribs can be compressed without breaking. A. C. 4 seconds. A. carefully look into his mouth and remove the object if you see it. What time did the ingestion occur? C. a rapid heart rate. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. Question Type: General Knowledge C. second-degree burns covering more than 10% of the body surface. 22. A. is a rapid head-to-toe exam to detect life threats. Which of the following inquiries should you make in private when obtaining a SAMPLE A. cherry-red spots or a purplish rash. 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? A. child abuse must be reported only if it can be proven. C. a cough that resembles the bark of a seal. When inserting an oropharyngeal airway in an infant or child, you should: A. put padding behind his or her head. Answer: B Page: 1182, 71. As you approach the child, you note Signs of vasoconstriction in the infant or child include: C. consistency in the method of injury reported by the caregiver A. chills. Page: 1158. B. his or her blood pressure falls with as little as 5% blood loss. Answer: A A. place oxygen tubing through a hole in a paper cup. C. has a possible closed fracture of the radius. When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ pulse. Hyperthermia differs from fever in that it is an increase in body temperature: D. give detailed updates to the infant's parents. 86. The EMT should be MOST concerned when a child presents with fever and: B. mental status, heart rate, and systolic blood pressure. A. croup. A. place oxygen tubing through a hole in a paper cup. B. partial-thickness burns covering more than 20% of the body surface. Or your baby may quiet to listen to your voice. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. Answer: B A. the flexible rib cage protects the vital thoracic organs. C. caused by inflammation of the spinal cord. What is the threshold of blood volume loss in children? B. monitor her airway and give oxygen. A. 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 Her skin is pink and dry, and her heart rate is 120 beats/min. A. the growth plate is commonly injured. D. a headache. B. rule out hypoxia if cyanosis is absent. 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. B. monitor her airway and give oxygen. Immediate transport is indicated for a child when he or she: An 8-year-old female with a history of asthma continues to experience severe respiratory distress despite After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. B. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: Pale skin in a child indicates that the: D. assess the child's heart rate and skin condition. Answer: A 29. A 2-year-old female has experienced a seizure. A. a conscious 4-year-old male with adequate tidal volume B. visualize the child's airway. Page: 1158. A. a complete airway obstruction. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. Question Type: Critical Thinking When you arrive at the scene, the child is The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. D. absent urine output. D. buttocks, Answer: A 105. 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. The normal respiratory rate for a newborn should not exceed ______ breaths/min. A. perform abdominal thrusts. A. heart rate 75. 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? B. scalding water in a bathtub. B. he or she has no visible injuries. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full B. more vascular despite the fact that they are proportionately smaller. signs of vasoconstriction in the infant or child include 54. When caring for a female child who has possibly been sexually abused, you should: When assessing an infant's ventilation status, you should: It is the recommended adjunct for children with head trauma. Answer: D He is responsive to painful stimuli only and has a large hematoma to Answer: D D. give oxygen and transport at once. D. 18 months and 10 years. Question Type: General Knowledge Use the proper word to complete each of the following blanks: 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. A common cause of shock in an infant is: After your partner stabilizes his head and opens his airway, you assess his breathing Question Type: General Knowledge When you arrive at the scene, the child is conscious, crying, and clinging to her mother. C. deliver a series of five back blows and then reassess his condition. and determine that it is slow and irregular. B. low birth weight You should: D. hyperextend the neck to ensure adequate alignment. C. assuming a tripod position. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are: When ventilating a pediatric patient with a bag-mask device, the EMT should: C. skin condition, respiratory rate, and level of alertness. D. 5 seconds. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: 11. A. block the pop-off valve if needed to achieve adequate chest rise. D. there is usually obvious injury to the external chest wall. 96. There are no obvious signs of trauma to the child, and the car seat does not appear to be damaged. 4 years. Bruising to the _________ is LEAST suggestive of child abuse. A. excessive tearing. Answer: C conscious, but clearly restless. Answer: A A. child is in severe decompensated shock. 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. B) headache and fever. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. signs of vasoconstriction in the infant or child include: Answer: C C. femoral B. C. administering blow-by oxygen and transporting the child with her mother. C. a congenital cardiovascular defect. B. attempt cooling measures, offer oxygen, and transport. 20. A. hot items on a stovetop. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. Answer: B Have you noticed any signs or symptoms? A. vary widely, depending on the child's age and weight. D. a generalized rash with intense itching. Signs of vasoconstriction in the infant or child include: A) warm, dry skin. 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. Which of the following statements regarding a pediatric patient's anatomy is correct? Question Type: General Knowledge putting a baby to sleep on his or her back. Page: 1182. A. newborns 31. A. irritability of the left ventricle. Peds. B. ensure that the airway is patent and clear of obstructions. signs of vasoconstriction in the infant or child include: A. profound tachycardia. D. 18, 6. B. his or her tidal volume is adequate. She is conscious but clearly restless. D. gather critical data by performing a rapid hands-on assessment of the child. C. usually present within the first 10 minutes of ingestion. Question Type: General Knowledge C. perform a hands-on assessment of the ABCs. Answer: A 14. Children have a larger, rounder occiput compared to adults. The signs and symptoms of poisoning in children: B. Question Type: General Knowledge Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. C. retractions.
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