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B. EMTs must report all suspected cases of child abuse. D. Inexperience and poor judgment are rare causes of pediatric trauma. A. D. age-appropriate behavior, good muscle tone, and good eye contact. C. perform a head tilt-chin lift maneuver. A. heart rate C. carefully examine the genitalia for signs of injury. B. more vascular despite the fact that they are proportionately smaller. B. allow the family to observe if they wish. 47. In most children, febrile seizures are characterized by: A 3-month-old infant can distinguish a parent from a stranger. A 2-year-old female has experienced a seizure. B. a low-grade fever and tachycardia. When you stimulate the child, she responds. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. B. loss of consciousness B. attempt cooling measures, offer oxygen, and transport. When assessing an infant's ventilation status, you should: B. weak distal pulses. Which of the following groups of people is associated with the lowest risk of meningitis? Page: 1168. D. 10 years. Answer: A 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. C. usually present within the first 10 minutes of ingestion. Signs of severe dehydration in an infant include all of the following, EXCEPT: B. hyperglycemia. prepare for immediate transport to a trauma center. D. mother smoked during pregnancy. A. stridor. Correct Response A) sunken fontanelles. 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). After your partner stabilizes his head and opens his airway, you assess his breathing 101. Her skin is pink and dry, and her heart rate is 120 beats/min. B. low birth weight When a child faints, the blood supply and the oxygen that blood brings to the brain is temporarily reduced. A. heart rate Answer: C Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. a 3-month-old infant can distinguish a parent from a stranger. C. exposure to caustic chemicals. C. bronchitis. Stroke volume is determined by preload, cardiac contractility, and afterload. 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. C. altered mental status. Which of the following statements regarding spinal injuries in pediatric patients is correct? Have you noticed any signs or symptoms? Bruising to the _________ is LEAST suggestive of child abuse. D. become obstructed by mucus. C. age of the child and the size of the car that struck him or her. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. A. cyanosis. B. A. place padding under the child's head. 13. D. a supervisor can forbid you from reporting possible abuse. Question Type: General Knowledge partial paralysis. B. moist oral mucosa. 90. When caring for a female child who has possibly been sexually abused, you should: Question Type: General Knowledge The immunity that is given to the fetus or newborn by the immune system of the mother is an example of: a. active natural immunity b. passive natural immunity c. active artificial immunity d. passive artificial immunity. Question Type: General Knowledge 29. Nursing Care of a Family With a High-Risk New. C. your assessment will most often reveal bruising to the abdomen. D. may indicate a serious underlying illness. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. When administering oxygen to a frightened child, it would be MOST appropriate to: place oxygen tubing through a hole in a paper cup. A. estimate the child's weight based on age. of the head. B. monitor her airway and give oxygen. Before positioning an infant or child's airway, you should: Signs of vasoconstriction in the infant or child include: C. weak distal pulses. 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 You should: The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. An infant with severe dehydration would be expected to present with: A. a conscious 4-year-old male with adequate tidal volume When a child experiences a blunt chest injury: A 6-year-old male presents with acute respiratory distress. Answer: A b. abnormal breath sounds. B. size of the child and the height of the bumper upon impact. Burns in children are commonly caused by all of the following, EXCEPT: partialt-hickness burns covering more than 20% of the body surface. You should: D. 10 years. B. cause the child to vomit. D. is most appropriate when your transport time is short. A. the growth plate is commonly injured. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. following questions would be of LEAST pertinence? When a child experiences a blunt injury to the abdomen: B. positioning, ice packs, and emotional support. When assessing an infant's ventilation status, you should: Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because After determining that an infant or child has strong central pulses, you should: Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lbs. Page: 1180. B. occur after a week of a febrile illness. B) headache and fever. C. blood vessels near the skin are constricted. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: Bulcao et al., 2000; Cheng et al., 1995; Daanen, 1996; Grahn et al., 1998). B. B. How could you check to see if this is true (without any scraping)? 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. B. should be performed, regardless of the circumstances. Question Type: General Knowledge A. wheezing. When ventilating a pediatric patient with a bag-mask device, the EMT should: block the pop-off valve if needed to achieve adequate chest rise. A tight, whistling or musical sound heard with each breath may indicate that the air passages may be smaller, making it more difficult to breathe. D. may indicate a serious underlying illness. D. immediately report your suspicions to the parents. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. putting a baby to sleep on his or her back. 24. Answer: C B. B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. Hyperthermia differs from fever in that it is an increase in body temperature: 2. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, and perform a secondary assessment. This is an example of what condition? albuterol. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. they can usually identify painful areas when questioned. B. a responsive 6-year-old male who responds appropriately Question Type: General Knowledge C. conclude that the child is stable. Question Type: General Knowledge Which of the following statements regarding the use of nasopharyngeal airways in children is C. Children have a larger, rounder occiput compared to adults. Which of the following findings is LEAST suggestive of child abuse? You should: 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. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. 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. A 2-year-old female has experienced a seizure. Question Type: General Knowledge A. tenting. 50 C. rule out an injury to the spinal cord. Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: The signs and symptoms of poisoning in children: D. retracting the intercostal muscles. Question Type: General Knowledge Question Type: General Knowledge You should: encourage him to cough, give O2 as tolerated, and transport. B. tightly secure the oxygen mask straps to the face. You Critical burns in children include: Answer: D B. multiple open fractures. You should: Question Type: General Knowledge Answer: A A. cherry-red spots or a purplish rash. D. They can usually identify painful areas when questioned. C. skin condition D. poisonings or ingestion, Answer: B B. falls from a height greater than 5. C. severe dehydration. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. 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. The EMT should be MOST concerned when a child presents with fever and: D. absent urine output. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? C. carefully examine the genitalia for signs of injury. Before positioning an infant or child's airway, you should: Answer: C D. popliteal, Answer: C B. meningitis. What immediate effects does alcohol have on the body? C. the sudden force against the ribs causes them to fracture. D. 18 months and 10 years. D. assess the child's heart rate and skin condition. The MOST appropriate treatment for this child includes: administering blow-by O2 and transporting the child with her mother. D. a semiconscious 7-year-old female with normal ventilation. 84. Burns in children are commonly caused by all of the following, EXCEPT: C. deliver a series of five back blows and then reassess his condition. A. Page: 1185. An increased respiratory rate, particularly with signs of distress (eg, increased respiratory effort including nasal flaring, retractions, seesaw breathing, or grunting) An inadequate respiratory rate, effort, or chest excursion (eg, diminished breath sounds or gasping), especially if mental status is depressed You are dispatched to a local elementary school for an injured child. A common cause of shock in an infant is: His skin is pale and cold and his arms are stiff. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: Present your findings in a written or oral report. C. ensure that he or she uses a neonatal device for children younger than 12 months. The child is conscious, bronchioles. B. wheezing. Which of the following groups of people is associated with the lowest risk of meningitis? Answer: C 105. A. shins Answer: B Answer: B D. ensure that his or her head is in a hyperextended position. 94. . 1. C. their bones bend more easily than an adult's. B. moderate dehydration. B. headache and fever. Which of the following statements regarding pediatric trauma is correct? 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 . Answer: C 46. Page: 1155, 15. A. put padding behind his or her head. Question Type: General Knowledge B. respiratory or circulatory failure. A. newborns correct? D. cardiovascular disease. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: 102. C. estimate the child's weight based on appearance. A. irritability of the left ventricle. Page: 1160. Question Type: General Knowledge D. give detailed updates to the infant's parents. A sound heard in the upper airway when the child breathes in. D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. The normal respiratory rate for a newborn should not exceed ______ breaths/min. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after D. place him or her on a firm surface. The presence of those signs indicates very late signs of brain stem dysfunction and that cerebral blood flow has been significantly inhibited. If a nasopharyngeal airway is too long, it may: 4 years. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. an unresponsive 5yearold male with shallow respirations. Her skin is pink and dry, and her heart rate is 120 beats/min. A 6-month-old male presents with 2 days of vomiting and diarrhea. Answer: C A. is a rapid head-to-toe exam to detect life threats. D. activity, respiratory quality, and level of consciousness. C. hyperpnea. A. 72. B. bradycardia. B. awareness to place, pink and dry skin, and consistent eye contact. C. his or her respirations are shallow. transport to the closest trauma center. D. accessory muscle use. D. child's core body temperature is elevated. conscious, but clearly restless. A. D. stridorous breathing. Question Type: General Knowledge When questioning the parent of a child who ingested a poisonous substance, which of the A. C. a rapid heart rate. A mixture of sperm and fluids is called _____. D. decreased LOC. B. the flexible ribs can be compressed without breaking. 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. 55. 70. C. grunting. Compression of the cord results in vasoconstriction and resultant fetal hypoxia, which can lead to fetal death or disability if not rapidly diagnosed and managed. 16 Signs of vasoconstriction in the infant or child may include a Warm dry skin from MEDICAL TE 24 at North Seattle College A. place her supine and elevate her legs. When you arrive at the scene, the child is conscious, crying, and clinging to her mother. D. give oxygen and transport at once. 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. Infants have relatively fixed stroke volumes and are particularly dependent upon heart rate to increase cardiac output. D. Blanching of the nares after insertion indicates correct placement. 20 g 5% Page: 1185. Early signs of respiratory distress in the child include: Page: 1155. Blood pressure is usually not assessed in children younger than _____ years. Answer: B A 2-year-old female has experienced a seizure. A. is a rapid head-to-toe exam to detect life threats. 31. B. weak distal pulses. 3 months and 4 years. C. slightly flex the neck to prevent tracheal kinking. C. estimate the child's weight based on appearance. Page: 1187. D. accessory muscle use. A. an oral airway has been inserted. B. more vascular despite the fact that they are proportionately smaller. 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) presence of shock in infants and children? 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. of the head. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. Page: 1185. Surgical options include a Downloaded 2022118 7:2 P Your IP is 189.138.137.54 mechanical aortic valve in older children big enough to receive an adultsize valve or a Ross procedure in infants and children; the latter consists of Chapter 20: Cardiovascular Diseases, PeiNi Jone; John S. Kim; Dale Burkett; Roni Jacobsen; Johannes Von . Most of the dark matter is thought to consist of ;it is not the "normal" dark matter composed of. neutrons, protons, and electrons. D. capillary refill. Question Type: Critical Thinking 3 C. perform a blind finger sweep. 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 C. delayed capillary refill. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: C. administering blow-by oxygen and transporting the child with her mother. You should: Inform the child's mother that her son is deceased. B. multiple open fractures. C. place the child in cold water to attempt to reduce her fever. C. severe hypoxia and bradycardia. Critical burns in children include: D. 18, 6, Answer: D 51. B. D. 50 g, Answer: B D. ventilate the child with sharp, quick breaths at the appropriate rate. children have a larger, rounder occiput compared to adults. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. 44. Question Type: Critical Thinking It is the recommended adjunct for children with head trauma. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? The common symptoms of vasoconstriction are as follows: High blood pressure Dilated pupils Cramps Headache Changes in the skin color Imbalance Numbness Tingling in toes and fingers Impaired muscle control Muscle paralysis Slurred speech Vision problems Causes of Vasoconstriction Before assessing the respiratory adequacy of an semiconscious infant or child, you must: Answer: B C. administering blow-by oxygen and transporting the child with her mother. B. weak distal pulses. Page: 1156. A. pallor. You are assessing a 6-year-old boy who has a fever of 102 and is showing signs of altered LOC. B. D. delayed capillary refill indicates a state of decompensated shock. Page: 1170. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. This is what is known as an embolus. toy into his mouth shortly before the episode began. C. vomiting and diarrhea. B. blood pressure B. separating the child from her mother and providing ventilatory assistance. C. They are usually not well tolerated in children with a gag reflex. How would you rate a patient who is breathing spontaneously, has a peripheral pulse, and is appropriately responsive to painful stimuli? 56. B. encourage him to cough, give oxygen as tolerated, and transport. Vasoconstriction can cause the following: Pale skin Tingling feeling in fingers and/or toes Numbness in extremities Cramps Headaches Imbalance Partial vision loss or blurred vision Increased. D. entrapment in a structural fire. history from an adolescent patient? D. duration of symptoms, Answer: A The normal respiratory rate for a newborn should not exceed ______ breaths/min. A. tenting. D. dry mucous membranes. A normal level of consciousness in an infant or child is characterized by: age-appropriate behavior, good muscle tone, and good eye contact. D. allowing the child to remain with her mother and applying a nasal cannula. B. internal blood loss. B. ., 10. D. gather critical data by performing a rapid hands-on assessment of the child. B. obtain a SAMPLE history from the parents. B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. C. 25% 104. C. a congenital cardiovascular defect. Question Type: General Knowledge D. experiencing cardiopulmonary arrest. A. Page: 1184. Page: 1171. A. When administering oxygen to a frightened child, it would be MOST appropriate to: When questioning the parent of a child who ingested a poisonous substance, which of the following They are rarely used in infants younger than 1 year. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. What does respiratory syncytial virus (RSV) cause? A. begin immediate rescue breathing. What is the threshold of blood volume loss in children? Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: 79. 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? D. activity, respiratory quality, and level of consciousness. You are dispatched to a residence for a child with respiratory distress. signs of vasoconstriction in the infant or child include:types of family health services. B. tachypnea. 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 A. place oxygen tubing through a hole in a paper cup. Accueil > ; Non class; signs of vasoconstriction in the infant or child include: signs of vasoconstriction in the infant or child include: 1 March 2022 C. hyperthermia. D. result in a soft-tissue injury. Page: 1196, 103. A. bleeding in the brain. D. age-appropriate behavior, good muscle tone, and good eye contact. B. meningitis. Question Type: General Knowledge Page: 1180, 65. A. The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the 60. Page: 1170. 18. B. 43, AAOS 7th Ed. 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? pain control management is essential. A normal level of consciousness in an infant or child is characterized by: B. partial-thickness burns covering more than 20% of the body surface. A. alcohol. C. are usually caused by viral meningitis. A. appearance, work of breathing, and skin circulation. You should: D. swimming pools. 3. You are using JumpSTART in a triage situation involving several children. C. a cough that resembles the bark of a seal. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? Children are less likely than adults to be struck by a car. B. their bones are more brittle than an adult's. C. severe dehydration. C. a rapid heart rate. heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. 20 g A. perform abdominal thrusts. Which of the following inquiries should you make in private when obtaining a SAMPLE B. burns to the hands or feet that involve a glove distribution D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. Stridor. C. nasal flaring. Page: 1179. B. stabilize his head and check for a pulse. C. hypothermia and an irregular pulse. When a child experiences a blunt injury to the abdomen: he or she can compensate for blood loss better than adults. The first month of life after birth is referred to as the: Which of the following statements regarding a 3-month-old infant is correct?