Question Type: General Knowledge level of activity is decreased. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. C. their bones bend more easily than an adult's. Question Type: General Knowledge D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and C. your assessment will most often reveal bruising to the abdomen. 29. D. 50 g, Answer: B D. stridorous breathing. Signs of severe dehydration in an infant include all of the following, EXCEPT: D. heat compresses and lowering the injured extremity. Page: 1162. B. encourage him to cough, give oxygen as tolerated, and transport. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: Children have a larger, rounder occiput compared to adults. The signs and symptoms of poisoning in children: 62. D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. 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. bradycardia. C. excessive tachycardia. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: Page: 1188. A. newborns Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? Page: 1195. D. Inexperience and poor judgment are rare causes of pediatric trauma. C. palpate the abdomen for rise and fall. 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 . D. give oxygen and transport at once. Wheezing. 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 . B. positioning, ice packs, and emotional support. C. a cough that resembles the bark of a seal. C. perform a head tilt-chin lift maneuver. C. insert a nasopharyngeal or oropharyngeal airway adjunct. 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. Peripheral vasoconstriction is an important autonomic response to cold exposure, which restricts heat transfer from the core to the environment through the skin. children are more likely to experience diving-related injuries. They are rarely used in infants younger than 1 year. Which of the following is NOT a known risk factor of SIDS? A. warm, dry skin. Answer: C 3 months and 4 years. C. grunting. B. mental status, heart rate, and systolic blood pressure. 4 years. A. discourage the family from observing. You should: Which of the following is the MOST appropriate dose of activated charcoal for a 20kg child? Your assessment reveals that she Question Type: General Knowledge C. They are usually not well tolerated in children with a gag reflex. You are assessing a 6-year-old boy who has a fever of 102 and is showing signs of altered LOC. Stridor. Answer: C Answer: D C. result in airway swelling. D. fracture of the cervical spine. they can usually identify painful areas when questioned. 4 When questioning the parent of a child who ingested a poisonous substance, which of the following The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-mask ventilations is to: transport to the closest trauma center. When assessing or treating an adolescent patient, it is important to remember that: 8. A. normal interactiveness, awareness to time, and pink skin color. B. multiple open fractures. C. have a parent restrain the child as you give oxygen. The patient, an 18-month-old female, His skin is pale and cold and his arms are stiff. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A) sunken fontanelles. B. the flexible ribs can be compressed without breaking. C. 25% When a child is struck by a car, the area of greatest injury depends MOSTLY on the: C. age of the child and the size of the car that struck him or her. A. C. hypothermia and an irregular pulse. Question Type: General Knowledge She is receiving high-flow oxygen via a nonrebreathing mask. 90. C. may not be possible if the child's condition is critical. 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. Question Type: General Knowledge D. may indicate a serious underlying illness. 38. A normal level of consciousness in an infant or child is characterized by: A. 2 seconds. C. caused by inflammation of the spinal cord. c. diminished breath sounds. When a child experiences a blunt chest injury: Page: 1171. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. B. a weak cough. C. delayed capillary refill. Page: 1160. The MOST accurate method for determining if you are delivering adequate tidal volume to a Before assessing the respiratory adequacy of an semiconscious infant or child, you must: A. perform abdominal thrusts. Which of the following is NOT a known risk factor of SIDS? B. Her skin is pink and dry, and her heart D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and The goal of vasoconstriction is to prioritize oxygen and nutrient supply to the most important organs - the vital organs. B. B. squeeze the bag 40 times/min when ventilating an infant. D. place the child in a supine position and perform abdominal thrusts. You should: 94. D. has a history suggestive of a serious illness. D. result in a soft-tissue injury. C. their bones bend more easily than an adult's. mouth. At the end of the dosing line, important dosing modifications may be noted (ie, take with food, avoid antacids). Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: A. discourage the family from observing. When caring for a female child who has possibly been sexually abused, you should: Question Type: General Knowledge 27. bronchioles. In most children, febrile seizures are characterized by: D. twisting injuries are more common in children. Answer: A A. of more than 2F to 3F per hour. The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: Question Type: General Knowledge A. depress the gag reflex. D. depress the tongue with a tongue depressor. C. insert a nasopharyngeal or oropharyngeal airway adjunct. D. child's core body temperature is elevated. D. observe the chest for adequate rise. A. routinely suction the mouth to remove oral secretions. This means that the patient has: a. normal breath sounds. A. Question Type: General Knowledge Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. C. change in bladder habits playing with a small toy. B. carotid D. lower in the abdominal cavity, where the muscles are not as strong. Blood pressure is usually not assessed in children younger than _____ years. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, Page: 1192. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: C. you should document your perceptions on the run form. Answer: D 2, 4 B. partial-thickness burns covering more than 20% of the body surface. You are dispatched to a local elementary school for an injured child. 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. level of activity is decreased. Page: 1171. A. a complete airway obstruction. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? Question Type: General Knowledge Page: 1184. B. asthma. D. 98 mm Hg. D. abnormal airway noise. A. spinal cord injury Which of the following is true about a child's breathing? Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? The Answer The answer is C. Seizure. When you stimulate the child, she responds. A. radial B. bradycardia. D. cardiovascular disease. The MOST appropriate treatment for this child includes: administering blow-by oxygen and transporting the child with her mother. D. head bobbing. There may be . recent ear infection. C. assuming a tripod position. Which of the following children would benefit the LEAST from a nonrebreathing mask? 5. D. has a history suggestive of a serious illness. Page: 1183. Question Type: General Knowledge Answer: A A. Syncope, pronounced "SIN-ko-pea," is the medical term for fainting. It happens when smooth muscles in blood vessel walls tighten. D. are most severe if the child ingested a poisonous substance. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: A. intercostal muscles are not well developed. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. Question Type: General Knowledge Question Type: General Knowledge When assessing an 8-year-old child, you should: B. talk to the child, not just the caregiver. Children with N meningitides would MOST likely present with: Bratteby LE (1968) Studies on . All of the following are normal findings in an infant or child, EXCEPT: Effective methods for providing pain relief to a child with an extremity injury include: A. evaluate the child's baseline vital signs. approximately 5 minutes. 6 years. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? A. observe the chest for rise and fall. A. separating the child from his or her parents. D. absent urine output. Answer: B D. 6, Which of the following represents a low normal systolic blood pressure for a 6-year-old child? Page: 1182. Children are less likely than adults to be struck by a car. C. spaced further apart, which causes them to shift following trauma. Question Type: General Knowledge 3 months and 4 years. The signs and symptoms of poisoning in children: 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. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? Which of the following is MORE common in children than in adults following a head injury? Before positioning an infant or child's airway, you should: As you approach the child, you note that he is lying at the base of the monkey bars. Which of the following statements regarding spinal injuries in pediatric patients is correct? 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. 34. Question Type: General Knowledge Answer: A 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 C. severe infection. B. positioning, ice packs, and emotional support. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: C. monitor the pulse oximeter reading. A. profound tachycardia. The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the A. child is in severe decompensated shock. B. the flexible ribs can be compressed without breaking. questions would be of LEAST pertinence? She is D. an altered mental status. 3 C. geriatrics toy into his mouth shortly before the episode began. C. slightly flex the neck to prevent tracheal kinking. A. encourage the child to urinate and take a shower. B. crying and anxiety. D. heat compresses and lowering the injured extremity. D. children with shunts. Answer: B Page: 1176, 57. When you arrive at the scene, the child is Signs of vasoconstriction in the infant or child include weak distal pulses What is meant by vasoconstriction ? 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 D. 70, Which of the following inquiries should you make in private when obtaining a SAMPLE history from an You respond to a skate park where a 10year-old male fell from his skateboard and struck his head on the ground; he was not wearing a helmet. B. low birth weight A. irritability of the left ventricle. Answer: B A. encourage the child to urinate and take a shower. D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. Answer: A C. the sudden force against the ribs causes them to fracture. A. monitor the child's heart rate. You should: C. crying or combativeness, good muscle tone, and awareness to time. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? Before positioning an infant or child's airway, you should: D. secure the torso before the head. D. are most severe if the child ingested a poisonous substance. A. a cardiac arrhythmia. B. Greenstick fractures occur in infants and children because: C. 90 mm Hg The MOST common cause of dehydration in pediatric patients is: The child is conscious, obviously frightened, and is 17. A. begin immediate rescue breathing. Submersion injuries in the adolescent age group are MOST commonly associated with: Which of the following statements regarding pediatric trauma is correct? A child's head is less frequently injured than an adult's. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: 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. D. hyperglycemia. 53. Answer: C A 4-year-old female ingested an unknown quantity of liquid drain cleaner. B. ensure that his or her neck is hyperextended. 28. 6. D. he or she even has a minor injury. D. child's core body temperature is elevated. A. stridor. Page: 1176. You are dispatched to a local elementary school for an injured child. 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. Study Resources. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement Arch Dis Child 25(123): 242-253. You should: A. typically last less than 30 minutes. 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. Question Type: Critical Thinking A. place padding under the child's head. Page: 1160. Pale skin in a child indicates that the: D. allowing the child to remain with her mother and applying a nasal cannula. You are dispatched to a residence for a child with respiratory distress. D. result in a soft-tissue injury. C. a stiff or painful neck. C. the sudden force against the ribs causes them to fracture. Common causes of seizures in children include all of the following, EXCEPT: Page: 1197, EMT Chapter 33- Obstetrics & Neonatal Care eB, EMT Chapter 33: Obstetrics and Neonatal Care, Julie S Snyder, Linda Lilley, Shelly Collins, Winningham's Critical Thinking Cases in Nursing, Barbara A Preusser, Julie S Snyder, Mariann M Harding. bag-mask ventilations is to: In the first three months babies pay most attention to faces. Vasoconstriction can help or hurt your body, depending on the situation. C. are usually caused by viral meningitis. Page: 1192. D. Do you know what substance was ingested? A. proportionately larger and situated more anteriorly. pulse. consistency in the method of injury reported by the caregiver. conscious, crying, and clinging to her mother.