A. tenting. His pulse is slow and bounding. C. altered mental status. She further tells you that her daughter has no history of seizures, but has had a What condition should you suspect? 17. Which of the following statements regarding spinal injuries in pediatric patients is correct? The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child. 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. D. decreased LOC. A. vary widely, depending on the child's age and weight. Findings from the r espiratory system include apnea, cyanosis, grunt- Page: 1168. Answer: C D. activity, respiratory quality, and level of consciousness. heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. As you approach the child, you note that he is lying at the base of the monkey bars. In most children, febrile seizures are characterized by: C. hyperpnea. 3 seconds. 48. C. age of the child and the size of the car that struck him or her. D. retracting the intercostal muscles. C. an ineffective cough. D. superficial burns covering more than 10% to 15% of the body surface. A. pink, dry skin. D. 10 years. 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). A. discourage the family from observing. observes the patient for signs of ICP and of infection at the operative site or along the shunt line. B. headache and fever. C. 90 mm Hg conscious, crying, and clinging to her mother. B. a weak cough. should: Question Type: General Knowledge D. give 12.5 to 25 g of activated charcoal. D. give detailed updates to the infant's parents. Pale skin in a child indicates that the: Answer: B Blood pressure is usually not assessed in children younger than _____ years. B. a responsive 6-year-old male who responds appropriately Arch Dis Child 25(123): 242-253. C. seizures and hypoxia B) Children are belly breathers because they rely heavily on their diaphragms. A. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, 53. A. alcohol. A. high fever. C. your assessment will most often reveal bruising to the abdomen. Page: 1164. D. fracture of the cervical spine. You are dispatched to a residence for a child with respiratory distress. 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: Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: A 6-year-old male presents with acute respiratory distress. D. buttocks, Answer: A following questions would be of LEAST pertinence? B. push the tongue anteriorly. 70. C. a cough that resembles the bark of a seal. You should: attempt cooling measures, offer oxygen, and transport. 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? Effective methods for providing pain relief to a child with an extremity injury include: When a child is struck by a car, the area of greatest injury depends MOSTLY on the: D. a headache. A. B. moderate dehydration. Wheezing. Page: 1177. 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. 88 mm Hg B. asthma. D. stridorous breathing. bronchioles. Page: 1188. Which of the following statements regarding a pediatric patient's anatomy is correct? D. open his airway and look in his mouth. Page: 1192. C. insert it until the flange rests on the teeth. B. Compensatory mechanisms that improve stroke volume include increased venous smooth muscle tone (improves preload by shunting blood to the Submersion injuries in the adolescent age group are MOST commonly associated with: Which of the following statements regarding pediatric trauma is correct? B. C. consistency in the method of injury reported by the caregiver You should: C. you should document your perceptions on the run form. B. burns to the hands or feet that involve a glove distribution The narrowing (constriction) of blood arteries by tiny muscles in their walls is known as vasoconstriction. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: D. ask a relative if he or she knows the child's weight. 49. D. height of the child and the speed at which the car was traveling. C. second-degree burns covering more than 10% of the body surface. C. 5 Cardiac arrest in the pediatric population is MOST commonly the result of: Answer: D A blood pressure of 140/90 mmHg indicates high blood pressure . C. putting a baby to sleep on his or her back prepare for immediate transport to a trauma center. Question Type: General Knowledge D. there is usually obvious injury to the external chest wall. Peds. With regard to the legal implications of child abuse: Drawing in of the muscles between the ribs or of the sternum during inspiration is called: B. dehydration from vomiting and diarrhea. Answer: A D. experiencing cardiopulmonary arrest. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. A 2-year-old female has experienced a seizure. When immobilizing an injured child in a pediatric immobilization device, you should: coughing forcefully. A. result in tachycardia. A. irritability of the left ventricle. The purpose of the pediatric assessment triangle (PAT) is to: a 3-month-old infant can distinguish a parent from a stranger. 67. His pulse is slow and bounding. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. Question Type: General Knowledge D. assess his or her respiratory effort. C. a rapid heart rate. A. carefully look into his mouth and remove the object if you see it. C. ear pain. C. perform a blind finger sweep. Answer: C C. a stiff or painful neck. The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the Which of the following inquiries should you make in private when obtaining a SAMPLE B. their bones are more brittle than an adult's. A. stridor. Answer: C Central chest pain following prolonged vomiting usually with circulatory collapse. Page: 1182. C. belly breathing. B. a stiff or painful neck. A. B. retracting. You should suspect: You are dispatched to a local elementary school for an injured child. Answer: B PDF Physiology and classification of shock in children Which of the following represents a low normal systolic blood pressure for a 6-year-old child? Question Type: General Knowledge D. 18, 6. The MOST appropriate treatment for this child includes: D. 50 g. The MOST common cause of dehydration in pediatric patients is: level of activity is decreased. D. delayed capillary refill indicates a state of decompensated shock. 73. Hyperthermia differs from fever in that it is an increase in body temperature: Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? You are dispatched to a local elementary school for an injured child. B. size of the child and the height of the bumper upon impact. You should: Question Type: General Knowledge A. a cardiac arrhythmia. Lanoxin Injection (Digoxin Injection): Uses, Dosage, Side - RxList B. the flexible ribs can be compressed without breaking. C. bulging fontanelles. C. age of the child and the size of the car that struck him or her. 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. When assessing or treating an adolescent patient, it is important to remember that: A. they usually do not wish to be observed during a procedure. Heart rate may not reflect the severity of blood loss due to compensatory vasoconstriction and constriction. D. poisonings or ingestion. A. monitor the child's heart rate. C. excessive tachycardia. C. monitor the pulse oximeter reading. B. have a female EMT remain with her if possible. The purpose of the pediatric assessment triangle (PAT) is to: Answer: B Answer: A B. complaining of severe back pain. D. observe the chest for adequate rise. D. 35%, Answer: C 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. After using the PAT to form your general impression of a sick or injured child, you should: Common causes of seizures in children include all of the following, EXCEPT: A. evaluate the child's baseline vital signs. 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 patient, an 18-month-old female, C. crying or combativeness, good muscle tone, and awareness to time. C. determine why the ingestion occurred. This is an example of what condition? may indicate a serious underlying illness. During the attempted resuscitation of an infant with suspected SIDS: C. skin condition A. the growth plate is commonly injured. B. D. children with shunts. D. caused by the inability of the body to cool itself. Which of the following findings is LEAST suggestive of child abuse? Blood pressure is usually not assessed in children younger than _____ years. 78. 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. B. rhonchi. A. estimate the child's weight based on age. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. 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. B. burns to the hands or feet that involve a glove distribution Answer: B A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the signs of vasoconstriction in the infant or child include: B. A. pallor. Which of the following is MORE common in children than in adults following a head injury? If a nasopharyngeal airway is too long, it may: 16. B. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ A) Lung sounds are difficult to hear because of the thick intercostal muscles. B. tightly secure the oxygen mask straps to the face. Page: 1179. C. skin that is cool and dry. B. mental status, heart rate, and systolic blood pressure. Question Type: General Knowledge Answer: C B. asthma. D. an altered mental status. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. A. infection. A. cyanosis. C. femoral Which of the following represents a low normal systolic blood pressure for a 6-year-old child? C. 60 C. immobilized on a long backboard. C. an ineffective cough. vacation rental inspector job description C. perform a head tilt-chin lift maneuver. A. hot items on a stovetop. 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. B. child abuse. D. secure the torso before the head.