A viral infection that may cause obstruction of the upper airway in a child is called: Answer: B Answer: C C. Why did your child ingest the poison? C. 8 months and 8 years. C. 5 D. 35%, Which of the following is the LEAST reliable assessment parameter to evaluate when determining the Have you noticed any signs or symptoms? D. poisonings or ingestion. A. put padding behind his or her head. Question Type: General Knowledge D. ask a relative if he or she knows the child's weight. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because C. insert a nasopharyngeal or oropharyngeal airway adjunct. playing with a small toy. An infant with severe dehydration would be expected to present with: His mother states that she saw him put a small toy into his mouth shortly before the episode began. The Sun radiates energy into space at the rate of 3.91026J/s3.9 \times 10 ^ { 26 } \mathrm { J } / \mathrm { s }3.91026J/s How does this mass loss arise? D. observe the chest for adequate rise. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if 78. C. facilitate a rapid head-to-toe assessment of the child by visualization only. A. child is in severe decompensated shock. determining the presence of shock in infants and children? C. skin condition, respiratory rate, and level of alertness. A. cyanosis. D. acute respiratory distress. Which of the following is MORE common in children than in adults following a head injury? A. perform abdominal thrusts. Her skin is hot and moist. When questioning the parent of a child who ingested a poisonous substance, which of the following c. Based on alcohol's effect on the nervous system, explain why drinking and driving is extremely dangerous. C. determine why the ingestion occurred. When a child faints, the blood supply and the oxygen that blood brings to the brain is temporarily reduced. D. mild respiratory distress. She is receiving high-flow oxygen via a nonrebreathing mask. 102. You should: encourage him to cough, give O2 as tolerated, and transport. B. a rash. B. B. ensure that the airway is patent and clear of obstructions. 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. B. falls from a height greater than 5. A 4-year-old, 16-kg female ingested an unknown quantity of liquid drain cleaner. You are using JumpSTART in a triage situation involving several children. D. there is usually obvious injury to the external chest wall. Page: 1180, 65. D. height of the child and the speed at which the car was traveling. B. weak distal pulses. You should: A. C. have a parent restrain the child as you give oxygen. Question Type: General Knowledge A. he or she can compensate for blood loss better than adults. may indicate a serious underlying illness. Question Type: General Knowledge Which of the following statements regarding a pediatric patient's anatomy is correct? 20 g D. gather critical data by performing a rapid hands-on assessment of the child. Greenstick fractures occur in infants and children because: C. place the child in cold water to attempt to reduce her fever. D. become obstructed by mucus. B. females 40 You should: Signs of vasoconstriction in the infant or child include: A. warm, dry skin. D. head bobbing. Question Type: General Knowledge A. a cardiac arrhythmia. When assessing an 8-year-old child, you should: B. talk to the child, not just the caregiver. D. acute hypoxia and tachycardia. Signs of vasoconstriction in the infant or child include: A. warm, dry skin. As you approach the child, you note An infant with severe dehydration would be expected to present with: ground; he was not wearing a helmet. B. use a length-based resuscitation tape measure. Answer: B D. place him or her on a firm surface. C. 90 mm Hg Answer: A Page: 1185. A. They can usually identify painful areas when questioned. Signs of vasoconstriction in the infant or child include weak distal pulses What is meant by vasoconstriction ? Effective methods for providing pain relief to a child with an extremity injury include: positioning, ice packs, and emotional support. Page: 1188. 96. C. pad underneath the child's head. They are rarely used in infants younger than 1 year. B. allow you to rapidly and visually form a general impression of the child. 6 years. The MOST common cause of dehydration in pediatric patients is: C. a rapid heart rate. A. place oxygen tubing through a hole in a paper cup. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of Page: 1184. A. stridor. B. scalding water in a bathtub. Effective methods for providing pain relief to a child with an extremity injury include: Immediate transport is indicated for a child when he or she: C. stimulate the vagus nerve. You should: D. allowing the child to remain with her mother and applying a nasal cannula. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: A. routinely suction the mouth to remove oral secretions. C. slightly flex the neck to prevent tracheal kinking. A. separating the child from his or her parents. they are: Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are: When caring for a female child who has possibly been sexually abused, you should: have a female EMT remain with her if possible. A. proportionately larger and situated more anteriorly. C. sunken fontanelles. B. allow the family to observe if they wish. B. push the tongue anteriorly. B. moist oral mucosa. Most cases of SIDS occur in infants younger than 6 months. C. result in airway swelling. Page: 1169. recent ear infection. Page: 1186. 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. Febrile seizures are MOST common in children between: A. Which of the following findings is LEAST suggestive of child abuse? D. age-appropriate behavior, good muscle tone, and good eye contact. Question Type: Critical Thinking D. secure the torso before the head. following questions would be of LEAST pertinence? D. experiencing cardiopulmonary arrest. C. hypothermia and an irregular pulse. D. brisk capillary refill. C. his or her respirations are shallow. B. past medical history B. tightly secure the oxygen mask straps to the face. 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. C. result in airway swelling. The normal respiratory rate for a newborn should not exceed ______ breaths/min. level of activity is decreased. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: that he is lying at the base of the monkey bars. 41. B. are more obvious than in the adult population. Page: 1162, 30. B. size of the child and the height of the bumper upon impact. Nursing Care of a Family With a High-Risk New. 72. Question Type: General Knowledge A. shins 3 seconds. When you arrive, you determine that the infant is apneic and pulseless. 48. Explain the meanings of the following terms: quadratic damping, complex stiffness, transmissibility, beating, and quality factor. Study Resources. A. C. exposure to caustic chemicals. B. have a female EMT remain with her if possible. If appropriate dosing for children and infants is included with age ranges as needed. 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. What immediate effects does alcohol have on the body? A. discourage the family from observing. Answer: B A. infection. 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. He is unresponsive and there are no signs of breathing. D. allowing the child to remain with her mother and applying a nasal cannula. A. any superficial or partial-thickness burn that involves the legs or arms. When assessing an 8-year-old child, you should: 7. When ventilating a pediatric patient with a bag-mask device, the EMT should: Signs of a severe airway obstruction in an infant or child include: A. child abuse must be reported only if it can be proven. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? 10. Question Type: Critical Thinking You should: A 4-year-old female ingested an unknown quantity of liquid drain cleaner. Bratteby LE (1968) Studies on . A. profound tachycardia. D. a semiconscious 7-year-old female with normal ventilation, C. an unresponsive 5-year-old male with shallow respirations. When assessing an infant's ventilation status, you should: In the first three months babies pay most attention to faces. He is responsive to painful stimuli only and has a large hematoma to When assessing an infant's ventilation status, you should: Answer: D Page: 1175. A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: 32. D. secure the torso before the head. After your partner stabilizes his head and opens his airway, you assess his breathing 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. D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. B. monitor her airway and give oxygen. B. asthma. 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? D. is most appropriate when your transport time is short. Pale skin in a child indicates that the: A. determine if the child's vital signs are within the age-appropriate limits. The mother tells you that the seizure lasted approximately 5 minutes. A. appearance, work of breathing, and skin circulation. D. give detailed updates to the infant's parents. albuterol. In a normal adult, greater than 30% to 40% of blood volume loss significantly increases the risk of shock. Febrile seizures in a child: D. epiglottitis. A. hot items on a stovetop. During the attempted resuscitation of an infant with suspected SIDS: Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. B. his or her blood pressure falls with as little as 5% blood loss. A. grunting. A. the car seat is visibly damaged. A. sunken fontanelles. 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 . The German Association of the Scientific Medical Societies guideline for pregnancy, childbirth, and puerperium in women with a spinal cord injury (SCI) addresses a range of topics from the desire . D. has a history suggestive of a serious illness. Question Type: General Knowledge The components of the PAT are: A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. The MOST appropriate treatment for this child includes: administering blow-by oxygen and transporting the child with her mother. Answer: A B. burns to the hands or feet that involve a glove distribution When you arrive at the scene, the child is conscious, crying, and clinging to her mother. B. a sudden ventricular arrhythmia. Answer: A A. What condition should you suspect? immobilization device if: most cases of SIDS occur in infants younger than 6 months. playing with a small toy. B. The signs and symptoms of poisoning in children: C. They are usually not well tolerated in children with a gag reflex. Late signs of intracranial pressure that comprise Cushing triad include hypertension with a widening pulse pressure, bradycardia, and abnormal respiration. They are rarely used in infants younger than 1 year. C. may not be possible if the child's condition is critical. B. moderate dehydration. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: Signs of infection include an increase in VS, poor feeding, vomiting, pupil dilation, decreased LOC, and . If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. A. perform abdominal thrusts. Page: 1196. The infant's D. a supervisor can forbid you from reporting possible abuse. C. place the child in cold water to attempt to reduce her fever. A. carefully look into his mouth and remove the object if you see it. B. D. 6, Answer: A A. B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. C. 8 months and 8 years. Arch Dis Child 25(123): 242-253. Page: 1155. The studies that have found beneficial effects from omega-3 supplementation for symptoms and signs of dry eye disease include one showing that daily supplementation with 1,000 mg omega-3s (650 mg EPA plus 350 mg DHA) for 3 months in 518 men and women (mean age about 40 years) living in northern India reduced symptoms and some signs of dry eye . B. bradycardia. Which of the following statements regarding spinal injuries in pediatric patients is correct? D. an unexplained delay in seeking medical care after the injury, Answer: C 4 B. encourage him to cough, give oxygen as tolerated, and transport. B. EMTs must report all suspected cases of child abuse. B. loss of consciousness C. 60 90. B. thoroughly suction his or her airway. D. fracture of the cervical spine. D. suspect that the child has meningitis and transport at once. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Select one: A. a stiff or painful neck. C. second-degree burns covering more than 10% of the body surface. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: 11. Present your findings in a written or oral report. A. result in tachycardia. 43. C. age of the child and the size of the car that struck him or her. D. depress the tongue with a tongue depressor. B. not rule out compensated shock. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: severe hypoxia and bradycardia. A. D. children with shunts. B. C. a stiff or painful neck. D. immediately report your suspicions to the parents. A. of more than 2F to 3F per hour. Page: 1162. Answer: D B. burns to the hands or feet that involve a glove distribution 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 The components of the PAT are: D. he or she is breathing inadequately. A child may begin to show signs of separation anxiety as early as: 6 months. C. monitor the pulse oximeter reading. B. Your assessment reveals that she B. drooling or congestion. Question Type: General Knowledge D. he or she even has a minor injury. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after The goal of vasoconstriction is to prioritize oxygen and nutrient supply to the most important organs - the vital organs. C. caused by inflammation of the spinal cord. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement 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 B. rule out hypoxia if cyanosis is absent. C. your assessment will most often reveal bruising to the abdomen. B. have a female EMT remain with her if possible. A sound heard in the upper airway when the child breathes in. wreck in west monroe, la today. he or she presents with: Question Type: General Knowledge 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. A. place her supine and elevate her legs. D. child's core body temperature is elevated. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: B. observe the child's skin color. D. poisonings or ingestion, Answer: B B. A. heart rate Which of the following statements regarding spinal injuries in pediatric patients is correct? C. their bones bend more easily than an adult's. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. m(i)=31+52+73+94+115+136++2i+1i. Answer: B A. C. grunting. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full The EMT should be MOST concerned when a child presents with fever and: B. EMTs must report all suspected cases of child abuse. Death caused by shaken baby syndrome is usually the result of: Page: 1155. conscious, crying, and clinging to her mother. 31. C. palpate the abdomen for rise and fall. 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? 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 Which of the following represents a low normal systolic blood pressure for a 6-year-old child? D. hypovolemic shock. B. a rash. His skin is pale and cold and his arms are stiff. In most children, febrile seizures are characterized by: Common causes of seizures in children include all of the following, EXCEPT: 5. Question Type: General Knowledge The Answer The answer is C. Seizure. Which of the following statements regarding a pediatric patient's anatomy is correct? The MOST accurate method for determining if you are delivering adequate tidal volume to a B. moderate dehydration. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: correct? C. perform a hands-on assessment of the ABCs. 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. You are responding to a 9-1-1 call where the mother reported finding her 3-month-old daughter cyanotic and unresponsive in her crib. C. palpate the abdomen for rise and fall. Febrile seizures in a child: He is responsive to painful stimuli only and has a large hematoma to the back of his head. D. has a history suggestive of a serious illness. 35. If a nasopharyngeal airway is too long, it may: D. stridorous breathing. Her skin is pink and dry, and her heart rate is 120 beats/min. Burns in children are commonly caused by all of the following, EXCEPT: Page: 1162-1163. C. 5 C. 25 g D. open his airway and look in his mouth. A. any superficial or partial-thickness burn that involves the legs or arms. history from an adolescent patient? Which of the following groups of people is associated with the lowest risk of meningitis? Answer: A B. cause the child to vomit. Her skin is hot and moist. C. estimate the child's weight based on appearance. 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. 4 years. A. the growth plate is commonly injured. 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.