You are dispatched to a local elementary school for an injured child. B. stabilize his head and check for a pulse. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: A. intercostal muscles are not well developed. The signs and symptoms of poisoning in children: D. immediately report your suspicions to the parents. C. place the child in cold water to attempt to reduce her fever. Death caused by shaken baby syndrome is usually the result of: With regard to the legal implications of child abuse: EMTs must report all suspected cases of child abuse. B. stabilize his head and check for a pulse. D. place the child in a supine position and perform abdominal thrusts. A. 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. A. normal interactiveness, awareness to time, and pink skin color. They are rarely used in infants younger than 1 year. His mother states that she saw him put a small He is conscious, but his 33. 50 Page: 1159. 75. Blood pressure is usually not assessed in children younger than _____ years. B. burns to the hands or feet that involve a glove distribution A. block the pop-off valve if needed to achieve adequate chest rise. the back of his head. A. block the pop-off valve if needed to achieve adequate chest rise. 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 . 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. C. delayed capillary refill. Children are less likely than adults to be struck by a car. Answer: C D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. D. observe the chest for adequate rise. 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 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? Answer: D bronchioles. D. brisk capillary refill. C. ensure that he or she uses a neonatal device for children younger than 12 months. 12.5 g 22. C. 60 B. EMTs must report all suspected cases of child abuse. D. is most appropriate when your transport time is short. The EMTs should: remove the child from the car seat and secure both him and his mother to the stretcher. A. mother younger than 20 years B. more vascular despite the fact that they are proportionately smaller. A. place oxygen tubing through a hole in a paper cup. What is the purpose of a forward declaration of a class? 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). should: It is the recommended adjunct for children with head trauma. signs of vasoconstriction in the infant or child include: Page: 1186. D. give oxygen if the SpO2 is less than 90%. To ensure that the airway of an infant or small child is correctly positioned, you may have to: 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. hyperglycemia. D. secure the torso before the head. Answer: A Question Type: General Knowledge A. perform abdominal thrusts. C. geriatrics B. awareness to place, pink and dry skin, and consistent eye contact. C) a stiff or painful neck. A. secure the head before the torso. She is receiving high-flow oxygen via a nonrebreathing mask. A. shins C. consistency in the method of injury reported by the caregiver Answer: B The MOST appropriate treatment for this child includes: administering blow-by oxygen and transporting the child with her mother. signs of vasoconstriction in the infant or child include:types of family health services. C. consistency in the method of injury reported by the caregiver A. alcohol. a 3-month-old infant can distinguish a parent from a stranger. Her skin is pink and dry, and her heart Question Type: General Knowledge C. 12, 4 D. a supervisor can forbid you from reporting possible abuse. C. femoral Which of the following findings is LEAST suggestive of child abuse? A. put padding behind his or her head. A. determine if the child's vital signs are within the age-appropriate limits. A. place her supine and elevate her legs. Page: 1155, 15. D. child's core body temperature is elevated. Which of the following statements regarding a pediatric patient's anatomy is correct? 44. 15% Which of the following is MORE common in children than in adults following a head injury? The MOST appropriate treatment for this child includes: C. belly breathing. Question Type: General Knowledge A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the D. has a history suggestive of a serious illness. After using the PAT to form your general impression of a sick or injured child, you should: Page: 1165. A. Answer: B C. a congenital cardiovascular defect. B. weak distal pulses. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. Answer: A B. D. may indicate a serious underlying illness. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? immobilization device if: D. 70, Which of the following inquiries should you make in private when obtaining a SAMPLE history from an C. a cough that resembles the bark of a seal. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Use the following terms to create a concept map: atoms, average atomic mass, molecules, mole, percentage composition, and molar masses. B. use a length-based resuscitation tape measure. C. conclude that the child is stable. Bulcao et al., 2000; Cheng et al., 1995; Daanen, 1996; Grahn et al., 1998). You should: Which of the following statements regarding the use of nasopharyngeal airways in children is Which of the following inquiries should you make in private when obtaining a SAMPLE blood pressure The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: B. secondary to a severe bacterial infection. When a child experiences a blunt injury to the abdomen: he or she can compensate for blood loss better than adults. 2 seconds. Answer: B Submersion injuries in the adolescent age group are MOST commonly associated with: Which of the following statements regarding pediatric trauma is correct? product because it may: A Page: 1182. B. mental status, heart rate, and systolic blood pressure. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. You respond to a skate park where a 10-year-old male fell from his skateboard and struck his head on the A. heart rate You should: C. second-degree burns covering more than 10% of the body surface. Objective This study evaluated the ability of ELBW infants . Question Type: General Knowledge C. palpate the abdomen for rise and fall. You are dispatched to a residence for a child with respiratory distress. Answer: D A viral infection that may cause obstruction of the upper airway in a child is called: 3 months and 4 years. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? C) a stiff or painful neck. Which of the following statements regarding a pediatric patient's anatomy is correct? B. complaining of severe back pain. 81. Page: 1182, 71. 55. D) Retractions are less obvious in children owing to their noncompliant rib cages. A. determine if the child's vital signs are within the age-appropriate limits. B. his or her blood pressure falls with as little as 5% blood loss. Answer: A C. result in airway swelling. Answer: C Page: 1167, 40. B. D. Do you know what substance was ingested? B. visualize the child's airway. B. B. ensure that the airway is patent and clear of obstructions. B. child abuse. He is unresponsive and there are no signs of breathing. 41. they are: Where no specific pediatric dose is given, the implication is that this drug is not commonly used or indicated in that age group. A. requesting a paramedic ambulance to insert an advanced airway device. B. females C. you should document your perceptions on the run form. Answer: D Which of the following is NOT a known risk factor of SIDS? Answer: A (b) 25C,1atm25^{\circ} \mathrm{C}, 1 \mathrm{~atm}25C,1atm Signs of a severe airway obstruction in an infant or child include: bloody or black, tarry stools, confusion, weakness, hallucinations, unusual thoughts or behavior, breast swelling or tenderness, blurred vision, yellowed vision, weight loss (in children), growth delay (in children), and behavior changes (in children) Get medical help right away, if you have any of the symptoms listed above. B. females A 4-year-old, 16-kg female ingested an unknown quantity of liquid drain cleaner. B. use a length-based resuscitation tape measure. Question Type: General Knowledge A. speed at which the car was traveling when impact occurred. Question Type: General Knowledge C. an ineffective cough. Question Type: General Knowledge D. place him or her on a firm surface. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: B. SIDS is most commonly the result of an overwhelming infection. B. D. may indicate a serious underlying illness. 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 your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. Page: 1195, 98. D. there is usually obvious injury to the external chest wall. B. separating the child from her mother and providing ventilatory assistance. B. weak distal pulses. A 2-year-old female has experienced a seizure. D. mother smoked during pregnancy, C. putting a baby to sleep on his or her back. A. allow the mother to drive her daughter to the hospital. Or your baby may quiet to listen to your voice. 45. A. the growth plate is commonly injured. A. any superficial or partial-thickness burn that involves the legs or arms. A. A common cause of shock in an infant is: 67. 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: Which of the following is the MOST appropriate dose of activated charcoal for a 20kg child? 17. Answer: A D. give 12.5 to 25 g of activated charcoal. Pale skin in a child indicates that the: D. decreased LOC. A. cyanosis. is tachypneic, has sternal retractions, and is clinging to her mother. A. observe the chest for rise and fall. D. stridorous breathing. B. rhonchi. You are dispatched to a residence for a child with respiratory distress. D. there is usually obvious injury to the external chest wall. Question Type: General Knowledge All of the following are normal findings in an infant or child, EXCEPT: C. femoral C. 90 mm Hg A. Pale skin in a child indicates that the: A. C. a rapid heart rate. A. a cardiac arrhythmia. Page: 1183. C. stimulate the vagus nerve. Burns in children are commonly caused by all of the following, EXCEPT: Immediate transport is indicated for a child when he or she: B. partial-thickness burns covering more than 20% of the body surface. A 6-month-old male presents with 2 days of vomiting and diarrhea. The secondary assessment of a sick or injured child: C. ensure that he or she uses a neonatal device for children younger than 12 months. When you arrive at the scene, the child is conscious, crying, Most cases of SIDS occur in infants younger than 6 months. C. rule out an injury to the spinal cord. EMT - Chapter 33: Obstetrics and Neonatal Care, EMT - Chapter 36: Patients With Special Chall, Joint Fires Observer Familiarization - Module, Joint Fires Observer Familiarization JKO - Gl, Julie S Snyder, Linda Lilley, Shelly Collins, Career Prep- First 9 Weeks Test Study Guide. Common causes of seizures in children include all of the following, EXCEPT: Febrile seizures are MOST common in children between: In most children, febrile seizures are characterized by: generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. A. older than 8 to 10 years. D. Inexperience and poor judgment are rare causes of pediatric trauma. Signs of vasoconstriction in the infant or child include: weak distal pulses The EMT should be MOST concerned when a child presents with fever and: a rash The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-valve mask ventilations is to: observe the chest for adequate rise B. oxygen content in the blood is decreased. Page: 1192. Answer: D 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. Have you noticed any signs or symptoms? 91. recent ear infection. Peds. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. C. electrolyte imbalances. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. He is complaining of pain when he tries to turn his head. B. What immediate effects does alcohol have on the body? 82 mm Hg Question Type: General Knowledge D. duration of symptoms. Answer: B C. 25% Cardiac arrest in the pediatric population is MOST commonly the result of: When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. 59. B. place a towel or folded sheet behind the shoulders. Bacterial infection is a life-threatening complication that sometimes necessitates shunt removal. The child is conscious, obviously frightened, and is coughing forcefully. C. monitor the pulse oximeter reading. Question Type: General Knowledge A. newborns B. EMTs must report all suspected cases of child abuse. B. rule out hypoxia if cyanosis is absent. C. a congenital cardiovascular defect. Answer: C Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A. headache and fever. The child is conscious and appears alert. B. hyperglycemia. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: Signs of vasoconstriction in the infant or child include: B. past medical history B. the flexible ribs can be compressed without breaking. A. C. are usually caused by viral meningitis. A blood pressure of 140/90 mmHg indicates high blood pressure . Page: 1164. Background ELBW infants are vulnerable to cold stress during the transition from delivery room to intensive care. Page: 1187. D. a generalized rash with intense itching. Answer: D A. separating the child from his or her parents. A. D. a semiconscious 7-year-old female with normal ventilation, C. an unresponsive 5-year-old male with shallow respirations. She is conscious but clearly restless. coughing forcefully. 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. 20 g Signs of a severe airway obstruction in an infant or child include: 25. B. observe the child's skin color. B. size of the child and the height of the bumper upon impact. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. Your assessment reveals that she What does respiratory syncytial virus (RSV) cause? Her skin is hot and moist. B. low birth weight C. Most cases of SIDS occur in infants younger than 6 months. Page: 1162, 30. B. asthma. B. allow the family to observe if they wish. His pulse is slow and bounding. B. a sudden ventricular arrhythmia. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? C. 5 Answer: C After determining that an infant or child has strong central pulses, you should: You are dispatched to a residence for a child with respiratory distress. D. age-appropriate behavior, good muscle tone, and good eye contact. D. depress the tongue with a tongue depressor. More importantly, the effect of vasoconstriction on central temperature in pediatric patients remains unknown. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. D. give oxygen and transport at once. D. duration of symptoms, Answer: A C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, and perform a secondary assessment. A 3-month-old infant can distinguish a parent from a stranger. Her skin is pink and dry, and her heart rate is 120 beats/min. A. typically last less than 30 minutes. D. use a nasal cannula instead of a nonrebreathing mask. A. C. immobilized on a long backboard. C. delayed capillary refill. In a normal adult, greater than 30% to 40% of blood volume loss significantly increases the risk of shock. Stroke volume is determined by preload, cardiac contractility, and afterload. He is responsive to painful stimuli only and has a large hematoma to 6 years. Question Type: General Knowledge
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