A. Answer: C Page: 1173. Death caused by shaken baby syndrome is usually the result of: The components of the PAT are: A. chills. via a nonrebreathing mask. Page: 1192. A. proportionately larger and situated more anteriorly. His skin is pale and cold and his arms are stiff. Answer: A 54. B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more albuterol. Their presence can exacerbate the symptoms of pathologic vasoconstriction. B. Increased respiratory effort is often the distinguishing characteristic that sets cardiogenic shock apart from other forms of shock. D. suspect that the child has meningitis and transport at once. 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? prepare for immediate transport to a trauma center. and perform a secondary assessment. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. blood pressure The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: He is responsive to painful stimuli only and has a large hematoma to the back of his head. inhalation by: Febrile seizures in a child: 9. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: Signs of severe dehydration in an infant include all of the following, EXCEPT: Answer: D A. evidence of alcohol consumption or drug use at the scene Question Type: General Knowledge Answer: B Infants have relatively fixed stroke volumes and are particularly dependent upon heart rate to increase cardiac output. A. speed at which the car was traveling when impact occurred. Page: 1162. Answer: C The child is conscious, obviously frightened, and is coughing forcefully. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: intercostal muscles are not well developed, blood vessels near the skin are constricted. A. obviously frightened, and is coughing forcefully. C. 5 A. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: The child is conscious, Page: 1184, 77. How could you check to see if this is true (without any scraping)? D. 18 months and 10 years. correct? Guiding principles for appropriate complementary feeding are: continue frequent, on-demand breastfeeding until 2 years of age or beyond; Question Type: Critical Thinking Answer: B C. hyperthermia. Answer: A A 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. A. A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: A viral infection that may cause obstruction of the upper airway in a child is called: She is B. A. coughing forcefully. D. abnormal airway noise. B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. C. a rapid heart rate. Page: 1193-1194, 97. B. place a towel or folded sheet behind the shoulders. A. high fever. C. skin condition B. meningitis. C. vomiting and diarrhea. How would you rate a patient who is breathing spontaneously, has a peripheral pulse, and is appropriately responsive to painful stimuli? level of activity is decreased. B. meningitis. Page: 1188. they are: B. tightly secure the oxygen mask straps to the face. C. palpate the abdomen for rise and fall. A. B. EMTs must report all suspected cases of child abuse. Background ELBW infants are vulnerable to cold stress during the transition from delivery room to intensive care. 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. Blood pressure is usually not assessed in children younger than _____ years. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. C. palpate the abdomen for rise and fall. he or she presents with: His mother states that she saw him put a small toy into his mouth shortly before the episode began. C. avoiding the placement of a splint, if possible. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: may indicate a serious underlying illness. small toy. Question Type: General Knowledge When administering oxygen to a frightened child, it would be MOST appropriate to: B. cause the child to vomit. D. Do you know what substance was ingested? If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority? Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. Vasoconstriction - an overview | ScienceDirect Topics When a child experiences a blunt injury to the abdomen: he or she can compensate for blood loss better than adults. B. After determining that an infant or child has strong central pulses, you should: Question Type: General Knowledge 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? Question Type: Critical Thinking C. severe hypoxia and bradycardia. His pulse is slow and bounding. signs of vasoconstriction in the infant or child include: D. bradycardia. Blood pressure is usually not assessed in children younger than _____ years. Question Type: General Knowledge Answer: C The MOST accurate method for determining if you are delivering adequate tidal volume to a child during A. a cardiac arrhythmia. A. A. infection. A. place bulky padding behind his or her occiput. Use the following terms to create a concept map: atoms, average atomic mass, molecules, mole, percentage composition, and molar masses. D. 70, Answer: A an unresponsive 5yearold male with shallow respirations. After using the PAT to form your general impression of a sick or injured child, you should: If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head C. severe dehydration. A. block the pop-off valve if needed to achieve adequate chest rise. C. putting a baby to sleep on his or her back B. back The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. A. wheezing. A. irritability of the left ventricle. Her skin is pink and dry, and her heart rate is 120 beats/min. Page: 1175. 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. Page: 1168. D. has a history suggestive of a serious illness. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a A normal level of consciousness in an infant or child is characterized by: age-appropriate behavior, good muscle tone, and good eye contact. A. place oxygen tubing through a hole in a paper cup. C. 25% Answer: C Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: D. give oxygen if the SpO2 is less than 90%. The normal respiratory rate for a newborn should not exceed ______ breaths/min. julia child recipes chicken. Pale skin in a child indicates that the: The child is conscious, obviously frightened, and is C. femoral B. stabilize his head and check for a pulse. D. They can usually identify painful areas when questioned. B. child abuse. D. age-appropriate behavior, good muscle tone, and good eye contact. Which of the following statements regarding a pediatric patient's anatomy is correct? B. a sudden ventricular arrhythmia. A. shins C. a rapid heart rate. D. decreased LOC. A. stridor. D. is most appropriate when your transport time is short. B. EMTs must report all suspected cases of child abuse. The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the 17. 82 mm Hg C. their bones bend more easily than an adult's. Which of the following groups of people is associated with the lowest risk of meningitis? A. estimate the child's weight based on age. There may be . C. 25% C. his or her respirations are shallow. 25. Answer: B B. ensure that his or her neck is hyperextended. C. spaced further apart, which causes them to shift following trauma. Answer: D D. fracture of the cervical spine. D. stridorous breathing. Page: 1170. Which of the following inquiries should you make in private when obtaining a SAMPLE history from an adolescent patient? 23. Question Type: General Knowledge A. pink, dry skin. 63. Most cases of SIDS occur in infants younger than 6 months. You are dispatched to a residence for a child with respiratory distress. D. nausea and vomiting, Answer: D B. size of the child and the height of the bumper upon impact. Page: 1184. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. Question Type: General Knowledge D. has a history suggestive of a serious illness. A. Question Type: General Knowledge 105. D. immediately report your suspicions to the parents. Which of the following is NOT a known risk factor of SIDS? Question Type: General Knowledge A. mild dehydration. The narrowing (constriction) of blood arteries by tiny muscles in their walls is known as vasoconstriction. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. The infant's B. falls from a height greater than 5. Vision. Hypothermia in the Low Birth Weight Premature Infant - Medscape If a nasopharyngeal airway is too long, it may: Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: Which of the following children would benefit the LEAST from a nonrebreathing mask? Findings from the r espiratory system include apnea, cyanosis, grunt- C. Why did your child ingest the poison? C. insert it until the flange rests on the teeth. 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. B. complaining of severe back pain. Where no specific pediatric dose is given, the implication is that this drug is not commonly used or indicated in that age group. The MOST appropriate treatment for this child includes: D. absent urine output. B. weak distal pulses. 20. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. C. you should document your perceptions on the run form. Answer: D Page: 1196. D. Blanching of the nares after insertion indicates correct placement. Question Type: General Knowledge B. not rule out compensated shock. C. grunting. PDF Red Cell Volume Measurements and Acute Blood Loss in High-Risk Newborn Page: 1182, 71. 53. Arch Dis Child 25(123): 242-253. A. pallor. Submersion injuries in the adolescent age group are MOST commonly associated with: D. secure the torso before the head. A. place her supine and elevate her legs. Immediate transport is indicated for a child when he or she: B. obtain a SAMPLE history from the parents. Which of the following statements regarding the use of nasopharyngeal airways in children is correct? A. any superficial or partial-thickness burn that involves the legs or arms. unrecognized. A. pink, dry skin. D. 10 years. B. loss of consciousness Answer: B child during bag-mask ventilations is to: Cardiac arrest in the pediatric population is MOST commonly the result of: In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. B. are more obvious than in the adult population. 75. Bacterial infection is a life-threatening complication that sometimes necessitates shunt removal. of the head. Which of the following statements regarding a pediatric patient's anatomy is correct? history from an adolescent patient? Which of the following findings is LEAST suggestive of child abuse? 16. Page: 1166, 39. Which of the following statements regarding spinal injuries in pediatric patients is correct? In most children, febrile seizures are characterized by: Answer: B Page: 1158. C. the sudden force against the ribs causes them to fracture. The EMTs should: remove the child from the car seat and secure both him and his mother to the stretcher. A. place bulky padding behind his or her occiput. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. 88 mm Hg A. Question Type: Critical Thinking C. seizures and hypoxia 58. A. place oxygen tubing through a hole in a paper cup. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after spinal precautions, and transport. conscious, crying, and clinging to her mother. Page: 1183. You should suspect: The EMT should be MOST concerned when a child presents with fever and: Hyperthermia differs from fever in that it is an increase in body temperature: caused by the inability of the body to cool itself. D. swimming pools. D. poisonings or ingestion, Answer: B The components of the PAT are: A. child abuse. B. tachypnea. Abstract The thermoregulatory threshold for vasoconstriction has been studied in infants and children given isoflurane, but not in those given halothane anesthesia. 43, AAOS 7th Ed. The MOST common cause of dehydration in pediatric patients is: 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. C. nasal flaring. Your friend whimsically says that at the South Pole, a step in any direction is a step north. Thermoregulatory thresholds for vasoconstriction in pediatric - PubMed Infant development: Birth to 3 months - Mayo Clinic - Mayo Clinic Question Type: General Knowledge A. cyanosis. Answer: B B. A. sunken fontanelles. When caring for a female child who has possibly been sexually abused, you should: D. 10 years. Before assessing the respiratory adequacy of an semiconscious infant or child, you must: C. bronchitis. D. height of the child and the speed at which the car was traveling. A. encourage the child to urinate and take a shower. A. As you approach the child, you note Question Type: General Knowledge Chapter 34 Pediatric Emergencies - Free Essay Examples Database B. awareness to place, pink and dry skin, and consistent eye contact. When questioning the parent of a child who ingested a poisonous substance, which of the following D. duration of symptoms. You should: The signs and symptoms of poisoning in children: If a nasopharyngeal airway is too long, it may: B. ensure that his or her neck is hyperextended. Answer: C D. 50 g, Answer: B Question Type: General Knowledge B. burns to the hands or feet that involve a glove distribution A. of more than 2F to 3F per hour. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. Page: 1176. 29. B. cause the child to vomit. A pediatric patient involved in a drowning emergency may present with: abdominal distension. 3. A. put padding behind his or her head. Page: 1158. B. partial-thickness burns covering more than 20% of the body surface. 3 seconds. A. result in tachycardia. Page: 1164, 36. Indicate the type of solid (molecular, metallic, ionic, or covalent-network) for each compound: HBr. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and PDF Physiology and classification of shock in children Question Type: General Knowledge A. alcohol. C. grunting. C. ear pain. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the Bulcao et al., 2000; Cheng et al., 1995; Daanen, 1996; Grahn et al., 1998). B. encourage him to cough, give oxygen as tolerated, and transport. D. superficial burns covering more than 10% to 15% of the body surface. Signs of vasoconstriction in the infant or child include: 16 Signs of vasoconstriction in the infant or child may include a Warm dry skin from MEDICAL TE 24 at North Seattle College A. tenting. Question Type: General Knowledge A. C. stimulate the vagus nerve. Febrile seizures are MOST common in children between the ages of: Which of the following statements regarding a 3-month-old infant is correct? C. 60 B. drooling or congestion. Present your findings in a written or oral report. Question Type: General Knowledge Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because 56. C. hyperthermia. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. C. are usually caused by viral meningitis. Answer: D Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Drawing in of the muscles between the ribs or of the sternum during inspiration is called: C. a cough that resembles the bark of a seal. A. child abuse must be reported only if it can be proven. As the heart beats to push blood through these narrowed vessels, the increased pressure and resistance can dislodge a plaque, allowing it to travel through the bloodstream. Page: 1190. B. visualize the child's airway. Which of the following children would benefit the LEAST from a nonrebreathing mask? The presence of those signs indicates very late signs of brain stem dysfunction and that cerebral blood flow has been significantly inhibited. Answer: A The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in partial paralysis. A. result in tachycardia. Question Type: General Knowledge B. bradycardia. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: size of the child and the height of the bumper upon impact. She is conscious, but clearly restless. D. A 3-month-old infant can distinguish a parent from a stranger. Nurses Pocket Drug Guide 2015 [PDF] [1riu50qtm8ao] - vdoc.pub C. altered mental status. D. 35%, Which of the following is the LEAST reliable assessment parameter to evaluate when determining the Answer: B Page: 1182. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. B. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. D. cardiovascular disease. Question Type: General Knowledge 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). 72. You should suspect: B. A. B. secondary to a severe bacterial infection. Pediatric Emergencies, Ch. When administering oxygen to a frightened child, it would be MOST appropriate to: place oxygen tubing through a hole in a paper cup. D. 5 seconds. When you arrive at the scene, the child is conscious, crying, and clinging to her mother. D. experiencing cardiopulmonary arrest. D) altered mental status. level of activity is decreased. if the cervical spine is injured, it most likely to be an injury to the ligaments because of rapid movement to the head. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, and perform a secondary assessment. D. entrapment in a structural fire. As you approach the child, you note that he is lying at the base of the monkey bars. B. positioning, ice packs, and emotional support. Question Type: General Knowledge A. Syncope, pronounced "SIN-ko-pea," is the medical term for fainting. A. profound tachycardia. B. slide the device under the child. Nursing Care of a Family With a High-Risk New. most cases of SIDS occur in infants younger than 6 months. You should: Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? B. D. brisk capillary refill. Page: 1187, 87. Her skin is hot and moist. A. put padding behind his or her head. D. open his airway and look in his mouth. 92. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: B. thoroughly suction his or her airway. 86. Signs of vasoconstriction in the infant or child include weak distal pulses What is meant by vasoconstriction ? 13. B. dehydration from vomiting and diarrhea. The signs and symptoms of poisoning in children: Which of the following statements regarding spinal injuries in pediatric patients is correct? Page: 1169. A. recent ear infection. Immediate transport is indicated for a child when he or she: When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ pulse. What is the purpose of a forward declaration of a class? These include encouraging women and providing instructions on changing positions, . The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. Question Type: General Knowledge Omega-3 Fatty Acids - Health Professional Fact Sheet The normal respiratory rate for a newborn should not exceed ______ breaths/min. With regard to the legal implications of child abuse: Cardiac arrest in the pediatric population is MOST commonly the result of: A. is experiencing mild to moderate pain. They are rarely used in infants younger than 1 year. C. result in airway swelling. C. blood vessels near the skin are constricted. C. place the child in cold water to attempt to reduce her fever. Page: 1188. Which of the following is true about a child's breathing? Page: 1170. A. heart rate C. may not be possible if the child's condition is critical. EMT Chapter34 Flashcards | Quizlet You should suspect: Which of the following groups of people is associated with the lowest risk of meningitis? D. capillary refill, Answer: B 4 A. signs of vasoconstriction in the infant or child include: (a) 30C,5mmHg-30^{\circ} \mathrm{C}, 5 \mathrm{~mm} \mathrm{Hg}30C,5mmHg D. head bobbing. Which of the following inquiries should you make in private when obtaining a SAMPLE B. moderate dehydration. The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in Central chest pain following prolonged vomiting usually with circulatory collapse. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: Before assessing the respiratory adequacy of an semiconscious infant or child, you must: ensure that the airway is patent and clear of obstructions. C. 25 g D. dry mucous membranes. A. child is in severe decompensated shock. 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. B. weak distal pulses. This means that the patient has: a. normal breath sounds. B. attempt cooling measures, offer oxygen, and transport. signs of vasoconstriction in the infant or child include It happens when smooth muscles in blood vessel walls tighten. A. perform abdominal thrusts. c. diminished breath sounds. Study Resources. C. 8 months and 8 years. The distance is automatically calculated from the travel time of this pulse. Common causes of seizures in children include all of the following, EXCEPT: D. age-appropriate behavior, good muscle tone, and good eye contact. Before positioning an infant or child's airway, you should: A. grunting. Answer: A Infant and young child feeding - World Health Organization D. place him or her on a firm surface. Vasoconstriction can help or hurt your body, depending on the situation. A. speed at which the car was traveling when impact occurred. C. second-degree burns covering more than 10% of the body surface. B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and You should: Inform the child's mother that her son is deceased. A. newborns C. determine why the ingestion occurred. He is responsive to painful stimuli only and has a large hematoma to B. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement A 6-year-old male presents with acute respiratory distress. Croup Medication: Corticosteroids, Nebulized Vasoconstrictors - Medscape B. respiratory or circulatory failure. C. rule out an injury to the spinal cord. Signs of vasoconstriction in the infant or child include: A) warm, dry skin. A 2-year-old female has experienced a seizure. C. Children have a larger, rounder occiput compared to adults. Page: 1186. B. drooling or congestion. C. skin condition conscious, crying, and clinging to her mother. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. Question Type: General Knowledge C. may not be possible if the child's condition is critical. A. a conscious 4-year-old male with adequate tidal volume C. determine why the ingestion occurred. sinastria di coppia karmica calcolo; quincy homeless shelter; plastic bags for cleaning oven racks; claudia procula death; farm jobs in vermont with housing 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 . is decreased. prepare for immediate transport to a trauma center. A. place her supine and elevate her legs. B. blood pressure A. wheezing. A. excessive tearing. 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. allowing the child to remain with her mother and applying a nasal cannula. Use the proper word to complete each of the following blanks: A 4-year-old female ingested an unknown quantity of liquid drain cleaner. ________ pulse. C. assuming a tripod position. You should: B. place a towel or folded sheet behind the shoulders. You are dispatched to a residence for a child with respiratory distress. Signs of a severe airway obstruction in an infant or child include: C. geriatrics A. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and D. swimming pools.