14. D. sunken fontanelles. 2 seconds. 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. B. The MOST appropriate treatment for this child includes: administering blow-by oxygen and transporting the child with her mother. D. a headache. C. monitor the pulse oximeter reading. A 2-month-old infant was found unresponsive in his crib by his mother. B. What should you use the Wong-Baker FACES scale to determine? D. duration of symptoms. The vital signs of Patient X include a body temperature of 37 degrees Celsius, heart rate of 80 bpm, a pulse of 80 bpm, respiratory rate of 20 breaths per minute, and blood pressure of 140/90 mmHg. C. rule out an injury to the spinal cord. Wheezing. With regard to the legal implications of child abuse: 46. C. bulging fontanelles. 16. Common causes of seizures in children include all of the following, EXCEPT: Question Type: Critical Thinking Page: 1188. C. electrolyte imbalances. Question Type: General Knowledge Her skin is pink and dry, and her heart rate is 120 beats/min. D. he or she is breathing inadequately. approximately 5 minutes. 55. 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. 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. blood vessels near the skin are constricted. B. Her skin is pink and dry, and her heart rate is 120 beats/min. Which of the following statements regarding a pediatric patient's anatomy is correct? Page: 1155. B. burns to the hands or feet that involve a glove distribution B. ensure that his or her neck is hyperextended. 53. Febrile seizures in a child: The infant's mother tells you that he has not had a soiled diaper in over 12 hours. Her skin is hot and moist. Page: 1184. C. 12, 4 Signs and symptoms are usually intermittent and mild; however, very rare sequelae include digital ulceration and/or soft tissue breakdown. signs of vasoconstriction in the infant or child include: D. assess the child's heart rate and skin condition. A. the flexible rib cage protects the vital thoracic organs. B. their bones are more brittle than an adult's. B. partial-thickness burns covering more than 20% of the body surface. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. C. caused by inflammation of the spinal cord. Peds. C. conclude that the child is stable. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? B. he or she has no visible injuries. Answer: B A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. 94. C. belly breathing. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A. headache and fever. Febrile seizures are MOST common in children between: B. fear or anxiety. Question Type: General Knowledge Page: 1155. The child is conscious, B. internal blood loss. 13. When caring for a female child who has possibly been sexually abused, you should: C. 5 C. an unresponsive 5-year-old male with shallow respirations Which of the following children would benefit the LEAST from a nonrebreathing mask? A. chills. A. The anti-inflammatory action of corticosteroids reduces laryngeal mucosal edema and decreases the need for salvage nebulized epinephrine. A. a cardiac arrhythmia. You should: Answer: C He is responsive to painful stimuli only and has a large hematoma to the back of his head. C. a rapid heart rate. When a child experiences a blunt injury to the abdomen: he or she can compensate for blood loss better than adults. A. excessive tearing. D. cardiovascular disease. Page: 1176, 57. C. nasal flaring. Answer: A When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ pulse. Answer: A C. ensure that he or she uses a neonatal device for children younger than 12 months. Page: 1161. 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. B. 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). Page: 1186. Page: 1192. B. allow the family to observe if they wish. 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 . C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. C. second-degree burns covering more than 10% of the body surface. Page: 1185. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. ma volume in newborn infants. C. Why did your child ingest the poison? immobilization device if: D. allowing the child to remain with her mother and applying a nasal cannula. You should: encourage him to cough, give O2 as tolerated, and transport. Which of the following groups of people is associated with the lowest risk of meningitis? Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: During the attempted resuscitation of an infant with suspected SIDS: EMT Chapter 30- Abdominal and Genitourinary I, Chapter 33: Obstetrics and Neonatal Care Prac, Julie S Snyder, Linda Lilley, Shelly Collins, N300 -- Cardiac Rehabilitation -- Final Exam. Page: 1187. B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and D. 6, Answer: A B. a rash. 51. C. skin condition, respiratory rate, and level of alertness. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Page: 1196. A. spinal cord injury A. A. hot items on a stovetop. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. B. presence of shock in infants and children? Question Type: General Knowledge A. warm, dry skin. C. severe infection. Page: 1184. D. epiglottitis. Question Type: General Knowledge D. children with shunts. A. a complete airway obstruction. C. Children are more likely to experience diving-related injuries. Question Type: General Knowledge D. decreased LOC. Page: 1158. B. their bones are more brittle than an adult's. Signs of vasoconstriction in the infant or child include: The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: Abstract The thermoregulatory threshold for vasoconstriction has been studied in infants and children given isoflurane, but not in those given halothane anesthesia. C. perform a hands-on assessment of the ABCs. Page: 1182. Page: 1182. Early signs of respiratory distress in the child include: C. a stiff or painful neck. adolescent patient? She is conscious, but clearly restless. C. have a parent restrain the child as you give oxygen. conscious, crying, and clinging to her mother. A. the growth plate is commonly injured. 4 years. Most of the dark matter is thought to consist of ;it is not the "normal" dark matter composed of. neutrons, protons, and electrons. D. Do you know what substance was ingested? Most cases of SIDS occur in infants younger than 6 months. 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 C. Why did your child ingest the poison? D. capillary refill, Answer: B D. capillary refill. D. give detailed updates to the infant's parents. Greenstick fractures occur in infants and children because: When inserting an oropharyngeal airway in an infant or child, you should: 105. C. severe hypoxia and bradycardia. A. he or she can compensate for blood loss better than adults. obviously frightened, and is coughing forcefully. Question Type: General Knowledge C. delayed capillary refill. B. have a female EMT remain with her if possible. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: B. 20. A. requesting a paramedic ambulance to insert an advanced airway device. D. retracting the intercostal muscles. C. your assessment will most often reveal bruising to the abdomen. After determining that an infant or child has strong central pulses, you should: Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lbs. Submersion injuries in the adolescent age group are MOST commonly associated with: Signs of a severe airway obstruction in an infant or child include: Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? Which of the following is MORE common in children than in adults following a head injury? 74. 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. 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. 6. Dose: Adults. A. child abuse must be reported only if it can be proven. 67. A. carefully look into his mouth and remove the object if you see it. Answer: B C. an unresponsive 5-year-old male with shallow respirations questions would be of LEAST pertinence? B. retracting. B. SIDS is most commonly the result of an overwhelming infection. Use the proper word to complete each of the following blanks: A. he or she can compensate for blood loss better than adults. D. swimming pools. Which of the following statements regarding pediatric trauma is correct? 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. playing with a small toy. Late signs of intracranial pressure that comprise Cushing triad include hypertension with a widening pulse pressure, bradycardia, and abnormal respiration. A. put padding behind his or her head. Page: 1186. The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly.