Page: 1176, 57. 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? B. retractions. 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. C. vomiting and diarrhea. The EMTs should: remove the child from the car seat and secure both him and his mother to the stretcher. C. avoiding the placement of a splint, if possible. A. heart rate Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: C. femoral A. sunken fontanelles. Question Type: General Knowledge C. perform a hands-on assessment of the ABCs. A. high fever. You should suspect: As a 1-month-old, babies start to know familiar sounds and may show it by turning the head. Question Type: General Knowledge 15% 59. B. a low-grade fever and tachycardia. Before positioning an infant or child's airway, you should: Page: 1195. A. allow the mother to drive her daughter to the hospital. Write a recursive method to compute the following series: m(i)=13+25+37+49+511+613++i2i+1m(i)=\frac{1}{3}+\frac{2}{5}+\frac{3}{7}+\frac{4}{9}+\frac{5}{11}+\frac{6}{13}+\ldots+\frac{i}{2 i+1} Clinical signs of neonatal infection are nonspecic and include manifestations from various systems. Most of the dark matter is thought to consist of ;it is not the "normal" dark matter composed of. neutrons, protons, and electrons. This is an example of what condition? Page: 1158. B. tachypnea. Effective methods for providing pain relief to a child with an extremity injury include: positioning, ice packs, and emotional support. Which of the following is NOT a known risk factor of SIDS? A. quiet breathing. D. hyperglycemia. b. abnormal breath sounds. B. dehydration from vomiting and diarrhea. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. After determining that an infant or child has strong central pulses, you should: After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: immediate transport is indicated for a child when he or she: has a history suggestive of a serious illness. D. give detailed updates to the infant's parents. D. experiencing cardiopulmonary arrest. A. block the pop-off valve if needed to achieve adequate chest rise. Blood pressure is usually not assessed in children younger than _____ years. D. brisk capillary refill. C. palpate the abdomen for rise and fall. When interventions are not provided to prevent hypothermia, the infant exhibits irritability, excessive motor activity, tachycardia, bradycardia, respiratory distress, cyanosis, skin mottling, or. 2 seconds. B. dehydration from vomiting and diarrhea. 48. C. skin condition conscious, but clearly restless. A. alcohol. Her skin is hot and moist. A child may begin to show signs of separation anxiety as early as: 4. Signs of vasoconstriction in the infant or child include: A) warm, dry skin. Answer: D D. depress the tongue with a tongue depressor. When a child experiences a blunt injury to the abdomen: Page: 1155, 15. C. nasal flaring. 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 Question Type: General Knowledge A. chills. B. allow you to rapidly and visually form a general impression of the child. D. may indicate a serious underlying illness. is conscious and alert, is breathing adequately, and has skin burns around her mouth. Answer: C A. typically last less than 30 minutes. 6, 12 A. D. refusal to drink fluids. D. Blanching of the nares after insertion indicates correct placement. Page: 1158-1159. B. burns to the hands or feet that involve a glove distribution After determining that an infant or child has strong central pulses, you should: D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement They are rarely used in infants younger than 1 year. B. respiratory or circulatory failure. D. popliteal, Answer: C C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, and perform a secondary assessment. When a child experiences a blunt injury to the abdomen: he or she can compensate for blood loss better than adults. D. place him or her on a firm surface. Answer: B C. skin that is cool and dry. An infant of this age is also developmentally ready for other foods. A. 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. What is the purpose of a forward declaration of a class? D. are most severe if the child ingested a poisonous substance. The Answer The answer is C. Seizure. D. delayed capillary refill indicates a state of decompensated shock. A. assume the child is hypertensive. B. push the tongue anteriorly. 69. Page: 1173. 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. C. stimulate the vagus nerve. The presence of those signs indicates very late signs of brain stem dysfunction and that cerebral blood flow has been significantly inhibited. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of A. perform abdominal thrusts. D. a semiconscious 7-year-old female with normal ventilation. D. he or she even has a minor injury. correct? D. heat compresses and lowering the injured extremity. Study Resources. C. ensure that he or she uses a neonatal device for children younger than 12 months. C. restlessness. C. may not be possible if the child's condition is critical. C. the sudden force against the ribs causes them to fracture. 105. A. warm, dry skin. Question Type: General Knowledge A. proportionately larger and situated more anteriorly. A. mild dehydration. D. a headache. D. popliteal. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. D. activity, respiratory quality, and level of consciousness. 53. obviously frightened, and is coughing forcefully. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. This is what is known as an embolus. Page: 1158. All of the following are normal findings in an infant or child, EXCEPT: Their presence can exacerbate the symptoms of pathologic vasoconstriction. When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ pulse. B. toddler period. Dose: Adults. B. headache and fever. Using the discussion earlier, answer the questions below: b. A. allow the mother to drive her daughter to the hospital. Page: 1184, 77. C. skin condition, respiratory rate, and level of alertness. When caring for a female child who has possibly been sexually abused, you should: Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: D. observe the chest for adequate rise. B. are more obvious than in the adult population. should: Answer: A Which of the following findings is LEAST suggestive of child abuse? In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: B. moderate dehydration. B. weak distal pulses. A 2-year-old female has experienced a seizure. His skin is pale and cold and his arms are stiff. Answer: A D. absent urine output. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. Answer: D Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: 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. a congenital cardiovascular defect. Page: 1158. You should: encourage him to cough, give O2 as tolerated, and transport. C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her Question Type: General Knowledge Hyperthermia differs from fever in that it is an increase in body temperature: Question Type: General Knowledge A. the car seat is visibly damaged. D. swimming pools. B. tightly secure the oxygen mask straps to the face. D. observe the chest for adequate rise. Answer: B B. moderate dehydration. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head B. size of the child and the height of the bumper upon impact. Page: 1155. B. monitor her airway and give oxygen. B. 6 months and 6 years. Signs of vasoconstriction in the infant or child include: A) warm, dry skin. Which of the following inquiries should you make in private when obtaining a SAMPLE B. complaining of severe back pain. B. B. internal blood loss. B. SIDS is most commonly the result of an overwhelming infection. Pediatric Emergencies, Ch. 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. C. face Question Type: General Knowledge The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. B. place a towel or folded sheet behind the shoulders. A. a cardiac arrhythmia. A. 67. D. capillary refill, Answer: B Burns in children are commonly caused by all of the following, EXCEPT: A. B. occur after a week of a febrile illness. B. The MOST common cause of dehydration in pediatric patients is: D. 50 g, Answer: B Which of the following groups of people is associated with the lowest risk of meningitis? C. slightly flex the neck to prevent tracheal kinking. Page: 1162. Stroke volume is determined by preload, cardiac contractility, and afterload. 33. 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: When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. C. are usually caused by viral meningitis. A. B. meningitis. Which of the following statements regarding preschool-age children is correct? D. age-appropriate behavior, good muscle tone, and good eye contact. You respond to a skate park where a 10year-old male fell from his skateboard and struck his head on the ground; he was not wearing a helmet. What condition should you suspect? Question Type: Critical Thinking 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. Page: 1184. D. brisk capillary refill. Page: 1170. A. mild dehydration. A. Page: 1180, 65. C. restlessness. A. child is in severe decompensated shock. This . When you stimulate the child, she responds. D. Inexperience and poor judgment are rare causes of pediatric trauma. When ventilating a pediatric patient with a bag-mask device, the EMT should: Which of the following represents a low normal systolic blood pressure for a 6-year-old child? A. Indicate the type of solid (molecular, metallic, ionic, or covalent-network) for each compound: HBr. 12.5 g Answer: B may indicate a serious underlying illness. d. an absence of breath sounds. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: Question Type: General Knowledge 3 The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. B. positioning, ice packs, and emotional support. bronchioles. The components of the PAT are: She is conscious, but clearly restless. D. 5 seconds. Answer: C Immediate transport is indicated for a child when he or she: B. past medical history D. decreased LOC. A. D. entrapment in a structural fire. Or your baby may quiet to listen to your voice. Question Type: General Knowledge 50. Answer: A In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: A. depress the gag reflex. D. poisonings or ingestion. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: D. suspect that the child has meningitis and transport at once. Page: 1196. The EMT should be MOST concerned when a child presents with fever and: B. place a towel or folded sheet behind the shoulders. C. altered mental status. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? 75. Page: 1158. Page: 1171. playing with a small toy. C. a law enforcement officer must be present. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: 86. He is responsive to painful stimuli only and has a large hematoma on the back of his head. an unresponsive 5yearold male with shallow respirations. The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child. 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. C. blood vessels near the skin are constricted. After using the PAT to form your general impression of a sick or injured child, you should: He is unresponsive and there are no signs of breathing. Page: 1186. Which of the following statements regarding the use of nasopharyngeal airways in children is correct? Which of the following is NOT a known risk factor of SIDS? 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? 44. transport to the closest trauma center. When immobilizing an injured child in a pediatric immobilization device, you should: Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: When a child experiences a blunt chest injury: the flexible ribs can be compressed without breaking. The secondary assessment of a sick or injured child: A. a conscious 4-year-old male with adequate tidal volume A. place padding under the child's head. Do you agree? B. secondary to a severe bacterial infection. D. capillary refill. A. cyanosis. There may be . If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority? As you approach the child, you note that he is lying at the base of the monkey bars. C. determine why the ingestion occurred. D. decreased LOC. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full spinal precautions, and transport. A. extreme restlessness. Page: 1182. ., 10. A. begin immediate rescue breathing. D. become obstructed by mucus. Vasoconstriction can help or hurt your body, depending on the situation. Infants produce heat by non-shivering thermogenesis (NST) and should exhibit peripheral vasoconstriction when cold, but little empirical evidence confirms that ELBW infants are capable of peripheral vasoconstriction. A. vary widely, depending on the child's age and weight. C. putting a baby to sleep on his or her back Question Type: General Knowledge A. grunting. A. alcohol. B. size of the child and the height of the bumper upon impact. A. D. become obstructed by mucus. adolescent patient? Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: She is receiving high-flow oxygen via a nonrebreathing mask. Question Type: Critical Thinking 96. B) Children are belly breathers because they rely heavily on their diaphragms. Question Type: General Knowledge 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. administering blow-by oxygen and transporting the child with her mother.
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