D. 70, Which of the following inquiries should you make in private when obtaining a SAMPLE history from an The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. B. push the tongue anteriorly. signs of vasoconstriction in the infant or child include: You should: Febrile seizures are MOST common in children between: 88. A. place padding under the child's head. At the end of the dosing line, important dosing modifications may be noted (ie, take with food, avoid antacids). D. give oxygen if the SpO2 is less than 90%. 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. 79. C. blood vessels near the skin are constricted. This acute mediastinitis from esophageal rupture. B. positioning, ice packs, and emotional support. B. Thermoregulatory thresholds for vasoconstriction in pediatric - PubMed A. place bulky padding behind his or her occiput. 54. C. altered mental status. 101. C. Children are more likely to experience diving-related injuries. Study Resources. C. your assessment will most often reveal bruising to the abdomen. Bruising to the _________ is LEAST suggestive of child abuse. spinal precautions, and transport. Chapter 34 Pediatric Emergencies. B. EMTs must report all suspected cases of child abuse. Which of the following groups of people is associated with the lowest risk of meningitis? Identify similarities and differences in the types of skin cancer. B. encourage him to cough, give oxygen as tolerated, and transport. Answer: A A. observe the chest for rise and fall. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. Page: 1162. After determining that an infant or child has strong central pulses, you should: 38. He is responsive to painful stimuli only and has a large hematoma to the back of his head. 89. How many protons per second are consumed in nuclear reactions in the Sun? The EMT should be MOST concerned when a child presents with fever and: Write a test program that displays m(i) for i = 1, 2, . Question Type: General Knowledge Febrile seizures in a child: D. duration of symptoms, Answer: A A 2-year-old female has experienced a seizure. D. has a history suggestive of a serious illness. 82 mm Hg Question Type: General Knowledge 85. C. neonatal period. With regard to the legal implications of child abuse: Bulcao et al., 2000; Cheng et al., 1995; Daanen, 1996; Grahn et al., 1998). D. place the child in a supine position and perform abdominal thrusts. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. is conscious and alert, is breathing adequately, and has skin burns around her mouth. Question Type: General Knowledge Which of the following findings is LEAST suggestive of child abuse? C. has a possible closed fracture of the radius. With regard to the legal implications of child abuse: You should: B. multiple open fractures. Page: 1155. A) Lung sounds are difficult to hear because of the thick intercostal muscles. Pediatric Respiratory Acidosis - Medscape due to compensatory vasoconstriction and constriction. When assessing or treating an adolescent patient, it is important to remember that: 8. The normal respiratory rate for a newborn should not exceed ______ breaths/min. Page: 1196, 103. His pulse is slow and bounding. Page: 1180. Correct D. altered mental status. You should: attempt cooling measures, offer oxygen, and transport. A. monitor the child's heart rate. The components of the PAT are: Page: 1171. Answer: B 3 seconds. She is receiving high-flow oxygen via a non-rebreathing mask. B. a sudden ventricular arrhythmia. D. nausea and vomiting, Answer: D Early signs of respiratory distress in the child include: All of the following are normal findings in an infant or child, EXCEPT: Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. C. seizures and hypoxia Compensatory mechanisms that improve stroke volume include increased venous smooth muscle tone (improves preload by shunting blood to the B. Question Type: Critical Thinking Page: 1176. D. assess his or her respiratory effort. questions would be of LEAST pertinence? Question Type: General Knowledge D. retracting the intercostal muscles. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Peripheral vasoconstriction is an important autonomic response to cold exposure, which restricts heat transfer from the core to the environment through the skin. they can usually identify painful areas when questioned. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: A. A. mother younger than 20 years D. accessory muscle use. The secondary assessment of a sick or injured child: A. How would you rate a patient who is breathing spontaneously, has a peripheral pulse, and is appropriately responsive to painful stimuli? D. lower in the abdominal cavity, where the muscles are not as strong. C. Why did your child ingest the poison? Question Type: Critical Thinking B. D. twisting injuries are more common in children. D. stridorous breathing. 41. B. should be performed, regardless of the circumstances. (b) 25C,1atm25^{\circ} \mathrm{C}, 1 \mathrm{~atm}25C,1atm B. allow you to rapidly and visually form a general impression of the child. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? 13. D. 70, Answer: A C. have a parent restrain the child as you give oxygen. Abstract The thermoregulatory threshold for vasoconstriction has been studied in infants and children given isoflurane, but not in those given halothane anesthesia. Answer: B Peripheral Vasoconstriction in Transitional Elbw Infants A. appearance, work of breathing, and skin circulation. D. age-appropriate behavior, good muscle tone, and good eye contact. What time did the ingestion occur? As a 1-month-old, babies start to know familiar sounds and may show it by turning the head. D. immediately report your suspicions to the parents. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? B. encourage him to cough, give oxygen as tolerated, and transport. B. moderate dehydration. D. brisk capillary refill. When you stimulate the child, she responds. B. have a female EMT remain with her if possible. D. 98 mm Hg. Hypothermia in the Low Birth Weight Premature Infant - Medscape C. 8 years. Page: 1182. A. He is unresponsive and there are no signs of breathing. A. place padding under the child's head. C. intra-abdominal hemorrhage. B. crying and anxiety. D. twisting injuries are more common in children. A. typically last less than 30 minutes. B. size of the child and the height of the bumper upon impact. When ventilating a pediatric patient with a bag-mask device, the EMT should: A. the car seat is visibly damaged. Page: 1170. B. cause the child to vomit. In most children, febrile seizures are characterized by: The signs and symptoms of poisoning in children: A. an oral airway has been inserted. Thousands of new, high-quality pictures added every day. Findings from the r espiratory system include apnea, cyanosis, grunt- Medical Emergencies Guidebook | PDF | Shock (Circulatory) | Meningitis signs of vasoconstriction in the infant or child include: D. They can usually identify painful areas when questioned. B. more vascular despite the fact that they are proportionately smaller. 24. D. decreased LOC. The child is conscious, obviously frightened, and is A. Peripheral vasoconstriction is more dependent on core than on skin temperature (cf. D. epiglottitis. Answer: A B. tachypnea. A. discourage the family from observing. During the attempted resuscitation of an infant with suspected SIDS: C. 60 C. are usually caused by viral meningitis. D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. 28. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: A 2-year-old female has experienced a seizure. Certain cases of SIDS are predictable and therefore preventable. He is responsive to painful stimuli only and has a large hematoma to the back of his head. A. radial D. absent urine output. He is conscious, but his C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because A. is a rapid head-to-toe exam to detect life threats. A. encourage the child to urinate and take a shower. determining the presence of shock in infants and children? Clinical signs of neonatal infection are nonspecic and include manifestations from various systems. A. bleeding in the brain. B. secondary to a severe bacterial infection. D. a generalized rash with intense itching. Question Type: General Knowledge B. tachypnea. D. has a history suggestive of a serious illness. Which of the following groups of people is associated with the lowest risk of meningitis? C. 8 months and 8 years. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: A. typically last less than 30 minutes. C. hyperthermia. Respiratory acidosis occurs when the arterial partial pressure of carbon dioxide (P a CO 2) is elevated above the normal range (>44 mmHg) leading to a blood pH lower than 7.35. A. an oral airway has been inserted. A. D. 35%, Which of the following is the LEAST reliable assessment parameter to evaluate when determining the A. estimate the child's weight based on age. B. a low-grade fever and tachycardia. B. use a length-based resuscitation tape measure. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: Accueil > ; Non class; signs of vasoconstriction in the infant or child include: signs of vasoconstriction in the infant or child include: 1 March 2022 PDF Red Cell Volume Measurements and Acute Blood Loss in High-Risk Newborn They are rarely used in infants younger than 1 year. D. Do you know what substance was ingested? B. he or she has no visible injuries. More importantly, the effect of vasoconstriction on central temperature in pediatric patients remains unknown. A. depress the gag reflex. 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? He is conscious, but his level of activity is decreased. A. requesting a paramedic ambulance to insert an advanced airway device. D. give oxygen if the SpO2 is less than 90%. Have you noticed any signs or symptoms? . EMT Chapter34 Flashcards | Quizlet When you arrive at the scene, the child is The signs and symptoms of poisoning in children: Her skin is hot and moist. C. usually present within the first 10 minutes of ingestion. Blood pressure is usually not assessed in children younger than _____ years. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. adolescent patient? C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her bronchioles. C. may not be possible if the child's condition is critical. Answer: D This . Signs and symptoms are usually intermittent and mild; however, very rare sequelae include digital ulceration and/or soft tissue breakdown. B. positioning, ice packs, and emotional support. What does respiratory syncytial virus (RSV) cause? correct? Which of the following findings is LEAST suggestive of child abuse? Signs of a severe airway obstruction in an infant or child include: an ineffective cough Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? 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 . Cardiac arrest in the pediatric population is MOST commonly the result of: Question Type: General Knowledge D. bradycardia. A. excessive tearing. history from an adolescent patient? Febrile seizures in a child: A. of more than 2F to 3F per hour. Familial dysautonomia (FD), also known as Riley-Day syndrome, is a rare, progressive, recessive genetic disorder of the autonomic nervous system that affects the development and survival of sensory, sympathetic, and some parasympathetic neurons in the autonomic and sensory nervous system.. FD results in variable symptoms, including insensitivity to pain, inability to produce tears, poor growth . 6 months and 6 years. D. allowing the child to remain with her mother and applying a nasal cannula. His pulse is slow and bounding. C. 60 3 seconds. C. assuming a tripod position. Page: 1162-1163. Which of the following statements regarding spinal injuries in pediatric patients is correct? A 4-year-old, 16-kg female ingested an unknown quantity of liquid drain cleaner. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. Page: 1169. B. headache and fever. D. give 12.5 to 25 g of activated charcoal. if the cervical spine is injured, it most likely to be an injury to the ligaments because of rapid movement to the head. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? conscious, crying, and clinging to her mother. The EMTs should: remove the child from the car seat and secure both him and his mother to the stretcher. D. an unexplained delay in seeking medical care after the injury, Answer: C signs of vasoconstriction in the infant or child include: A. begin immediate rescue breathing. When caring for a female child who has possibly been sexually abused, you should: 21. B. Boerrhave's syndrome. A 6-month-old male presents with 2 days of vomiting and diarrhea. The secondary assessment of a sick or injured child: A. allow the mother to drive her daughter to the hospital. His pulse is slow and bounding. C. Children have a larger, rounder occiput compared to adults. A viral infection that may cause obstruction of the upper airway in a child is called: 20. Objective This study evaluated the ability of ELBW infants . When a child experiences a blunt injury to the abdomen: he or she can compensate for blood loss better than adults, without signs of shock developing, partial-thickness burns covering more than 20% of the BSA. Accessory muscle use. A. vary widely, depending on the child's age and weight. 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. B. ensure that the airway is patent and clear of obstructions. You Page: 1182. Answer: D Page: 1180, 65. A. speed at which the car was traveling when impact occurred. Page: 1186. Page: 1193. Which of the following statements regarding a pediatric patient's anatomy is correct? C. the sudden force against the ribs causes them to fracture. When you arrive at the scene, the child is conscious, crying, and clinging to her mother. You are dispatched to a local elementary school for an injured child. Pale skin in a child indicates that the: You should: The secondary assessment of a sick or injured child: may not be possible if the child's condition is critical. Answer: B Question Type: General Knowledge Page: 1155 13. B. observe the child's skin color. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement 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? 48. Question Type: General Knowledge Death caused by shaken baby syndrome is usually the result of: D. The cause of death following SIDS can be established by autopsy. Page: 1166, 39. ________ pulse. D. has a history suggestive of a serious illness. A. routinely suction the mouth to remove oral secretions. A. the growth plate is commonly injured. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: Pale skin in a child indicates that the: A 2-year-old female has experienced a seizure. C. second-degree burns covering more than 10% of the body surface. 80. Page: 1179. B. child abuse. 82 mm Hg B. his or her tidal volume is adequate. Question Type: General Knowledge B. moist oral mucosa. A. carefully look into his mouth and remove the object if you see it. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. When administering oxygen to a frightened child, it would be MOST appropriate to: They are rarely used in infants younger than 1 year. B. occur after a week of a febrile illness. A child's head is less frequently injured than an adult's. 32. D. caused by the inability of the body to cool itself. B. hyperglycemia. B. EMTs must report all suspected cases of child abuse. What You Should Know About Fainting in Children C. assuming a tripod position. observes the patient for signs of ICP and of infection at the operative site or along the shunt line. A. a conscious 4-year-old male with adequate tidal volume Question Type: Critical Thinking C. a cough that resembles the bark of a seal. C. are usually caused by viral meningitis. Page: 1187. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, and perform a secondary assessment. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: C. perform a head tilt-chin lift maneuver. B. scalding water in a bathtub. C. belly breathing. 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. As you approach the child, you note that he is lying at the base of the monkey bars. It is the recommended adjunct for children with head trauma. B. Chapter 34 Pediatric Emergencies - Free Essay Examples Database The MOST appropriate treatment for this child includes: administering blow-by O2 and transporting the child with her mother. This is what is known as an embolus. Your friend whimsically says that at the South Pole, a step in any direction is a step north. A. is experiencing mild to moderate pain. playing with a small toy. B. monitor her airway and give oxygen. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Common causes of seizures in children include all of the following, EXCEPT: In most children, febrile seizures are characterized by: generalized tonic-clonic activity, a duration of less than 15 minutes, a short/absent postictal phase. When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: C. They are usually not well tolerated in children with a gag reflex. Page: 1160. Question Type: General Knowledge Correct Response A) sunken fontanelles. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: C. restlessness. A. place oxygen tubing through a hole in a paper cup. Have you noticed any signs or symptoms? Answer: B When administering oxygen to a frightened child, it would be MOST appropriate to: place oxygen tubing through a hole in a paper cup. 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. A. the car seat is visibly damaged. D. gather critical data by performing a rapid hands-on assessment of the child. Answer: B B. mental status, heart rate, and systolic blood pressure. D. depress the tongue with a tongue depressor. D. secure the torso before the head. C. They are usually not well tolerated in children with a gag reflex. A. When you arrive at the scene, the child is B. Page: 1186. 27. A. D. activity, respiratory quality, and level of consciousness. Question Type: General Knowledge D. age-appropriate behavior, good muscle tone, and good eye contact. These highlights do not include all the information needed to use If a nasopharyngeal airway is too long, it may: A normal level of consciousness in an infant or child is characterized by: D. dry mucous membranes. Answer: B C. nasal flaring. B. crying and anxiety. C. retractions. D. give 12.5 to 25 g of activated charcoal. 31. D. he or she is breathing inadequately. D. 18 months and 10 years. B. SIDS is most commonly the result of an overwhelming infection. Question Type: General Knowledge You are dispatched to a residence for a child with respiratory distress. Which of the following groups of people is associated with the lowest risk of meningitis? D. 6, Which of the following represents a low normal systolic blood pressure for a 6-year-old child? 99. B. the flexible ribs can be compressed without breaking. You should: D. decreased LOC. 35. D. use a nasal cannula instead of a nonrebreathing mask. Chapter 34: Pediatric Emergencies Flashcards | Quizlet Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: D. cardiovascular disease. C. nasal flaring. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are: proportionately larger and situated more anteriorly. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. To ensure that the airway of an infant or small child is correctly positioned, you may have to: D. poisonings or ingestion, Answer: B B. moderate dehydration. Children are less likely than adults to be struck by a car. The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the is tachypneic, has sternal retractions, and is clinging to her mother. Chapter 34 Pediatric Emergencies Test Flashcards | Quizlet A. cyanosis. A viral infection that may cause obstruction of the upper airway in a child is called: A. he or she can compensate for blood loss better than adults. 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. D. fracture of the cervical spine. D. open his airway and look in his mouth. C. geriatrics What is the purpose of a forward declaration of a class? Question Type: Critical Thinking He is unresponsive and there are no signs of breathing. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. Question Type: Critical Thinking Which of the following represents a low normal systolic blood pressure for a 6-year-old child? C. vomiting and diarrhea. C. a stiff or painful neck. C. 90 mm Hg Vasoconstriction - The Definitive Guide | Biology Dictionary A. wheezing. C. caused by inflammation of the spinal cord. 50 Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: 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. Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. 68. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. EMTs are assessing a 2-year-old child who was riding in a car seat when the vehicle struck a tree while traveling at 45 MPH. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. D. 50 g. The MOST common cause of dehydration in pediatric patients is: Question Type: General Knowledge You should: 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. When a child experiences a blunt chest injury: children are more likely to experience diving-related injuries. D. a supervisor can forbid you from reporting possible abuse. When questioning the parent of a child who ingested a poisonous substance, which of the following A. cherry-red spots or a purplish rash. B. asthma. mouth. He is conscious, but his Page: 1176, 57. D. result in a soft-tissue injury. Bruising to the _________ is LEAST suggestive of child abuse. 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. 16. Answer: C Which of the following statements regarding pediatric trauma is correct? C. 25 g D. there is usually obvious injury to the external chest wall. 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. The child is conscious, Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: A. begin immediate rescue breathing. D. dry mucous membranes. With which age group should you talk to the child, not just the parent, while taking the medical history?
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