The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: Research the incidence of skin cancer in different parts of the world. The presence of those signs indicates very late signs of brain stem dysfunction and that cerebral blood flow has been significantly inhibited. B. crying and anxiety. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. A. B. mental status, heart rate, and systolic blood pressure. Which of the following statements regarding the use of nasopharyngeal airways in children is correct? The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: D. accessory muscle use. D. nausea and vomiting, Answer: D D. mother smoked during pregnancy. C. age of the child and the size of the car that struck him or her. an unresponsive 5yearold male with shallow respirations. Answer: A D. swimming pools. B. hyperglycemia. D. age-appropriate behavior, good muscle tone, and good eye contact. An infant with severe dehydration would be expected to present with: He is conscious, but his level of activity is decreased. children have a larger, rounder occiput compared to adults. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. B. observe the child's skin color. A. place her supine and elevate her legs. His pulse is slow and bounding. 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: A viral infection that may cause obstruction of the upper airway in a child is called: 45. is tachypneic, has sternal retractions, and is clinging to her mother. The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the blood pressure The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: C. face Page: 1159. A. place her supine and elevate her legs. A. proportionately larger and situated more anteriorly. A. D. assess his or her respiratory effort. A. hot items on a stovetop. A. speed at which the car was traveling when impact occurred. D. hyperglycemia. Vasoconstriction: Causes, Symptoms & Treatment - All Health Post D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. Which of the following is NOT a known risk factor of SIDS? 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. D. lethal cardiac rhythm disturbances. D. dry mucous membranes. You should: B. C. rule out an injury to the spinal cord. Answer: B Increased respiratory effort is often the distinguishing characteristic that sets cardiogenic shock apart from other forms of shock. mouth. Answer: B His mother states that she saw him put a small toy into his mouth shortly before the episode began. Certain cases of SIDS are predictable and therefore preventable. A. 72. When administering oxygen to a frightened child, it would be MOST appropriate to: place oxygen tubing through a hole in a paper cup. A. observe the chest for rise and fall. D. mother smoked during pregnancy, C. putting a baby to sleep on his or her back. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and 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. B. asthma. Page: 1160. D. give detailed updates to the infant's parents. 3 B. have a female EMT remain with her if possible. B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and C. putting a baby to sleep on his or her back The components of the PAT are: C. ear pain. heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. Page: 1158-1159. Page: 1177. B. should be performed, regardless of the circumstances. C. may not be possible if the child's condition is critical. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. Which of the following is MORE common in children than in adults following a head injury? recent ear infection. B. dehydration from vomiting and diarrhea. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: severe hypoxia and bradycardia. A. vary widely, depending on the child's age and weight. C. your assessment will most often reveal bruising to the abdomen. D. superficial burns covering more than 10% to 15% of the body surface. A. of more than 2F to 3F per hour. determining the presence of shock in infants and children? Hypothermia in the Low Birth Weight Premature Infant - Medscape B. carotid The mother tells you that the seizure lasted approximately 5 minutes. C. nasal flaring. Page: 1162, 30. C. Children are more likely to experience diving-related injuries. history from an adolescent patient? You are dispatched to a residence for a child with respiratory distress. Signs of vasoconstriction in the infant or child include: A) warm, dry skin. signs of vasoconstriction in the infant or child include: The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-mask ventilations is to: The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? Page: 1160. Answer: D Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. C. perform a hands-on assessment of the ABCs. D. age-appropriate behavior, good muscle tone, and good eye contact. 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. In most children, febrile seizures are characterized by: Burns in children are commonly caused by all of the following, EXCEPT: Most cases of SIDS occur in infants younger than 6 months. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A. headache and fever. B. attempt cooling measures, offer oxygen, and transport. A. allow the mother to drive her daughter to the hospital. D. immediately report your suspicions to the parents. Arch Dis Child 25(123): 242-253. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. A. irritability of the left ventricle. The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child, appearance, work of breathing, and skin circulation. A. wheezing. B. moderate dehydration. Page: 1186. B. cause the child to vomit. When caring for a female child who has possibly been sexually abused, you should: C. ensure that he or she uses a neonatal device for children younger than 12 months. A. carefully look into his mouth and remove the object if you see it. B. partial-thickness burns covering more than 20% of the body surface. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. 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. A. sunken fontanelles. Page: 1196. A 4-year-old, 16-kg female ingested an unknown quantity of liquid drain cleaner. Question Type: General Knowledge C. intra-abdominal hemorrhage. A. separating the child from his or her parents. Blood flow is delayed or halted as blood vessels close. A. D. sunken fontanelles. C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her C. avoiding the placement of a splint, if possible. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: B. more vascular despite the fact that they are proportionately smaller. A. encourage the child to urinate and take a shower. Answer: B Question Type: General Knowledge Page: 1155 13. Which of the following is MORE common in children than in adults following a head injury? Effects of peripheral vasculopathy, including Raynaud's phenomenon, were observed in post-marketing reports at different times and at therapeutic doses in all age groups throughout the course of treatment. Answer: B D. open his airway and look in his mouth. A. depress the gag reflex. Page: 1192. D. 18 months and 10 years. history from an adolescent patient? 48. Page: 1185. You are responding to a 9-1-1 call where the mother reported finding her 3-month-old daughter cyanotic and unresponsive in her crib. 19. Page: 1180, 66. B. place a towel or folded sheet behind the shoulders. Blood pressure is usually not assessed in children younger than _____ years. Page: 1156. B. occur after a week of a febrile illness. C. may not be possible if the child's condition is critical. D. twisting injuries are more common in children. Answer: A Answer: D Question Type: General Knowledge Page: 1176. 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? C. a rapid heart rate. Which of the following inquiries should you make in private when obtaining a SAMPLE history from an adolescent patient? Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are: You should: B. Answer: D A. sexual activity A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full C. crying or combativeness, good muscle tone, and awareness to time. A. excessive tearing. You should: A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: C. severe hypoxia and bradycardia. 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. B. internal blood loss. A. shins signs of vasoconstriction in the infant or child include: He is conscious, but his level of activity A. mother younger than 20 years Question Type: General Knowledge B. You respond to a skate park where a 10-year-old male fell from his skateboard and struck his head on the C. a law enforcement officer must be present. B. a weak cough. A. a conscious 4-year-old male with adequate tidal volume B. a sudden ventricular arrhythmia. 69. A. block the pop-off valve if needed to achieve adequate chest rise. Accessory muscle use. 59. Page: 1165. 35. Bruising to the _________ is LEAST suggestive of child abuse. (PDF) Fighting Antimicrobial Resistance in Neonatal Intensive Care A. C. skin condition They are rarely used in infants younger than 1 year. B. falls from a height greater than 5. Question Type: General Knowledge D. lower in the abdominal cavity, where the muscles are not as strong. Part 14: Pediatric Advanced Life Support | Circulation Infants have relatively fixed stroke volumes and are particularly dependent upon heart rate to increase cardiac output. 56. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: A 2-year-old female has experienced a seizure. A sound heard in the upper airway when the child breathes in. The mother tells you that the seizure lasted approximately 5 minutes. To ensure that the airway of an infant or small child is correctly positioned, you may have to: 55. Page: 1193. C. a cough that resembles the bark of a seal. D. caused by the inability of the body to cool itself. Page: 1182. A. evaluate the child's baseline vital signs. A. requesting a paramedic ambulance to insert an advanced airway device. B. awareness to place, pink and dry skin, and consistent eye contact.

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