Question Type: General Knowledge There are no obvious signs of trauma to the child, and the car seat does not appear to be damaged. C. belly breathing. C. change in bladder habits If complementary foods are not introduced around the age of 6 months, or if they are given inappropriately, an infant's growth may falter. Which of the following children would benefit the LEAST from a nonrebreathing mask? C. intra-abdominal hemorrhage. He is responsive to painful stimuli only and has a large hematoma to the back of his head. When a child experiences a blunt chest injury: D. brisk capillary refill. 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. Late signs of intracranial pressure that comprise Cushing triad include hypertension with a widening pulse pressure, bradycardia, and abnormal respiration. Question Type: General Knowledge Children are less likely than adults to be struck by a car. When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ D. brisk capillary refill. and determine that it is slow and irregular. 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. they are rarely used in infants younger than 1 y.a. Before assessing the respiratory adequacy of an semiconscious infant or child, you must: correct? A. cherry-red spots or a purplish rash. Question Type: General Knowledge D. gather critical data by performing a rapid hands-on assessment of the child. Answer: C C. age of the child and the size of the car that struck him or her. D. absent urine output. B. falls from a height greater than 5. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. Which of the following statements regarding spinal injuries in pediatric patients is correct? D. a semiconscious 7-year-old female with normal ventilation. A. a cardiac arrhythmia. 20 g 25. With regard to the legal implications of child abuse: B. ensure that the airway is patent and clear of obstructions. 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. B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and transport to the closest trauma center. most cases of SIDS occur in infants younger than 6 months. D. gather critical data by performing a rapid hands-on assessment of the child. C. conclude that the child is stable. A. any superficial or partial-thickness burn that involves the legs or arms. Question Type: General Knowledge A. a complete airway obstruction. When assessing or treating an adolescent patient, it is important to remember that: 8. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? Question Type: General Knowledge D. suspect that the child has meningitis and transport at once. The mother tells you that the seizure lasted approximately 5 minutes. A. estimate the child's weight based on age. C. vomiting and diarrhea. Early signs of respiratory distress in the child include: C. 8 years. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: C. deliver a series of five back blows and then reassess his condition. 92. B. fear or anxiety. B. a responsive 6-year-old male who responds appropriately D. duration of symptoms. This . What is the threshold of blood volume loss in children? B. crying and anxiety. A. 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} Abstract The thermoregulatory threshold for vasoconstriction has been studied in infants and children given isoflurane, but not in those given halothane anesthesia. Question Type: General Knowledge A. requesting a paramedic ambulance to insert an advanced airway device. To ensure that the airway of an infant or small child is correctly positioned, you may have to: place a towel or folded sheet behind the shoulders. When assessing an 8-year-old child, you should: 7. Have you noticed any signs or symptoms? B. visualize the child's airway. When caring for a female child who has possibly been sexually abused, you should: have a female EMT remain with her if possible. C. result in airway swelling. All of the following are normal findings in an infant or child, EXCEPT: When assessing an infant's ventilation status, you should: All of the following are normal findings in an infant or child, EXCEPT: Drawing in of the muscles between the ribs or of the sternum during inspiration is called: A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or D. ensure that his or her head is in a hyperextended position. D. dry mucous membranes. A. put padding behind his or her head. 53. With regard to the legal implications of child abuse: His mother states that she saw him put a small toy into his mouth shortly before the episode began. being given multiple doses of her prescribed albuterol by her mother. D. hyperglycemia. C. severe hypoxia and bradycardia. B. a rash. Which of the following statements regarding preschool-age children is correct? Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. In the first three months babies pay most attention to faces. As you approach the child, you note that he is lying at the base of the monkey bars. The mother tells you that the seizure lasted approximately 5 minutes. B. separating the child from her mother and providing ventilatory assistance. B. stabilize his head and check for a pulse. B. burns to the hands or feet that involve a glove distribution Certain cases of SIDS are predictable and therefore preventable. Death caused by shaken baby syndrome is usually the result of: D. a generalized rash with intense itching. B. encourage him to cough, give oxygen as tolerated, and transport. D. ensure that his or her head is in a hyperextended position. B. a sudden ventricular arrhythmia. C. a rapid heart rate. C. pad underneath the child's head. A. stridor. Write a test program that displays m(i) for i = 1, 2, . C. rule out an injury to the spinal cord. b. abnormal breath sounds. Which of the following statements regarding pediatric trauma is correct? history from an adolescent patient? B. C. Most cases of SIDS occur in infants younger than 6 months. D. bradycardia. Signs of a severe airway obstruction in an infant or child include: conscious, crying, and clinging to her mother. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: When inserting an oropharyngeal airway in an infant or child, you should: depress the tongue with a tongue depressor. A. A. newborns Answer: C Page: 1177. Pediatric Emergencies, Ch. Answer: A Question Type: General Knowledge Page: 1155. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. A. a conscious 4-year-old male with adequate tidal volume Page: 1160. 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). Answer: B Background ELBW infants are vulnerable to cold stress during the transition from delivery room to intensive care. D. height of the child and the speed at which the car was traveling. Central chest pain following prolonged vomiting usually with circulatory collapse. B. Before assessing the respiratory adequacy of an semiconscious infant or child, you must: D. open his airway and look in his mouth. B. females D. give detailed updates to the infant's parents. 46. They are rarely used in infants younger than 1 year. Answer: D 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. You should: C. They are usually not well tolerated in children with a gag reflex. His pulse is slow and bounding. B. Greenstick fractures occur in infants and children because: their bones bend more easily than an adult's. B. tightly secure the oxygen mask straps to the face. C. consistency in the method of injury reported by the caregiver D. give detailed updates to the infant's parents. Page: 1162, 30. An infant of this age is also developmentally ready for other foods. D. secure the torso before the head. B. allow the family to observe if they wish. Page: 1171. B. rule out hypoxia if cyanosis is absent. Before positioning an infant or child's airway, you should: B. thoroughly suction his or her airway. 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. they are: A. 26. 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. headache and fever. A. block the pop-off valve if needed to achieve adequate chest rise. 47. When a child faints, the blood supply and the oxygen that blood brings to the brain is temporarily reduced. signs of vasoconstriction in the infant or child include:types of family health services. 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. A. mother younger than 20 years What should you use the Wong-Baker FACES scale to determine? Which of the following statements regarding the use of nasopharyngeal airways in children is unrecognized. She is receiving high-flow oxygen via a non-rebreathing mask. 23. Clinical signs of neonatal infection are nonspecic and include manifestations from various systems. A. pink, dry skin. A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: B. his or her blood pressure falls with as little as 5% blood loss. Which of the following statements regarding the use of nasopharyngeal airways in children is correct? c. Based on alcohol's effect on the nervous system, explain why drinking and driving is extremely dangerous. C. altered mental status. B. C. determine why the ingestion occurred. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: B. drooling or congestion. A. 72. B. weak distal pulses. D. A 3-month-old infant can distinguish a parent from a stranger. 76. Question Type: General Knowledge D. fracture of the cervical spine. B. loss of consciousness C. their bones bend more easily than an adult's. The patient, an 18-month-old female, Question Type: General Knowledge D. observe the chest for adequate rise. What time did the ingestion occur? C. have a parent restrain the child as you give oxygen. You should: D. epiglottitis. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: A. intercostal muscles are not well developed. conscious, but clearly restless. Burns in children are commonly caused by all of the following, EXCEPT: D. 98 mm Hg. D. a supervisor can forbid you from reporting possible abuse. Page: 1170. Common causes of seizures in children include all of the following, EXCEPT: Febrile seizures are MOST common in children between the ages of: Which of the following statements regarding a 3-month-old infant is correct? You are using JumpSTART in a triage situation involving several children. conscious, crying, and clinging to her mother. C. caused by inflammation of the spinal cord. determining the presence of shock in infants and children? She further tells you that her daughter has no history of seizures, but has had a recent ear infection. C) A child's chest wall has proportionately more subcutaneous fat on the chest. B. obtain a SAMPLE history from the parents. Answer: C B. he or she has no visible injuries. D. an altered mental status. After using the pediatric assessment triangle (PAT) to form your general impression of a sick or injured child, you should: perform a hands-on assessment of the ABCs. C. skin condition B. You should: A 2-year-old female has experienced a seizure. C. a rapid heart rate. 31. The signs and symptoms of poisoning in children: A. child abuse. Question Type: General Knowledge B. mental status, heart rate, and systolic blood pressure. Page: 1158. A. extreme restlessness. Answer: B The child is conscious, obviously frightened, and is coughing forcefully. B. should be performed, regardless of the circumstances. C. skin that is cool and dry. You are dispatched to a residence for a child with respiratory distress. toy into his mouth shortly before the episode began. The instrument that measures the velocity of a vibrating body is called a(n) _______. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. She is receiving high-flow oxygen via a nonrebreathing mask. Question Type: Critical Thinking Febrile seizures in a child: Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Select one: A. a stiff or painful neck. 29. Page: 1155. D. cardiovascular disease. A. spinal cord injury A. speed at which the car was traveling when impact occurred. 10. The secondary assessment of a sick or injured child: B. C. his or her respirations are shallow. Page: 1183. Signs of vasoconstriction in the infant or child include: weak distal pulses Which of the following statements regarding spinal injuries in pediatric patients is correct? B. use a length-based resuscitation tape measure.