A child may begin to show signs of separation anxiety as early as: 4. 11 Common signs and symptoms of hypothermia include: Shivering (the first and the most common sign) Slow, shallow breathing Drowsiness Weak pulse Cold palms and feet Clumsy movements Loss of consciousness Slurred speech Transient memory loss A confused state of mind Bright red, cold skin (in babies) The instrument that measures the velocity of a vibrating body is called a(n) _______. D. duration of symptoms, Answer: A 16 Signs of vasoconstriction in the infant or child may include a Warm dry skin from MEDICAL TE 24 at North Seattle College 84. 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. scalding water in a bathtub. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after A. newborns Page: 1164. A. requesting a paramedic ambulance to insert an advanced airway device. Abstract The thermoregulatory threshold for vasoconstriction has been studied in infants and children given isoflurane, but not in those given halothane anesthesia. A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: 6 years. B. weak distal pulses. queensland figure skating. C) a stiff or painful neck. b. abnormal breath sounds. She is C. Most cases of SIDS occur in infants younger than 6 months. Question Type: Critical Thinking Certain cases of SIDS are predictable and therefore preventable. C. face Effective methods for providing pain relief to a child with an extremity injury include: Question Type: General Knowledge When immobilizing an injured child in a pediatric immobilization device, you should: A. is experiencing mild to moderate pain. C. slightly flex the neck to prevent tracheal kinking. Answer: D D. retracting the intercostal muscles. 3 seconds. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. 42. B. rule out hypoxia if cyanosis is absent. A. C. 12, 4 D. he or she is breathing inadequately. Which of the following statements regarding pediatric trauma is correct? B. Which of the following is NOT a known risk factor of SIDS? 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. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. C. the sudden force against the ribs causes them to fracture. A. child is in severe decompensated shock. B. place a towel or folded sheet behind the shoulders. Page: 1164, 37. C. insert a nasopharyngeal or oropharyngeal airway adjunct. they can usually identify painful areas when questioned. A. proportionately larger and situated more anteriorly. The infant's bronchioles. 10. D. give oxygen if the SpO2 is less than 90%. D. an altered mental status. The studies that have found beneficial effects from omega-3 supplementation for symptoms and signs of dry eye disease include one showing that daily supplementation with 1,000 mg omega-3s (650 mg EPA plus 350 mg DHA) for 3 months in 518 men and women (mean age about 40 years) living in northern India reduced symptoms and some signs of dry eye . Compression of the cord results in vasoconstriction and resultant fetal hypoxia, which can lead to fetal death or disability if not rapidly diagnosed and managed. The first month of life after birth is referred to as the: A. premature phase. C. perform a blind finger sweep. 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 normal level of consciousness in an infant or child is characterized by: age-appropriate behavior, good muscle tone, good eye contact. A. secure the head before the torso. The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in partial paralysis. A. carefully look into his mouth and remove the object if you see it. D. stridorous breathing. Page: 1171. Which of the following is NOT a known risk factor of SIDS? A. requesting a paramedic ambulance to insert an advanced airway device. The purpose of the pediatric assessment triangle (PAT) is to: Submersion injuries in the adolescent age group are MOST commonly associated with: C. hypothermia and an irregular pulse. B. positioning, ice packs, and emotional support. C. Children are more likely to experience diving-related injuries. Study Resources. Answer: D In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: severe hypoxia and bradycardia. D. Inexperience and poor judgment are rare causes of pediatric trauma. due to compensatory vasoconstriction and constriction. D. give 12.5 to 25 g of activated charcoal. With which age group should you talk to the child, not just the parent, while taking the medical history? 5. Question Type: Critical Thinking A. wheezing. 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? D. ventilate the child with sharp, quick breaths at the appropriate rate. The MOST common cause of dehydration in pediatric patients is: Question Type: General Knowledge A normal level of consciousness in an infant or child is characterized by: 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? Her skin is hot and moist. C. conclude that the child is stable. B. oxygen content in the blood is decreased. hospital. Answer: D After determining that an infant or child has strong central pulses, you should: D. a supervisor can forbid you from reporting possible abuse. Question Type: General Knowledge Page: 1182. B. he or she has no visible injuries. ma volume in newborn infants. He is complaining of pain when he tries to turn his head. A. child abuse must be reported only if it can be proven. B. use a length-based resuscitation tape measure. A. a cardiac arrhythmia. 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 3-month-old infant can distinguish a parent from a stranger. vacation rental inspector job description The signs and symptoms of poisoning in children: A. appearance, work of breathing, and skin circulation. B. a responsive 6-year-old male who responds appropriately C. avoiding the placement of a splint, if possible. A. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? C. severe hypoxia and bradycardia. Burns in children are commonly caused by all of the following, EXCEPT: Question Type: General Knowledge Children have a larger, rounder occiput compared to adults. B. A. If a nasopharyngeal airway is too long, it may: Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: Which of the following children would benefit the LEAST from a nonrebreathing mask? D. hyperextend the neck to ensure adequate alignment. C. an ineffective cough. D. ask a relative if he or she knows the child's weight. When questioning the parent of a child who ingested a poisonous substance, which of the following C. belly breathing. Which of the following groups of people is associated with the lowest risk of meningitis? D. depress the tongue with a tongue depressor. Page: 1177. 82 mm Hg B. asthma. A. irritability of the left ventricle. Answer: A D. a semiconscious 7-year-old female with normal ventilation, C. an unresponsive 5-year-old male with shallow respirations. Bruising to the _________ is LEAST suggestive of child abuse. Her skin is pink and dry, and her heart C. a stiff or painful neck. B. have a female EMT remain with her if possible. Accueil > ; Non class; signs of vasoconstriction in the infant or child include: signs of vasoconstriction in the infant or child include: 1 March 2022 D. 18 months and 10 years. C. your assessment will most often reveal bruising to the abdomen. Her skin is hot and moist. B. tachypnea. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Select one: A. a stiff or painful neck. 41. D. sunken fontanelles. Answer: C 91. Use the following terms to create a concept map: atoms, average atomic mass, molecules, mole, percentage composition, and molar masses. D. hypovolemic shock. B. weak distal pulses. A. appearance, work of breathing, and skin circulation. B. attempt cooling measures, offer oxygen, and transport. B. dehydration from vomiting and diarrhea. D. hyperglycemia. D. popliteal. (a) 30C,5mmHg-30^{\circ} \mathrm{C}, 5 \mathrm{~mm} \mathrm{Hg}30C,5mmHg She further tells you that her daughter has no history of seizures, but has had a recent ear infection. D. allowing the child to remain with her mother and applying a nasal cannula. 81. D. Do you know what substance was ingested? C. a rapid heart rate. The MOST appropriate treatment for this child includes: C. hyperthermia. If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority? C. perform a blind finger sweep. 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. When you arrive at the scene, the child is Question Type: General Knowledge Answer: A Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. Answer: B B. obtain a SAMPLE history from the parents. D. ensure that his or her head is in a hyperextended position. A. allow the mother to drive her daughter to the hospital. B. partial-thickness burns covering more than 20% of the body surface. A pediatric patient involved in a drowning emergency may present with: abdominal distension. Answer: A You are dispatched to a local elementary school for an injured child. 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. You are using JumpSTART in a triage situation involving several children. D. brisk capillary refill. 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. 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. high fever. C. conclude that the child is stable. Her skin is pink and dry, and her heart rate is 120 beats/min. A. hot items on a stovetop. D. Do you know what substance was ingested? 74. Which of the following groups of people is associated with the lowest risk of meningitis? 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? A. the car seat is visibly damaged. Question Type: General Knowledge B. carotid posterior fontanelle is typically closed by _____ months of age. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: spinal precautions, and transport. Which of the following inquiries should you make in private when obtaining a SAMPLE Page: 1176. unrecognized. Page: 1155. 4 years. B. SIDS is most commonly the result of an overwhelming infection. recent ear infection. A. Page: 1187, 87. 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. Most trials have used dexamethasone at 0.6 mg/kg (intramuscular or oral), but oral . A. typically last less than 30 minutes. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? the back of his head. being given multiple doses of her prescribed albuterol by her mother. Signs of vasoconstriction in the infant or child include weak distal pulses What is meant by vasoconstriction ? A. vary widely, depending on the child's age and weight. C. vomiting and diarrhea. Children are less likely than adults to be struck by a car. Question Type: General Knowledge In moderate to severe disease, corticosteroids improve croup scores within 12-24 hours and decrease hospitalization rates. C. his or her respirations are shallow. B. The components of the PAT are: Which of the following groups of people is associated with the lowest risk of meningitis? D. are most severe if the child ingested a poisonous substance. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. His pulse is slow and bounding. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: intercostal muscles are not well developed, blood vessels near the skin are constricted. D. an unexplained delay in seeking medical care after the injury, Answer: C D. give oxygen if the SpO2 is less than 90%. A. c. Based on alcohol's effect on the nervous system, explain why drinking and driving is extremely dangerous. C. severe dehydration. B. moist oral mucosa. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. julia child recipes chicken. partial paralysis. D. there is usually obvious injury to the external chest wall. D. give oxygen and transport at once. B. weak distal pulses. Signs of vasoconstriction in the infant or child include: A. warm, dry skin. C. neonatal period. B. rhonchi. B. monitor her airway and give oxygen. Page: 1197, EMT Chapter 33- Obstetrics & Neonatal Care eB, EMT Chapter 33: Obstetrics and Neonatal Care, Julie S Snyder, Linda Lilley, Shelly Collins, Winningham's Critical Thinking Cases in Nursing, Barbara A Preusser, Julie S Snyder, Mariann M Harding. Question Type: General Knowledge D. age-appropriate behavior, good muscle tone, and good eye contact. A. croup. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because C. a rapid heart rate. A. place oxygen tubing through a hole in a paper cup. 52. D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. A. assume the child is hypertensive. B. his or her blood pressure falls with as little as 5% blood loss. Page: 1170. Question Type: General Knowledge Answer: D C. a law enforcement officer must be present. When assessing an infant's ventilation status, you should: D. age-appropriate behavior, good muscle tone, and good eye contact. What time did the ingestion occur? C. have a parent restrain the child as you give oxygen. B. drooling or congestion. Question Type: General Knowledge D. children with shunts. A. the flexible rib cage protects the vital thoracic organs. Answer: B Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: B. females D. become obstructed by mucus. D. superficial burns covering more than 10% to 15% of the body surface. D. popliteal, Answer: C C. bronchitis. The normal respiratory rate for a newborn should not exceed ______ breaths/min. 3 C. insert it until the flange rests on the teeth. Page: 1186. D. give 12.5 to 25 g of activated charcoal. A. child is in severe decompensated shock. d. an absence of breath sounds. After your partner stabilizes his head and opens his airway, you assess his breathing C. delayed capillary refill. Page: 1160. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: intercostal muscles are not well developed, blood vessels near the skin are constricted. D. he or she even has a minor injury. The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal D. give detailed updates to the infant's parents. 59. Question Type: General Knowledge B. size of the child and the height of the bumper upon impact. 99. D. a headache. Or your baby may quiet to listen to your voice. Greenstick fractures occur in infants and children because: Answer: D Question Type: General Knowledge A. depress the gag reflex. A. C. grunting. C. electrolyte imbalances. A. proportionately larger and situated more anteriorly. B. secondary to a severe bacterial infection. Stroke volume is determined by preload, cardiac contractility, and afterload. 68. You should: Page: 1162, 30. A. Pupillary response in pediatric patients may be abnormal in the presence of all of the following, EXCEPT: Page: 1185. B. C. a cough that resembles the bark of a seal. Question Type: General Knowledge B. thoroughly suction his or her airway. B. wheezing. C. their bones bend more easily than an adult's. A. shins B. rule out hypoxia if cyanosis is absent. Bratteby LE (1968) Studies on . Answer: A Answer: B Page: 1183. Page: 1158. C. 8 months and 8 years. D. are most severe if the child ingested a poisonous substance. Page: 1192. B. moderate dehydration. 3. Blood pressure is usually not assessed in children younger than _____ years. Have you noticed any signs or symptoms? C. femoral C. perform a hands-on assessment of the ABCs. D. result in a soft-tissue injury. A. pallor. D. may indicate a serious underlying illness. A 2-year-old female has experienced a seizure. 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. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: C. 90 mm Hg C. ear pain. A. radial B. because less air is exchanged with each breath, detection of poor air movement or complete absence of breath sounds in a child can be difficult, appearance, work of breathing, circulation. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: C. caused by inflammation of the spinal cord. C. crying or combativeness, good muscle tone, and awareness to time. B. allow you to rapidly and visually form a general impression of the child. D. give oxygen and transport at once. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. To ensure that the airway of an infant or small child is correctly positioned, you may have to: Question Type: General Knowledge A. hot items on a stovetop. Answer: C 6 years. Answer: C Her skin is pink and dry, and her heart rate is 120 beats/min. 101. Blood flow is delayed or halted as blood vessels close. Page: 1192. D. accessory muscle use. C. 5 C. a congenital cardiovascular defect. Answer: A An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: 32. D. open his airway and look in his mouth. Answer: C D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and A. B. not rule out compensated shock. B. ensure that his or her neck is hyperextended. 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. A. profound tachycardia. Most cases of SIDS occur in infants younger than 6 months. 24. A. cyanosis. B. place a towel or folded sheet behind the shoulders. (c) 70C420mmHg70^{\circ} \mathrm{C}_4 20 \mathrm{~mm} \mathrm{Hg}70C420mmHg. A sound heard in the upper airway when the child breathes in. D. abnormal airway noise. A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. A. radial A C. a rapid heart rate. 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. are usually caused by viral meningitis. Signs of vasoconstriction in the infant or child include: When assessing an 8-year-old child, you should: 7. B. carotid C. severe dehydration. Signs of vasoconstriction in the infant or child include: Question Type: General Knowledge C. may not be possible if the child's condition is critical. When ventilating a pediatric patient with a bag-mask device, the EMT should: block the pop-off valve if needed to achieve adequate chest rise. Thousands of new, high-quality pictures added every day. 48. Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: An infant with severe dehydration would be expected to present with: A. place her supine and elevate her legs. D. activity, respiratory quality, and level of consciousness. D. place the child in a supine position and perform abdominal thrusts. 78. C. are usually caused by viral meningitis. Page: 1169. A. quiet breathing. Signs of a severe airway obstruction in an infant or child include: Stridor. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Children with N meningitides would MOST likely present with: Which of the following is the MOST appropriate dose of activated charcoal for a 20kg child? C) A child's chest wall has proportionately more subcutaneous fat on the chest. The child is conscious, Before assessing the respiratory adequacy of an semiconscious infant or child, you must: A. A 4-year-old, 16-kg female ingested an unknown quantity of liquid drain cleaner. C. their bones bend more easily than an adult's. 92. Question Type: General Knowledge It happens when smooth muscles in blood vessel walls tighten. A. alcohol. ., 10. They are rarely used in infants younger than 1 year. As you approach the child, you note that he is lying at the base of the monkey bars. Page: 1158-1159. B. 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. the growth plate is commonly injured. 89. Research the incidence of skin cancer in different parts of the world. Peds. A. any superficial or partial-thickness burn that involves the legs or arms. A. monitor the child's heart rate. She is receiving high-flow oxygen B. D. lower in the abdominal cavity, where the muscles are not as strong. C. insert a nasopharyngeal or oropharyngeal airway adjunct. B. tachypnea. D. child's core body temperature is elevated. EMTs are called for an unresponsive infant. B. EMTs must report all suspected cases of child abuse. She is conscious, but clearly restless. 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. Question Type: Critical Thinking C. place the child in cold water to attempt to reduce her fever. A. Page: 1176. Febrile seizures are MOST common in children between: C. Why did your child ingest the poison? A. observe the chest for rise and fall. B. crying and anxiety. B. D. open his airway and look in his mouth. B. bradycardia. A. warm, dry skin. Her skin is hot and moist. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: When questioning the parent of a child who ingested a poisonous substance, which of the Page: 1155, 15. C. nasal flaring. Late signs of intracranial pressure that comprise Cushing triad include hypertension with a widening pulse pressure, bradycardia, and abnormal respiration. 20. 4 A. place padding under the child's head. B. meningitis. A 6-month-old male presents with 2 days of vomiting and diarrhea. 3 A. an oral airway has been inserted. D. acute hypoxia and tachycardia. A. child abuse must be reported only if it can be proven. 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 25. Question Type: General Knowledge This is an example of what condition? Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? All of the following are normal findings in an infant or child, EXCEPT: B. multiple open fractures. Answer: C C. Children have a larger, rounder occiput compared to adults. Central chest pain following prolonged vomiting usually with circulatory collapse. The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the C. sunken fontanelles. A child's head is less frequently injured than an adult's. A. tenting. C. his or her vital signs are stable. Which of the following statements regarding preschool-age children is correct? 27. D. has a history suggestive of a serious illness. B. burns to the hands or feet that involve a glove distribution A. determine if the child's vital signs are within the age-appropriate limits. C. intra-abdominal hemorrhage. 93. You should: attempt cooling measures, offer O2, transport. D. heat compresses and lowering the injured extremity. B. retracting. D. buttocks. C. you should document your perceptions on the run form. hospital. C. administering blow-by oxygen and transporting the child with her mother. 83. children are more likely to experience diving-related injuries. C. his or her respirations are shallow. Study Resources. C. belly breathing. Answer: B A. Which of the following statements regarding the use of nasopharyngeal airways in children is C. place the child in cold water to attempt to reduce her fever. Signs of severe dehydration in an infant include all of the following, EXCEPT: A. Answer: B Page: 1162. When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. 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). 2, 4 63. This means that the patient has: a. normal breath sounds. 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? 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 rate is 120 beats/min. What time did the ingestion occur? Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: 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 26. A. child abuse. Answer: A A. chills. Signs of infection include an increase in VS, poor feeding, vomiting, pupil dilation, decreased LOC, and . The mother tells you that the seizure lasted approximately 5 minutes. Page: 1184, 77. B. his or her tidal volume is adequate. consistency in the method of injury reported by the caregiver. D. twisting injuries are more common in children. Before assessing the respiratory adequacy of an semiconscious infant or child, you must: B. allow you to rapidly and visually form a general impression of the child. B. past medical history B. mental status, heart rate, and systolic blood pressure.
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