The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: B. place a towel or folded sheet behind the shoulders. Authors Channel Summit. In most children, febrile seizures are characterized by: 35. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. B. bradycardia. Page: 1171. adolescent patient? D. result in a soft-tissue injury. B. A. C. retractions. C. 90 mm Hg A. proportionately larger and situated more anteriorly. Heart rate may not reflect the severity of blood loss due to compensatory vasoconstriction and constriction. Question Type: General Knowledge A. pallor. B. stabilize his head and check for a pulse. B. encourage him to cough, give oxygen as tolerated, and transport. C. perform a head tilt-chin lift maneuver. Cardiac arrest in the pediatric population is MOST commonly the result of: D. bradycardia. B. ensure that his or her neck is hyperextended. D. nausea and vomiting, Answer: D B. retracting. 9. Page: 1180, 64. Febrile seizures are MOST common in children between the ages of: Which of the following statements regarding a 3-month-old infant is correct? Common causes of seizures in children include all of the following, EXCEPT: D. are most severe if the child ingested a poisonous substance. of the head. A 6-month-old male presents with 2 days of vomiting and diarrhea. C. skin condition D. there is usually obvious injury to the external chest wall. should: C. severe infection. C. exposure to caustic chemicals. C. an ineffective cough. C. nasal flaring. B. occur after a week of a febrile illness. You are dispatched to a local elementary school for an injured child. 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. A. radial C. 8 months and 8 years. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. 89. B. are more obvious than in the adult population. Question Type: General Knowledge He is responsive to painful stimuli only and has a large hematoma to the back of his head. C. altered mental status. D. capillary refill. B. respiratory or circulatory failure. D. ask a relative if he or she knows the child's weight. His skin is pale and cold and his arms are stiff. 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. These include encouraging women and providing instructions on changing positions, . Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. C. palpate the abdomen for rise and fall. C. has a possible closed fracture of the radius. B. B. dehydration from vomiting and diarrhea. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. C. face A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full spinal precautions, and transport. B. his or her blood pressure falls with as little as 5% blood loss. Thousands of new, high-quality pictures added every day. [ 1] By definition,. A. bleeding in the brain. Bulcao et al., 2000; Cheng et al., 1995; Daanen, 1996; Grahn et al., 1998). 83. Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: Which of the following is true about a child's breathing? B. SIDS is most commonly the result of an overwhelming infection. A. The narrowing (constriction) of blood arteries by tiny muscles in their walls is known as vasoconstriction. C. you should document your perceptions on the run form. obviously frightened, and is coughing forcefully. 23. B. secondary to a severe bacterial infection. A. appearance, work of breathing, and skin circulation. Which of the following statements regarding a pediatric patient's anatomy is correct? C. may not be possible if the child's condition is critical. C. determine why the ingestion occurred. B. stabilize his head and check for a pulse. Signs of vasoconstriction in the infant or child include: weak distal pulses The EMT should be MOST concerned when a child presents with fever and: a rash The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-valve mask ventilations is to: observe the chest for adequate rise Question Type: General Knowledge Question Type: General Knowledge Question Type: General Knowledge B. partial-thickness burns covering more than 20% of the body surface. After determining that an infant or child has strong central pulses, you should: signs of vasoconstriction in the infant or child include: Home; american dad steve runs away; signs of vasoconstriction in the infant or child include: You should: Before positioning an infant or child's airway, you should: 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. A. bleeding in the brain. A. D. activity, respiratory quality, and level of consciousness. B. have a female EMT remain with her if possible. Which of the following is NOT a known risk factor of SIDS? Which of the following statements regarding a pediatric patient's anatomy is correct? 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. unrecognized. B. his or her tidal volume is adequate. C. excessive tachycardia. they are: A. carefully look into his mouth and remove the object if you see it. 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 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). D. acute hypoxia and tachycardia. B. observe the child's skin color. 90. D. child's core body temperature is elevated. The common symptoms of vasoconstriction are as follows: High blood pressure Dilated pupils Cramps Headache Changes in the skin color Imbalance Numbness Tingling in toes and fingers Impaired muscle control Muscle paralysis Slurred speech Vision problems Causes of Vasoconstriction C. their bones bend more easily than an adult's. A. monitor the child's heart rate. C. bulging fontanelles. spinal precautions, and transport. Common causes of seizures in children include all of the following, EXCEPT: Which of the following groups of people is associated with the lowest risk of meningitis? You should: 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 Hyperthermia differs from fever in that it is an increase in body temperature: ________ pulse. Page: 1196, 103. A 6-year-old male presents with acute respiratory distress. D. delayed capillary refill indicates a state of decompensated shock. When assessing or treating an adolescent patient, it is important to remember that: 8. 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. Have you noticed any signs or symptoms? You are dispatched to a residence for a child with respiratory distress. heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. She is receiving high-flow oxygen When ventilating a pediatric patient with a bag-mask device, the EMT should: 41. B. asthma. A. evaluate the child's baseline vital signs. Answer: C Cardiac arrest in the pediatric population is MOST commonly the result of: C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, D. ensure that his or her head is in a hyperextended position. The MOST common cause of dehydration in pediatric patients is: C. excessive tachycardia. 32. C. the sudden force against the ribs causes them to fracture. C. crying or combativeness, good muscle tone, and awareness to time. A. appearance, work of breathing, and skin circulation. C. retractions. You should: B. secondary to a severe bacterial infection. A. any superficial or partial-thickness burn that involves the legs or arms. A. secure the head before the torso. B. Question Type: General Knowledge D. there is usually obvious injury to the external chest wall. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: A. A. place her supine and elevate her legs. Bruising to the _________ is LEAST suggestive of child abuse. 10. 88 mm Hg 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. B. monitor her airway and give oxygen. ., 10. A. irritability of the left ventricle. C. vomiting and diarrhea. B. a responsive 6-year-old male who responds appropriately Which of the following statements regarding the use of nasopharyngeal airways in children is correct? Answer: B Question Type: General Knowledge Vasoconstriction can help or hurt your body, depending on the situation. Answer: C This means that the patient has: a. normal breath sounds. signs of vasoconstriction in the infant or child include: Page: 1186. He is responsive to painful stimuli only and has a large hematoma on the back of his head. B. slide the device under the child. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. C. facilitate a rapid head-to-toe assessment of the child by visualization only. His pulse is slow and bounding. 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 inquiries should you make in private when obtaining a SAMPLE The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-mask ventilations is to: A. speed at which the car was traveling when impact occurred. He is conscious, but his EMTs are called for an unresponsive infant. Answer: A D. cardiovascular disease. A. child is in severe decompensated shock. C. 12, 4 Pupillary response in pediatric patients may be abnormal in the presence of all of the following, EXCEPT: C. the sudden force against the ribs causes them to fracture. C. bulging fontanelles. D. acute respiratory distress. 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. D. a headache. A. is a rapid head-to-toe exam to detect life threats. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? Page: 1182. 20 g A. older than 8 to 10 years. A. a conscious 4-year-old male with adequate tidal volume B. allow the family to observe if they wish. Blood flow is delayed or halted as blood vessels close. B. obtain a SAMPLE history from the parents. Answer: C Her skin is hot and moist. When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. 3 seconds. Signs of vasoconstriction in the infant or child include: A) warm, dry skin. A. typically last less than 30 minutes. Correct D. start of infancy. Page: 1164. Death caused by shaken baby syndrome is usually the result of: B. tightly secure the oxygen mask straps to the face. C. estimate the child's weight based on appearance. C. delayed capillary refill. 3 months and 4 years. Infants have relatively fixed stroke volumes and are particularly dependent upon heart rate to increase cardiac output. Question Type: General Knowledge 85. B. 12.5 g 28. Answer: D Question Type: General Knowledge 49. A. spinal cord injury 76. A. determine if the child's vital signs are within the age-appropriate limits. D. 18 months and 10 years. When caring for a female child who has possibly been sexually abused, you should: have a female EMT remain with her if possible. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: wreck in west monroe, la today. His mother states that she saw him put a small toy into his mouth shortly before the episode began. There is acute shortness of breath with pleuritic pain to the lateral side of the chest wall with physical signs of pneumothorax- hyper-resonance with absent breath sounds. B. hyperglycemia. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: A. intercostal muscles are not well developed. The first month of life after birth is referred to as the: 2. A. routinely suction the mouth to remove oral secretions. Immediate transport is indicated for a child when he or she: C. electrolyte imbalances. C. 8 years. Pale skin in a child indicates that the: 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 the airway is patent and clear of obstructions. and determine that it is slow and irregular. A. observe the chest for rise and fall. Question Type: General Knowledge B. headache and fever. A. normal interactiveness, awareness to time, and pink skin color. D. immediately report your suspicions to the parents. 93. D. The cause of death following SIDS can be established by autopsy. D. a supervisor can forbid you from reporting possible abuse. Immediate transport is indicated for a child when he or she: Blood pressure is usually not assessed in children younger than _____ years. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: 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. Which of the following statements regarding pediatric trauma is correct? C. neonatal period. B. falls from a height greater than 5. B. weak distal pulses. C. carefully examine the genitalia for signs of injury. Early signs of respiratory distress in the child include: C. administering blow-by oxygen and transporting the child with her mother. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. prepare for immediate transport to a trauma center. A. chills. A mixture of sperm and fluids is called _____. A. the growth plate is commonly injured. 33. D. caused by the inability of the body to cool itself. A 2-year-old female has experienced a seizure. 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. B. internal blood loss. D. mother smoked during pregnancy. C. geriatrics B. moist oral mucosa. C. second-degree burns covering more than 10% of the body surface. Research the incidence of skin cancer in different parts of the world. B. julia child recipes chicken. The mother tells you that the seizure lasted approximately 5 minutes. Page: 1161. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a 69. D. result in a soft-tissue injury. A. cyanosis. history from an adolescent patient? B. size of the child and the height of the bumper upon impact. Blood pressure is usually not assessed in children younger than _____ years. Stroke volume is determined by preload, cardiac contractility, and afterload. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. The vital signs of Patient X include a body temperature of 37 degrees Celsius, heart rate of 80 bpm, a pulse of 80 bpm, respiratory rate of 20 breaths per minute, and blood pressure of 140/90 mmHg. D. place the child in a supine position and perform abdominal thrusts. D. Do you know what substance was ingested? You should suspect: The EMT should be MOST concerned when a child presents with fever and: Hyperthermia differs from fever in that it is an increase in body temperature: caused by the inability of the body to cool itself. C. 4 seconds. Page: 1185. D. superficial burns covering more than 10% to 15% of the body surface. What is the threshold of blood volume loss in children? C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. C. an unresponsive 5-year-old male with shallow respirations Question Type: General Knowledge B. females His pulse is slow and bounding. 81. B. drooling or congestion. D. brisk capillary refill. C. deliver a series of five back blows and then reassess his condition. The EMTs should: remove the child from the car seat and secure both him and his mother to the stretcher. C. rule out an injury to the spinal cord. Death caused by shaken baby syndrome is usually the result of: With regard to the legal implications of child abuse: EMTs must report all suspected cases of child abuse. 20 g The purpose of the pediatric assessment triangle (PAT) is to: Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: D. child's core body temperature is elevated. B. back 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? coughing forcefully. B. mental status, heart rate, and systolic blood pressure. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because B. rhonchi. Question Type: General Knowledge Signs of vasoconstriction in the infant or child include: A. warm, dry skin. Page: 1158. B. falls from a height greater than 5. Page: 1176. C. assuming a tripod position. D. height of the child and the speed at which the car was traveling. B. dehydration from vomiting and diarrhea. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. Which of the following statements regarding spinal injuries in pediatric patients is correct? B. visualize the child's airway. His mother states that she saw him put a small C. hyperthermia. B. separating the child from her mother and providing ventilatory assistance. conscious, crying, and clinging to her mother. B. burns to the hands or feet that involve a glove distribution
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