B. fear or anxiety. Which of the following is MORE common in children than in adults following a head injury? signs of vasoconstriction in the infant or child include: D. poisonings or ingestion. A. A. B. their bones are more brittle than an adult's. What is the threshold of blood volume loss in children? A. sexual activity B. more vascular despite the fact that they are proportionately smaller. B. weak distal pulses. conscious, crying, and clinging to her mother. 15% Question Type: General Knowledge D. height of the child and the speed at which the car was traveling. Signs of vasoconstriction in the infant or child include: A. warm, dry skin. C. 5 a 3-month-old infant can distinguish a parent from a stranger. A. high fever. B. headache and fever. C. ensure that he or she uses a neonatal device for children younger than 12 months. 18 months of age and older: HIV antibody tests can provide definitive diagnosis in children 18 months of age, with known or unknown exposure to HIV. These highlights do not include all the information needed to use B. awareness to place, pink and dry skin, and consistent eye contact. A. normal interactiveness, awareness to time, and pink skin color. A. cyanosis. 44. B. tachypnea. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A) sunken fontanelles. Question Type: Critical Thinking Answer: A B. encourage him to cough, give oxygen as tolerated, and transport. hospital. level of activity is decreased. C. intra-abdominal hemorrhage. B. He is unresponsive and there are no signs of breathing. D. assess his or her respiratory effort. B. occur after a week of a febrile illness. A child may begin to show signs of separation anxiety as early as: 4. Question Type: General Knowledge C. insert it until the flange rests on the teeth. Question Type: General Knowledge He is responsive to painful stimuli only and has a large hematoma on the back of his head. Question Type: General Knowledge C. stimulate the vagus nerve. 99. A. evaluate the child's baseline vital signs. signs of vasoconstriction in the infant or child include: How many protons per second are consumed in nuclear reactions in the Sun? B. D. delayed capillary refill indicates a state of decompensated shock. queensland figure skating. A. infection. D. he or she even has a minor injury. A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. B. a low-grade fever and tachycardia. C. rule out an injury to the spinal cord. Peds. D. use a nasal cannula instead of a nonrebreathing mask. This . D. 70, Which of the following inquiries should you make in private when obtaining a SAMPLE history from an Question Type: General Knowledge Question Type: General Knowledge 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. Question Type: General Knowledge Vasoconstriction (Constricted Blood Vessels): Causes, Symptoms, Treatment 63. Page: 1180, 66. Question Type: General Knowledge The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: D. a supervisor can forbid you from reporting possible abuse. C) A child's chest wall has proportionately more subcutaneous fat on the chest. pulse. Answer: B D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. B. D. The cause of death following SIDS can be established by autopsy. D. give oxygen and transport at once. Page: 1185. blood pressure The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: 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. Question Type: General Knowledge Answer: A Question Type: General Knowledge Stroke volume is determined by preload, cardiac contractility, and afterload. D. ventilate the child with sharp, quick breaths at the appropriate rate. A. extreme restlessness. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the 6 months and 6 years. Submersion injuries in the adolescent age group are MOST commonly associated with: Which of the following statements regarding pediatric trauma is correct? Children are more likely to experience diving-related injuries. Answer: B playing with a small toy. D. fracture of the cervical spine. 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. B. separating the child from her mother and providing ventilatory assistance. B. use a length-based resuscitation tape measure. partial paralysis. A. grunting. Page: 1164. His mother states that she saw him put a small toy into his mouth shortly before the episode began. If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority? If a nasopharyngeal airway is too long, it may: B. retractions. questions would be of LEAST pertinence? following questions would be of LEAST pertinence? 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. Answer: A Blood flow is delayed or halted as blood vessels close. 85. A. is experiencing mild to moderate pain. C) a stiff or painful neck. Answer: D B. allow the family to observe if they wish. The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: A. intercostal muscles are not well developed. C. 25 g Which of the following inquiries should you make in private when obtaining a SAMPLE B. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. A. the growth plate is commonly injured. A. vary widely, depending on the child's age and weight. A. radial C. femoral Question Type: General Knowledge Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? D. Inexperience and poor judgment are rare causes of pediatric trauma. A. evidence of alcohol consumption or drug use at the scene The mother tells you that the seizure lasted approximately 5 minutes. D. has a history suggestive of a serious illness. C. his or her vital signs are stable. A. grunting. 48. When inserting an oropharyngeal airway in an infant or child, you should: Signs of infection include an increase in VS, poor feeding, vomiting, pupil dilation, decreased LOC, and . A. of more than 2F to 3F per hour. Immediate transport is indicated for a child when he or she: 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 Answer: A EMTs are called for an unresponsive infant. 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. signs of vasoconstriction in the infant or child include: Correct D. altered mental status. D. place him or her on a firm surface. You are dispatched to a local elementary school for an injured child. You should: B. rhonchi. Page: 1182. should: B. dehydration from vomiting and diarrhea. B. visualize the child's airway. 88. A. hot items on a stovetop. His skin is pale and cold and his arms are stiff. B. his or her blood pressure falls with as little as 5% blood loss. Nurses Pocket Drug Guide 2015 [PDF] [1riu50qtm8ao] - vdoc.pub C. are usually caused by viral meningitis. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and Answer: B The infant's mother tells you that he has not had a soiled diaper in over 12 hours. D. wheezing. When immobilizing an injured child in a pediatric immobilization device, you should: C. hypothermia and an irregular pulse. Question Type: General Knowledge C. 12, 4 C. They are usually not well tolerated in children with a gag reflex. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. Answer: B The signs and symptoms of poisoning in children: D. abnormal airway noise. The child is conscious and appears alert. Blood pressure is usually not assessed in children younger than _____ years. B. allow you to rapidly and visually form a general impression of the child. A. result in tachycardia. D. result in a soft-tissue injury. Correct Response A) sunken fontanelles. D. place the child in a supine position and perform abdominal thrusts. A. carefully look into his mouth and remove the object if you see it. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Page: 1195. A. infection. C. age of the child and the size of the car that struck him or her. D. 10 years. D) Retractions are less obvious in children owing to their noncompliant rib cages. 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? C. administering blow-by oxygen and transporting the child with her mother. Signs of Respiratory Distress in Children A. block the pop-off valve if needed to achieve adequate chest rise. 25. D. lower in the abdominal cavity, where the muscles are not as strong. D. child's core body temperature is elevated. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Select one: A. a stiff or painful neck. C. change in bladder habits B. a rash. How would you rate a patient who is breathing spontaneously, has a peripheral pulse, and is appropriately responsive to painful stimuli? The EMT should be MOST concerned when a child presents with fever and: 52. D. lower in the abdominal cavity, where the muscles are not as strong. Her skin is pink and dry, and her heart rate is 120 beats/min. C. sunken fontanelles. Question Type: General Knowledge A. stridor. C. putting a baby to sleep on his or her back B) Children are belly breathers because they rely heavily on their diaphragms. A 2-year-old female has experienced a seizure. The EMT should be MOST concerned when a child presents with fever and: B. should be performed, regardless of the circumstances. 79. D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. Answer: C D. hyperglycemia. His mother states that she saw him put a small toy into his mouth shortly before the episode began. 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. Vasoconstriction: Causes, Symptoms & Treatment - All Health Post the back of his head. B. occur after a week of a febrile illness. C. 90 mm Hg D. has a history suggestive of a serious illness. 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. You should: A. sexual activity You should: Which of the following is the MOST appropriate dose of activated charcoal for a 20kg child? 5% 82 mm Hg Question Type: General Knowledge level of activity is decreased. Chapter 34 Pediatric Emergencies. A. sunken fontanelles. B. rhonchi. is decreased. 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. 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: When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more A. depress the gag reflex. A. profound tachycardia. 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. 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 anti-inflammatory action of corticosteroids reduces laryngeal mucosal edema and decreases the need for salvage nebulized epinephrine. A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: C. a stiff or painful neck. D. gather critical data by performing a rapid hands-on assessment of the child. EMT - Chapter 33: Obstetrics and Neonatal Care, EMT - Chapter 36: Patients With Special Chall, Joint Fires Observer Familiarization - Module, Joint Fires Observer Familiarization JKO - Gl, Julie S Snyder, Linda Lilley, Shelly Collins, Career Prep- First 9 Weeks Test Study Guide. Page: 1160. A. of more than 2F to 3F per hour. Answer: A D. delayed capillary refill indicates a state of decompensated shock. Question Type: General Knowledge Answer: D Vasoconstriction can cause the following: Pale skin Tingling feeling in fingers and/or toes Numbness in extremities Cramps Headaches Imbalance Partial vision loss or blurred vision Increased. Signs of vasoconstriction in the infant or child include: A) warm, dry skin. D. is most appropriate when your transport time is short. he or she presents with: What You Should Know About Fainting in Children C. insert a nasopharyngeal or oropharyngeal airway adjunct. D. Blanching of the nares after insertion indicates correct placement. Have you noticed any signs or symptoms? He is responsive to painful stimuli only and has a large hematoma to the back of his head. A sound heard in the upper airway when the child breathes in. D. fracture of the cervical spine. B. carotid B. squeeze the bag 40 times/min when ventilating an infant. A. heart rate A. assume the child is hypertensive. A. encourage the child to urinate and take a shower. When a child experiences a blunt chest injury: D. are most severe if the child ingested a poisonous substance. You should: C. a rapid heart rate. Study Resources. Page: 1176. and perform a secondary assessment. C. caused by inflammation of the spinal cord. an unresponsive 5yearold male with shallow respirations. 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. What is the purpose of a forward declaration of a class? Blood pressure is usually not assessed in children younger than _____ years. Page: 1158. By 3 months old, your baby may respond to these sounds with excitement. He is conscious, but his level of activity if the cervical spine is injured, it most likely to be an injury to the ligaments because of rapid movement to the head. C. a rapid heart rate. PDF Oxygen atbirth prolonged cerebral vasoconstrictlon in infants 20 g When you arrive at the scene, the child is conscious, crying, and clinging to her mother. D. open his airway and look in his mouth. C. perform a blind finger sweep. Page: 1173. 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. Question Type: Critical Thinking D. 6, Which of the following represents a low normal systolic blood pressure for a 6-year-old child? D. 70, Answer: A Question Type: General Knowledge 40 D. acute hypoxia and tachycardia. After your partner stabilizes his head and opens his airway, you assess his breathing Page: 1189. 105. D. hyperglycemia. b. abnormal breath sounds. When immobilizing an injured child in a pediatric immobilization device, you should: Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: When a child experiences a blunt chest injury: the flexible ribs can be compressed without breaking. Signs of a severe airway obstruction in an infant or child include: Bruising to the _________ is LEAST suggestive of child abuse. An infant of this age is also developmentally ready for other foods. D. nausea and vomiting. Page: 1180, 65. After determining that an infant or child has strong central pulses, you should: D. accessory muscle use. product because it may: D. abnormal airway noise. 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. 3 seconds. PDF Physiology and classification of shock in children D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and 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. 100. The MOST common cause of dehydration in pediatric patients is: 24. 6, 12 C. severe hypoxia and bradycardia. Page: 1165. A. older than 8 to 10 years. It is the recommended adjunct for children with head trauma. 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. Her skin is hot and moist. C. nasal flaring. When assessing an infant's ventilation status, you should: Page: 1160. Study Resources. Greenstick fractures occur in infants and children because: they are rarely used in infants younger than 1 y.a. B. internal blood loss. When ventilating a pediatric patient with a bag-mask device, the EMT should: C. their bones bend more easily than an adult's. B. push the tongue anteriorly. A. discourage the family from observing. Greenstick fractures occur in infants and children because: D) altered mental status. B. multiple open fractures. You should: attempt cooling measures, offer O2, transport. C. facilitate a rapid head-to-toe assessment of the child by visualization only. He is responsive to painful stimuli only and has a large hematoma to the back of his head. B. encourage him to cough, give oxygen as tolerated, and transport. Question Type: General Knowledge 10. 2, 4 bag-mask ventilations is to: 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} B. moderate dehydration. 46. C. the sudden force against the ribs causes them to fracture. B. falls from a height greater than 5. 75. Page: 1168. A. assume the child is hypertensive. C. an unresponsive 5-year-old male with shallow respirations 102. Answer: B Common causes of seizures in children include all of the following, EXCEPT: Febrile seizures are MOST common in children between: In most children, febrile seizures are characterized by: generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? Boerrhave's syndrome. signs of vasoconstriction in the infant or child include: Which of the following statements regarding a pediatric patient's anatomy is correct? C. deliver a series of five back blows and then reassess his condition. D. hypovolemic shock. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: D. nausea and vomiting, Answer: D When assessing an 8-year-old child, you should: 7. B. C. a law enforcement officer must be present. A. chills. D. a headache. Answer: C The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child. Question Type: General Knowledge Which of the following statements regarding spinal injuries in pediatric patients is correct? C. stimulate the vagus nerve. Signs of vasoconstriction in the infant or child include: C. weak distal pulses. 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 Most trials have used dexamethasone at 0.6 mg/kg (intramuscular or oral), but oral . Page: 1168. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full spinal precautions, and transport. A. chills. 22. D. height of the child and the speed at which the car was traveling. C. 8 months and 8 years. 88 mm Hg B) headache and fever. Before assessing the respiratory adequacy of an semiconscious infant or child, you must: 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? 45. He is unresponsive and there are no signs of breathing. D. head bobbing. C. spaced further apart, which causes them to shift following trauma. C. intra-abdominal hemorrhage. When a child faints, the blood supply and the oxygen that blood brings to the brain is temporarily reduced. C. a law enforcement officer must be present. A 2-year-old female has experienced a seizure. Guiding principles for appropriate complementary feeding are: continue frequent, on-demand breastfeeding until 2 years of age or beyond; B. a sudden ventricular arrhythmia. 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. B. are more obvious than in the adult population. signs of vasoconstriction in the infant or child include: is conscious and alert, is breathing adequately, and has skin burns around her mouth. 29. Which of the following statements regarding pediatric trauma is correct? You are dispatched to a local elementary school for an injured child. A. typically last less than 30 minutes. D. retracting the intercostal muscles. B. observe the child's skin color. Which of the following findings is LEAST suggestive of child abuse? You should: Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? B. B. have a female EMT remain with her if possible. Early signs of respiratory distress in the child include: At the end of the dosing line, important dosing modifications may be noted (ie, take with food, avoid antacids). D. twisting injuries are more common in children. A. The mother tells you that the seizure lasted approximately 5 minutes. This means that the patient has: a. normal breath sounds. Burns in children are commonly caused by all of the following, EXCEPT: partialt-hickness burns covering more than 20% of the body surface. Answer: C C. determine why the ingestion occurred. C. Why did your child ingest the poison? C. palpate the abdomen for rise and fall. A 2-year-old female has experienced a seizure. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. They are rarely used in infants younger than 1 year. 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. A. block the pop-off valve if needed to achieve adequate chest rise. Question Type: General Knowledge and clinging to her mother. C. ear pain. julia child recipes chicken. D. duration of symptoms. D. entrapment in a structural fire. D. secure the torso before the head. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after D. brisk capillary refill. The instrument that measures the velocity of a vibrating body is called a(n) _______. B. wheezing. C. an ineffective cough. An infant with severe dehydration would be expected to present with: Signs of severe dehydration in an infant include all of the following, EXCEPT: A 6-month-old male presents with 2 days of vomiting and diarrhea. B. secondary to a severe bacterial infection. C. crying or combativeness, good muscle tone, and awareness to time. A. requesting a paramedic ambulance to insert an advanced airway device. Page: 1162. C. your assessment will most often reveal bruising to the abdomen. 14. Answer: B 42. Page: 1186. due to compensatory vasoconstriction and constriction. wreck in west monroe, la today. C. his or her respirations are shallow. Pediatric Respiratory Acidosis - Medscape D. experiencing cardiopulmonary arrest. B. rule out hypoxia if cyanosis is absent. D. experiencing cardiopulmonary arrest. 32 Flashcards | Chegg.com C. perform a hands-on assessment of the ABCs. C. hyperpnea. A. normal interactiveness, awareness to time, and pink skin color. 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 B. B. ensure that his or her neck is hyperextended. C. bronchitis. 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? Question Type: General Knowledge The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal A. vary widely, depending on the child's age and weight.

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