Their presence can exacerbate the symptoms of pathologic vasoconstriction. When you arrive at the scene, the child is (a) 30C,5mmHg-30^{\circ} \mathrm{C}, 5 \mathrm{~mm} \mathrm{Hg}30C,5mmHg Familial dysautonomia - Wikipedia B. You should: Lanoxin Injection (Digoxin Injection): Uses, Dosage, Side - RxList A 2-year-old female has experienced a seizure. B. A common cause of shock in an infant is: B. have a female EMT remain with her if possible. A. observe the chest for rise and fall. C. usually present within the first 10 minutes of ingestion. 96. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. A. A. bleeding in the brain. D. head bobbing. (PDF) Fighting Antimicrobial Resistance in Neonatal Intensive Care You should: Children are less likely than adults to be struck by a car. B. blood pressure His mother states that she saw him put a small toy into his mouth shortly before the episode began. 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). B. cause the child to vomit. C. 25% D. depress the tongue with a tongue depressor. B. not rule out compensated shock. A. assume the child is hypertensive. This is what is known as an embolus. Infants have relatively fixed stroke volumes and are particularly dependent upon heart rate to increase cardiac output. 81. Page: 1167, 40. A When a child is struck by a car, the area of greatest injury depends MOSTLY on the: Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: D. 5 seconds. D. hyperextend the neck to ensure adequate alignment. D. Inexperience and poor judgment are rare causes of pediatric trauma. D. a supervisor can forbid you from reporting possible abuse. Question Type: General Knowledge if the cervical spine is injured, it most likely to be an injury to the ligaments because of rapid movement to the head. The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-mask ventilations is to: You should: A. normal interactiveness, awareness to time, and pink skin color. A. put padding behind his or her head. B. complaining of severe back pain. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: B. partial-thickness burns covering more than 20% of the body surface. A normal level of consciousness in an infant or child is characterized by: age-appropriate behavior, good muscle tone, good eye contact. C. a congenital cardiovascular defect. C. palpate the abdomen for rise and fall. A. The normal respiratory rate for a newborn should not exceed ______ breaths/min. Bruising to the _________ is LEAST suggestive of child abuse. child during bag-mask ventilations is to: Cardiac arrest in the pediatric population is MOST commonly the result of: In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. His skin is pale and cold and his arms are stiff. It is the recommended adjunct for children with head trauma. Answer: B Question Type: General Knowledge Page: 1155 13. hospital. C. excessive tachycardia. ________ pulse. Page: 1195. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. 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. queensland figure skating. 12. A. monitor the child's heart rate. Answer: D B. thoroughly suction his or her airway. B. bradycardia. level of activity is decreased. C. geriatrics C. perform a hands-on assessment of the ABCs. B. dehydration from vomiting and diarrhea. A. put padding behind his or her head. 4 years. B. size of the child and the height of the bumper upon impact. His pulse is slow and bounding. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. D. place the child in a supine position and perform abdominal thrusts. B. headache and fever. B. Page: 1164. D. 50 g, Answer: B 29. A. alcohol. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: severe hypoxia and bradycardia. How could you check to see if this is true (without any scraping)? She further tells you that her daughter has no history of seizures, but has had a recent ear infection. A. a cardiac arrhythmia. Which of the following statements regarding a pediatric patient's anatomy is correct? You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. 2. D. swimming pools. D. The cause of death following SIDS can be established by autopsy. m(i)=31+52+73+94+115+136++2i+1i. Pediatric Respiratory Acidosis - Medscape A child's head is less frequently injured than an adult's. An 8-year-old female with a history of asthma continues to experience severe respiratory distress despite 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. When assessing an infant's ventilation status, you should: Chapter 20 - Cardiovascular Diseases | PDF | Echocardiography | Heart Valve A. separating the child from his or her parents. C. They are usually not well tolerated in children with a gag reflex. A. result in tachycardia. B. should be performed, regardless of the circumstances. The child is conscious, obviously frightened, and is coughing forcefully. C. Why did your child ingest the poison? should: Answer: C Answer: D When ventilating a pediatric patient with a bag-mask device, the EMT should: 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. an ineffective cough. Answer: C Signs of infection include an increase in VS, poor feeding, vomiting, pupil dilation, decreased LOC, and . 91. B. moderate dehydration. Her skin is pink and dry, and her heart rate is 120 beats/min. An infant of this age is also developmentally ready for other foods. A. profound tachycardia. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and prepare for immediate transport to a trauma center. B. monitor her airway and give oxygen. 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. B. allow you to rapidly and visually form a general impression of the child. 5% Answer: D Answer: A A 6-month-old male presents with 2 days of vomiting and diarrhea. C. has a possible closed fracture of the radius. C. have a parent restrain the child as you give oxygen. D. immediately report your suspicions to the parents. Page: 1189. A. When a child experiences a blunt chest injury: She is receiving high-flow oxygen via a nonrebreathing mask. Submersion injuries in the adolescent age group are MOST commonly associated with: The purpose of the pediatric assessment triangle (PAT) is to: C. a rapid heart rate. B. stabilize his head and check for a pulse. 16. B. visualize the child's airway. B. positioning, ice packs, and emotional support. There may be . EMT Chapter 34: Pediatric Emergencies Flashcards | Quizlet An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of A. evaluate the child's baseline vital signs. Which of the following statements regarding a pediatric patient's anatomy is correct? C. determine why the ingestion occurred. B. he or she has no visible injuries. D. has a history suggestive of a serious illness. 20. Febrile seizures are MOST common in children between: B. visualize the child's airway. A. radial Question Type: General Knowledge Peripheral Vasoconstriction in Transitional Elbw Infants A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the B. blood pressure The infant's mother tells you that he has not had a soiled diaper in over 12 hours. A. child is in severe decompensated shock. B. squeeze the bag 40 times/min when ventilating an infant. C. bronchitis. B. attempt cooling measures, offer oxygen, and transport. B. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? B. rhonchi. 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. Heart rate may not reflect the severity of blood loss due to compensatory vasoconstriction and constriction. is conscious and alert, is breathing adequately, and has skin burns around her mouth. B. weak distal pulses. When immobilizing an injured child in a pediatric immobilization device, you should: 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? 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. C. a rapid heart rate. When administering oxygen to a frightened child, it would be MOST appropriate to: Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because Have you noticed any signs or symptoms? C. electrolyte imbalances. The MOST common cause of dehydration in pediatric patients is: 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. Answer: C An infant with severe dehydration would be expected to present with: Critical burns in children include: This . A. place her supine and elevate her legs. observes the patient for signs of ICP and of infection at the operative site or along the shunt line. B. dehydration from vomiting and diarrhea. Answer: B A. C. caused by inflammation of the spinal cord. D. may indicate a serious underlying illness. 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. Research the incidence of skin cancer in different parts of the world. B. place a towel or folded sheet behind the shoulders. C. place the child in cold water to attempt to reduce her fever. C. facilitate a rapid head-to-toe assessment of the child by visualization only. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and A. Cardiogenic shock | ACLS-Algorithms.com You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. B. should be performed, regardless of the circumstances. The components of the PAT are: Question Type: General Knowledge C. perform a hands-on assessment of the ABCs. C. avoiding the placement of a splint, if possible. Page: 1155. A) Lung sounds are difficult to hear because of the thick intercostal muscles. B. have a female EMT remain with her if possible. Page: 1162. signs of vasoconstriction in the infant or child include: There are no obvious signs of trauma to the child, and the car seat does not appear to be damaged. they can usually identify painful areas when questioned. B. 68. B. attempt cooling measures, offer oxygen, and transport. Hypothermia in the Low Birth Weight Premature Infant - Medscape Answer: C 18. 88 mm Hg A. A. the growth plate is commonly injured. Answer: C Question Type: General Knowledge Common causes of seizures in children include all of the following, EXCEPT: D. brisk capillary refill. C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her A. appearance, work of breathing, and skin circulation. C. monitor the pulse oximeter reading. C. excessive tachycardia. C. skin condition, respiratory rate, and level of alertness. Question Type: General Knowledge 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. 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) A. evaluate the child's baseline vital signs. Answer: D Peripheral vasoconstriction is more dependent on core than on skin temperature (cf. C. carefully examine the genitalia for signs of injury. B. You are dispatched to a local elementary school for an injured child. determining the presence of shock in infants and children? C. ear pain. 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. Certain cases of SIDS are predictable and therefore preventable. A. determine if the child's vital signs are within the age-appropriate limits. A. child is in severe decompensated shock. After determining that an infant or child has strong central pulses, you should: A. vary widely, depending on the child's age and weight. If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority? Answer: A D. brisk capillary refill. Page: 1170. Children have a larger, rounder occiput compared to adults. The normal respiratory rate for a newborn should not exceed ______ breaths/min. 17. D. wheezing. D. mild respiratory distress. 82 mm Hg A. the car seat is visibly damaged. A. correct? B. push the tongue anteriorly. B. place a towel or folded sheet behind the shoulders. playing with a small toy. B. the flexible ribs can be compressed without breaking. Submersion injuries in the adolescent age group are MOST commonly associated with: In most children, febrile seizures are characterized by: Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? Or your baby may quiet to listen to your voice. Medical Emergencies Guidebook | PDF | Shock (Circulatory) | Meningitis All vital signs are within their normal ranges except for the blood pressure. Omega-3 Fatty Acids - Health Professional Fact Sheet C. a law enforcement officer must be present. is tachypneic, has sternal retractions, and is clinging to her mother. Answer: B C. skin that is cool and dry. Blood pressure is usually not assessed in children younger than _____ years. Familial dysautonomia (FD), also known as Riley-Day syndrome, is a rare, progressive, recessive genetic disorder of the autonomic nervous system that affects the development and survival of sensory, sympathetic, and some parasympathetic neurons in the autonomic and sensory nervous system.. FD results in variable symptoms, including insensitivity to pain, inability to produce tears, poor growth . D. open his airway and look in his mouth. Question Type: General Knowledge Answer: C A. appearance, work of breathing, and skin circulation. Which of the following statements regarding spinal injuries in pediatric patients is correct? signs of vasoconstriction in the infant or child include: Page: 1185. B. back You are dispatched to a residence for a child with respiratory distress. B. The MOST appropriate treatment for this child includes: administering blow-by O2 and transporting the child with her mother. 94. Answer: C C. perform a head tilt-chin lift maneuver. A. proportionately larger and situated more anteriorly. Answer: B Effective methods for providing pain relief to a child with an extremity injury include: After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. A. 101. D. give 12.5 to 25 g of activated charcoal. B. hyperglycemia. history from an adolescent patient? C. the sudden force against the ribs causes them to fracture. 99. D. retracting the intercostal muscles. 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. Question Type: General Knowledge A. discourage the family from observing. D. twisting injuries are more common in children. Chapter 34 Pediatric Emergencies - Free Essay Examples Database Page: 1158. B. burns to the hands or feet that involve a glove distribution prepare for immediate transport to a trauma center. D. experiencing cardiopulmonary arrest. Page: 1160. What immediate effects does alcohol have on the body? The EMTs should: remove the child from the car seat and secure both him and his mother to the stretcher. 58. Pale skin in a child indicates that the: C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. Question Type: General Knowledge D. dry mucous membranes. Surgical options include a Downloaded 2022118 7:2 P Your IP is 189.138.137.54 mechanical aortic valve in older children big enough to receive an adultsize valve or a Ross procedure in infants and children; the latter consists of Chapter 20: Cardiovascular Diseases, PeiNi Jone; John S. Kim; Dale Burkett; Roni Jacobsen; Johannes Von . Which of the following is NOT a known risk factor of SIDS? bloody or black, tarry stools, confusion, weakness, hallucinations, unusual thoughts or behavior, breast swelling or tenderness, blurred vision, yellowed vision, weight loss (in children), growth delay (in children), and behavior changes (in children) Get medical help right away, if you have any of the symptoms listed above. 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. Immediate transport is indicated for a child when he or she: Answer: B B. scalding water in a bathtub. Question Type: Critical Thinking Answer: B Page: 1158. Signs of a severe airway obstruction in an infant or child include: 67. Correct D. start of infancy. C. intra-abdominal hemorrhage. Febrile seizures in a child: The infant's A. appearance, work of breathing, and skin circulation. 25. D. 10 years. B. encourage him to cough, give oxygen as tolerated, and transport. B. awareness to place, pink and dry skin, and consistent eye contact. signs of vasoconstriction in the infant or child include immobilization device if: Page: 1184. B. a sudden ventricular arrhythmia. imagine kit homes reviews nz; . history from an adolescent patient? The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in partial paralysis. Increased respiratory effort is often the distinguishing characteristic that sets cardiogenic shock apart from other forms of shock. B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and transport to the closest trauma center. C. neonatal period. A. extreme restlessness. C. pad underneath the child's head. Correct D. altered mental status. 5. B. stabilize his head and check for a pulse. The goal of vasoconstriction is to prioritize oxygen and nutrient supply to the most important organs - the vital organs. A. profound tachycardia. Answer: D signs of vasoconstriction in the infant or child include: Answer: A they are rarely used in infants younger than 1 y.a. 79. D. acute respiratory distress. A. normal interactiveness, awareness to time, and pink skin color. A child may begin to show signs of separation anxiety as early as: 4. A. requesting a paramedic ambulance to insert an advanced airway device. A. the flexible rib cage protects the vital thoracic organs. of the head. B. separating the child from her mother and providing ventilatory assistance. A child may begin to show signs of separation anxiety as early as: 6 months. albuterol. C. ensure that he or she uses a neonatal device for children younger than 12 months. A. monitor the child's heart rate. Signs of vasoconstriction in the infant or child include: A. warm, dry skin. of the head. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: D) Retractions are less obvious in children owing to their noncompliant rib cages. Greenstick fractures occur in infants and children because: The normal respiratory rate for a newborn should not exceed ______ breaths/min. A. pallor. B. weak distal pulses. B. B. child abuse. C. a rapid heart rate. A. determine if the child's vital signs are within the age-appropriate limits. Answer: A A. depress the gag reflex. C. a stiff or painful neck. 34. Page: 1193. they are: Answer: A is decreased. D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. C. insert a nasopharyngeal or oropharyngeal airway adjunct. C. belly breathing. Bruising to the _________ is LEAST suggestive of child abuse. Question Type: General Knowledge You respond to a skate park where a 10-year-old male fell from his skateboard and struck his head on the A. secure the head before the torso. B. obtain a SAMPLE history from the parents. He is unresponsive and there are no signs of breathing. B. observe the child's skin color. Which of the Following Late Symptoms of Increased Intracranial Pressure B. asthma. You should: assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and prepare for immediate transport to a trauma center. 72. Vasoconstriction (Constricted Blood Vessels): Causes, Symptoms, Treatment Stroke volume is determined by preload, cardiac contractility, and afterload. Question Type: General Knowledge B. bradycardia. A. child abuse. 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. occur after a week of a febrile illness. Which of the following statements regarding a pediatric patient's anatomy is correct? B. burns to the hands or feet that involve a glove distribution adolescent patient? C. monitor the pulse oximeter reading. D. ask a relative if he or she knows the child's weight. C. insert it until the flange rests on the teeth. A. wheezing. A. D. 70, Which of the following inquiries should you make in private when obtaining a SAMPLE history from an When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. Question Type: Critical Thinking D. accessory muscle use. A. requesting a paramedic ambulance to insert an advanced airway device. D. Blanching of the nares after insertion indicates correct placement. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. You should: He is conscious, but his level of activity is decreased. Question Type: General Knowledge 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. B. B. multiple open fractures. A. separating the child from his or her parents. A. place oxygen tubing through a hole in a paper cup. B. his or her tidal volume is adequate. A. stridor. If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. 3 for this exercise will be based on the following: Adhere to D. refusal to drink fluids. A. alcohol. The first month of life after birth is referred to as the: 2. Submersion injuries in the adolescent age group are MOST commonly associated with: Signs of a severe airway obstruction in an infant or child include: Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? 45. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if 43, AAOS 7th Ed. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. She is receiving high-flow oxygen via a non-rebreathing mask. D. a semiconscious 7-year-old female with normal ventilation. You are dispatched to a residence for a child with respiratory distress. The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. D. child's core body temperature is elevated. 24. D. 18, 6, Answer: D The MOST appropriate treatment for this child includes: administering blow-by oxygen and transporting the child with her mother. B. push the tongue anteriorly. Answer: C B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. Page: 1177. A. sexual activity C. hypothermia and an irregular pulse. B. 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. C. blood vessels near the skin are constricted. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. 2 seconds. C. 25 g 6, 12 Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? Answer: A A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: When a child experiences a blunt injury to the abdomen:
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