D. epiglottitis. 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. A. discourage the family from observing. Question Type: General Knowledge Your assessment reveals that she A. radial inhalation by: A. Chapter 34 Pediatric Emergencies. A. child abuse must be reported only if it can be proven. C. electrolyte imbalances. 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. A. bleeding in the brain. 88. The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: The MOST appropriate treatment for this child includes: Answer: B C. caused by inflammation of the spinal cord. B. mental status, heart rate, and systolic blood pressure. Question Type: General Knowledge 102. 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. 47. A. speed at which the car was traveling when impact occurred. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. Nursing Care of a Family With a High-Risk New. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: Answer: B The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. Using the discussion earlier, answer the questions below: b. B. ensure that his or her neck is hyperextended. Question Type: General Knowledge A. cherry-red spots or a purplish rash. C. 5 You should: She is conscious, but clearly restless. C. insert a nasopharyngeal or oropharyngeal airway adjunct. 23. Answer: A Question Type: General Knowledge 105. B. push the tongue anteriorly. C. 90 mm Hg Wheezing. B. low birth weight Page: 1168. D. experiencing cardiopulmonary arrest. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. D. superficial burns covering more than 10% to 15% of the body surface. B. size of the child and the height of the bumper upon impact. B. retractions. Answer: A 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 . All of the following are normal findings in an infant or child, EXCEPT: C. their bones bend more easily than an adult's. D. result in a soft-tissue injury. Question Type: General Knowledge D. 5 seconds. B. a rash. 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? Question Type: General Knowledge Correct D. altered mental status. Answer: B D. duration of symptoms, Answer: A C. nasal flaring. D. twisting injuries are more common in children. Question Type: General Knowledge The mother tells you that the seizure lasted approximately 5 minutes. When a child experiences a blunt injury to the abdomen: B. toddler period. C. avoiding the placement of a splint, if possible. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head A viral infection that may cause obstruction of the upper airway in a child is called: His mother states that she saw him put a small 29. The narrowing (constriction) of blood arteries by tiny muscles in their walls is known as vasoconstriction. 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. 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. A. chills. bag-mask ventilations is to: When immobilizing an injured child in a pediatric immobilization device, you should: Question Type: General Knowledge C. immobilized on a long backboard. A. quiet breathing. D. activity, respiratory quality, and level of consciousness. B. allow you to rapidly and visually form a general impression of the child. If complementary foods are not introduced around the age of 6 months, or if they are given inappropriately, an infant's growth may falter. Signs of vasoconstriction in the infant or child include: A) warm, dry skin. D. retracting the intercostal muscles. Question Type: General Knowledge D. abnormal airway noise. A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. B. a low-grade fever and tachycardia. Answer: D 91. B. A. evidence of alcohol consumption or drug use at the scene Question Type: General Knowledge Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: A child's head is less frequently injured than an adult's. Which of the following statements regarding a pediatric patient's anatomy is correct? Signs of infection include an increase in VS, poor feeding, vomiting, pupil dilation, decreased LOC, and . If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. Use the following terms to create a concept map: atoms, average atomic mass, molecules, mole, percentage composition, and molar masses. Which of the following is the LEAST reliable assessment parameter to evaluate when 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. C. assuming a tripod position. B. he or she has no visible injuries. B. rule out hypoxia if cyanosis is absent. B. push the tongue anteriorly. C. 25 g C. ear pain. D. gather critical data by performing a rapid hands-on assessment of the child. Blood pressure is usually not assessed in children younger than _____ years. Which of the following is true about a child's breathing? D. buttocks, Answer: A A. separating the child from his or her parents. 76. 2. D. Inexperience and poor judgment are rare causes of pediatric trauma. After your partner stabilizes his head and opens his airway, you assess his breathing A. grunting. You should: B. Identify similarities and differences in the types of skin cancer. prepare for immediate transport to a trauma center. The anti-inflammatory action of corticosteroids reduces laryngeal mucosal edema and decreases the need for salvage nebulized epinephrine. C. the sudden force against the ribs causes them to fracture. Answer: B An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of B. slowed level of activity. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: A. extreme restlessness. B. tachypnea. A child's head is less frequently injured than an adult's. 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. They are usually not well tolerated in children with a gag reflex. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: C. may not be possible if the child's condition is critical. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. 3 months and 4 years. 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: 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. history from an adolescent patient? C. hyperthermia. Question Type: General Knowledge Which of the following statements regarding spinal injuries in pediatric patients is correct? 3. Question Type: General Knowledge B. tightly secure the oxygen mask straps to the face. When ventilating a pediatric patient with a bag-mask device, the EMT should: ________ pulse. B. the flexible ribs can be compressed without breaking. D. cardiovascular disease. Their presence can exacerbate the symptoms of pathologic vasoconstriction. D. are most severe if the child ingested a poisonous substance. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: Question Type: General Knowledge Hyperthermia differs from fever in that it is an increase in body temperature: D. entrapment in a structural fire. C. rule out an injury to the spinal cord. D. give 12.5 to 25 g of activated charcoal. D. children with shunts. A 6-month-old male presents with 2 days of vomiting and diarrhea. 93. B. allow you to rapidly and visually form a general impression of the child. D. Do you know what substance was ingested? C. deliver a series of five back blows and then reassess his condition. Page: 1170. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? 4 Which of the following groups of people is associated with the lowest risk of meningitis? A. tenting. Her skin is pink and dry, and her heart rate is 120 beats/min. A. A. newborns B. not rule out compensated shock. Hyperthermia differs from fever in that it is an increase in body temperature: Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: A. block the pop-off valve if needed to achieve adequate chest rise. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. Page: 1182. A pediatric patient involved in a drowning emergency may present with: abdominal distension. B. place a towel or folded sheet behind the shoulders. A. begin immediate rescue breathing. C) a stiff or painful neck. The normal respiratory rate for a newborn should not exceed ______ breaths/min. A. is a rapid head-to-toe exam to detect life threats. B. When interventions are not provided to prevent hypothermia, the infant exhibits irritability, excessive motor activity, tachycardia, bradycardia, respiratory distress, cyanosis, skin mottling, or. B. weak distal pulses. D. ensure that his or her head is in a hyperextended position. Page: 1185. C. 8 years. B. squeeze the bag 40 times/min when ventilating an infant. C. delayed capillary refill. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of D. acute respiratory distress. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the C. you should document your perceptions on the run form. In most children, febrile seizures are characterized by: The goal of vasoconstriction is to prioritize oxygen and nutrient supply to the most important organs - the vital organs. Question Type: General Knowledge After determining that an infant or child has strong central pulses, you should: D. accessory muscle use.
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