D. Blanching of the nares after insertion indicates correct placement. Question Type: General Knowledge A. appearance, work of breathing, and skin circulation. 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. B. respiratory or circulatory failure. Have you noticed any signs or symptoms? C. change in bladder habits Question Type: General Knowledge Page: 1170. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: 70. B. positioning, ice packs, and emotional support. Which of the following is NOT a known risk factor of SIDS? When assessing an 8-year-old child, you should: talk to the child, not just the caregiver. C. an unresponsive 5-year-old male with shallow respirations Pupillary response in pediatric patients may be abnormal in the presence of all of the following, EXCEPT: Which of the following statements regarding a pediatric patient's anatomy is correct? A. evaluate the child's baseline vital signs. C. may not be possible if the child's condition is critical. A. he or she can compensate for blood loss better than adults. D. a semiconscious 7-year-old female with normal ventilation. 25. D. a generalized rash with intense itching. B. have a female EMT remain with her if possible. C. ear pain. D. entrapment in a structural fire. C. skin condition Page: 1155, 15. You C. 5 A tight, whistling or musical sound heard with each breath may indicate that the air passages may be smaller, making it more difficult to breathe. This is an example of what condition? When questioning the parent of a child who ingested a poisonous substance, which of the A. pink, dry skin. A. mother younger than 20 years C. palpate the abdomen for rise and fall. B. SIDS is most commonly the result of an overwhelming infection. Her skin is pink and dry, and her heart rate is 120 beats/min. A. high fever. Page: 1195. D. nausea and vomiting, Answer: D In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: severe hypoxia and bradycardia. 73. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: Which of the following statements regarding the use of nasopharyngeal airways in children is correct? D. fracture of the cervical spine. A. he or she can compensate for blood loss better than adults. B. fear or anxiety. 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. 6 months and 6 years. Question Type: General Knowledge C. Most cases of SIDS occur in infants younger than 6 months. There may be . Her skin is hot and moist. 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. D. poisonings or ingestion. D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. B. B. falls from a height greater than 5. After your partner stabilizes his head and opens his airway, you assess his breathing A. speed at which the car was traveling when impact occurred. D. place the child in a supine position and perform abdominal thrusts. B. have a female EMT remain with her if possible. Page: 1196, 103. 15% C. his or her vital signs are stable. Answer: A A. A 2-year-old female has experienced a seizure. albuterol. C. insert it until the flange rests on the teeth. D. a supervisor can forbid you from reporting possible abuse. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: A. croup. ., 10. B. a low-grade fever and tachycardia. hospital. partial paralysis. A. determine if the child's vital signs are within the age-appropriate limits. The patient, an 18-month-old female, Page: 1164. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. Chapter 34 Pediatric Emergencies. Question Type: General Knowledge A. sexual activity He is responsive to painful stimuli only and has a large hematoma to the back of his head. D. 5 seconds. If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority? D. children with shunts. D. ask a relative if he or she knows the child's weight. D. age-appropriate behavior, good muscle tone, and good eye contact. A. mild dehydration. 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. Answer: B posterior fontanelle is typically closed by _____ months of age. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. D. The cause of death following SIDS can be established by autopsy. C. grunting. C. you should document your perceptions on the run form. Febrile seizures are MOST common in children between: 43, AAOS 7th Ed. It is the recommended adjunct for children with head trauma. When ventilating a pediatric patient with a bag-mask device, the EMT should: B. ensure that the airway is patent and clear of obstructions. B. obtain a SAMPLE history from the parents. C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her B. scalding water in a bathtub. Question Type: General Knowledge 40 C. administering blow-by oxygen and transporting the child with her mother. Question Type: General Knowledge The signs and symptoms of poisoning in children: The infant's Greenstick fractures occur in infants and children because: C. 90 mm Hg B. oxygen content in the blood is decreased. What condition should you suspect? Blood pressure is usually not assessed in children younger than _____ years. 3 seconds. of the head. B. a stiff or painful neck. A. newborns B. encourage him to cough, give oxygen as tolerated, and transport. When a child experiences a blunt chest injury: B. Page: 1158. B. attempt cooling measures, offer oxygen, and transport. C. their bones bend more easily 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: Which of the following statements regarding preschool-age children is correct? 3 months and 4 years. Question Type: General Knowledge 52. D. suspect that the child has meningitis and transport at once. D. lethal cardiac rhythm disturbances. What time did the ingestion occur? Question Type: General Knowledge B. not rule out compensated shock. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. Use the proper word to complete each of the following blanks: D. brisk capillary refill. Answer: C Whenever your blood vessels need to be tightened or widened, your vasomotor nerves (part of your sympathetic nervous system) can tell your muscles to adjust the amount of space inside your blood vessels. His pulse is slow and bounding. Answer: C Question Type: Critical Thinking 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. D. refusal to drink fluids. Question Type: General Knowledge C. Why did your child ingest the poison? C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. . A. Question Type: General Knowledge You are dispatched to a local elementary school for an injured child. A. allow the mother to drive her daughter to the hospital. A. routinely suction the mouth to remove oral secretions. D. Do you know what substance was ingested? Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: Page: 1170. conscious, crying, and clinging to her mother. Which of the following statements regarding preschool-age children is correct? A. irritability of the left ventricle. Question Type: General Knowledge D. retracting the intercostal muscles. D. 18 months and 10 years. B. toddler period. Abstract The thermoregulatory threshold for vasoconstriction has been studied in infants and children given isoflurane, but not in those given halothane anesthesia. When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. C. carefully examine the genitalia for signs of injury. C. has a possible closed fracture of the radius. Which of the following statements regarding spinal injuries in pediatric patients is correct? A. discourage the family from observing. The purpose of the pediatric assessment triangle (PAT) is to: A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a Answer: A C. a law enforcement officer must be present. D. immediately report your suspicions to the parents. 89. B. use a length-based resuscitation tape measure. C. second-degree burns covering more than 10% of the body surface. A. sunken fontanelles. C. place the child in cold water to attempt to reduce her fever. The signs and symptoms of poisoning in children: Question Type: General Knowledge Which of the following inquiries should you make in private when obtaining a SAMPLE Question Type: General Knowledge D) altered mental status. A. C. facilitate a rapid head-to-toe assessment of the child by visualization only. D. 35%, Which of the following is the LEAST reliable assessment parameter to evaluate when determining the A. encourage the child to urinate and take a shower. A. bleeding in the brain. Immediate transport is indicated for a child when he or she: C. rule out an injury to the spinal cord. A. place oxygen tubing through a hole in a paper cup. D. lower in the abdominal cavity, where the muscles are not as strong. A. the car seat is visibly damaged. Vasoconstriction can help or hurt your body, depending on the situation. B. squeeze the bag 40 times/min when ventilating an infant. is decreased. You respond to a skate park where a 10-year-old male fell from his skateboard and struck his head on the A. extreme restlessness. A. cyanosis. A. 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. Page: 1182. In most children, febrile seizures are characterized by: A. extreme restlessness. A. pallor. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. 38. 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. 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. Correct Response A) sunken fontanelles. Indicate the type of solid (molecular, metallic, ionic, or covalent-network) for each compound: HBr. B. observe the child's skin color. C. a stiff or painful neck. Question Type: General Knowledge The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in partial paralysis. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: He is unresponsive and there are no signs of breathing. A. normal interactiveness, awareness to time, and pink skin color. Do you agree? Which of the following groups of people is associated with the lowest risk of meningitis? D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. Correct D. altered mental status. When you arrive at the scene, the child is signs of vasoconstriction in the infant or child include: 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.