C. are usually caused by viral meningitis. You are dispatched to a residence for a child with respiratory distress. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: 5. Or your baby may quiet to listen to your voice. C. a stiff or painful neck. 3. D. lethal cardiac rhythm disturbances. Guiding principles for appropriate complementary feeding are: continue frequent, on-demand breastfeeding until 2 years of age or beyond; 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. correct? Answer: B You should: C. electrolyte imbalances. D. 50 g. The MOST common cause of dehydration in pediatric patients is: D. caused by the inability of the body to cool itself. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. Answer: D He is unresponsive and there are no signs of breathing. D. open his airway and look in his mouth. B. falls from a height greater than 5. A. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A) sunken fontanelles. 94. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are: proportionately larger and situated more anteriorly. A. assume the child is hypertensive. C. perform a head tilt-chin lift maneuver. C. has a possible closed fracture of the radius. Immediate transport is indicated for a child when he or she: Question Type: General Knowledge Page: 1159. In the first three months babies pay most attention to faces. D. acute respiratory distress. A. any superficial or partial-thickness burn that involves the legs or arms. When you arrive, you determine that the infant is apneic and pulseless. albuterol. She is receiving high-flow oxygen C. slightly flex the neck to prevent tracheal kinking. A. Question Type: General Knowledge Stroke volume is determined by preload, cardiac contractility, and afterload. A 2-year-old female has experienced a seizure. 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. 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. Page: 1193-1194, 97. approximately 5 minutes. 75. B. moderate dehydration. A. determine if the child's vital signs are within the age-appropriate limits. B. have a female EMT remain with her if possible. 62. B. his or her blood pressure falls with as little as 5% blood loss. The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. When administering oxygen to a frightened child, it would be MOST appropriate to: place oxygen tubing through a hole in a paper cup. b. abnormal breath sounds. Write a test program that displays m(i) for i = 1, 2, . Her skin is hot and moist. When caring for a female child who has possibly been sexually abused, you should: have a female EMT remain with her if possible. The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in B. toddler period. Question Type: General Knowledge The infant's mother tells you that he has not had a soiled diaper in over 12 hours. Answer: B 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. The MOST accurate method for determining if you are delivering adequate tidal volume to a child during Question Type: General Knowledge Page: 1195, 98. that he is lying at the base of the monkey bars. D. assess the child's heart rate and skin condition. Question Type: General Knowledge A normal level of consciousness in an infant or child is characterized by: B. allow you to rapidly and visually form a general impression of the child. Identify similarities and differences in the types of skin cancer. Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: D. result in a soft-tissue injury. A. he or she can compensate for blood loss better than adults. Page: 1179. B. should be performed, regardless of the circumstances. C. sunken fontanelles. 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? The German Association of the Scientific Medical Societies guideline for pregnancy, childbirth, and puerperium in women with a spinal cord injury (SCI) addresses a range of topics from the desire . Compensatory mechanisms that improve stroke volume include increased venous smooth muscle tone (improves preload by shunting blood to the D. bradycardia. Question Type: General Knowledge Answer: A D. lethal cardiac rhythm disturbances. Page: 1176, 57. m(i)=31+52+73+94+115+136++2i+1i. If such a range finder is to determine a distance of 100m100 \mathrm{~m}100m to within 1cm1 \mathrm{~cm}1cm, what is the maximum permitted error in the measurement of the travel time? Page: 1168. 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. Answer: C She further tells you that her daughter has no history of seizures, but has had a recent ear infection. B. should be performed, regardless of the circumstances. Bruising to the _________ is LEAST suggestive of child abuse. Answer: B D. abnormal airway noise. B. separating the child from her mother and providing ventilatory assistance. When assessing an infant's ventilation status, you should: 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. B. thoroughly suction his or her airway. 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. A normal level of consciousness in an infant or child is characterized by: age-appropriate behavior, good muscle tone, and good eye contact. The child is conscious, Vision. The MOST appropriate treatment for this child includes: You are dispatched to a local elementary school for an injured child. When you arrive at the scene, the child is conscious, crying, C. insert it until the flange rests on the teeth. A. chills. You should: encourage him to cough, give oxygen as tolerated, and transport. D. absent urine output. D. secure the torso before the head. C. intra-abdominal hemorrhage. What time did the ingestion occur? C. may not be possible if the child's condition is critical. 2, 4 D. he or she even has a minor injury. 5% C. delayed capillary refill. Page: 1192. Page: 1184. Which of the following statements regarding the use of nasopharyngeal airways in children is B. B. child abuse. C. may not be possible if the child's condition is critical. being given multiple doses of her prescribed albuterol by her mother. B. asthma. The purpose of the pediatric assessment triangle (PAT) is to: B. Which of the following statements regarding a pediatric patient's anatomy is correct? Signs of vasoconstriction in the infant or child include: B. bradycardia. Question Type: General Knowledge D. brisk capillary refill. C. change in bladder habits Question Type: General Knowledge They are rarely used in infants younger than 1 year. Question Type: General Knowledge The mother tells you that the seizure lasted approximately 5 minutes. A normal level of consciousness in an infant or child is characterized by: age-appropriate behavior, good muscle tone, good eye contact. A common cause of shock in an infant is: A blood pressure of 140/90 mmHg indicates high blood pressure . C. result in airway swelling. Page: 1175. Drawing in of the muscles between the ribs or of the sternum during inspiration is called: B. weak distal pulses. D. The cause of death following SIDS can be established by autopsy. D. caused by the inability of the body to cool itself. A. profound tachycardia. C. usually present within the first 10 minutes of ingestion. Certain cases of SIDS are predictable and therefore preventable. 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? Question Type: General Knowledge D. absent urine output. The child is conscious, obviously frightened, and is Question Type: General Knowledge C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her Answer: B Page: 1184. Question Type: General Knowledge D. gather critical data by performing a rapid hands-on assessment of the child. because less air is exchanged with each breath, detection of poor air movement or complete absence of breath sounds in a child can be difficult, appearance, work of breathing, circulation. C. grunting. Study Resources. Page: 1184. 95. A. apply high-flow oxygen via a nonrebreathing mask, perform an in-depth secondary assessment, apply full spinal precautions, and transport. Do you agree? When ventilating a pediatric patient with a bag-mask device, the EMT should: A. Question Type: General Knowledge C. 8 years. C. a law enforcement officer must be present. Page: 1162. Page: 1177. A. normal interactiveness, awareness to time, and pink skin color. A. secure the head before the torso. 49. A Accessory muscle use. D. hypovolemic shock. 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. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. C. 60 D. allowing the child to remain with her mother and applying a nasal cannula. D. nausea and vomiting. Peripheral vasoconstriction is an important autonomic response to cold exposure, which restricts heat transfer from the core to the environment through the skin. D. 5 seconds. Page: 1155, 15. B. moist oral mucosa. Page: 1164. 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. B. he or she has no visible injuries. Pediatric Emergencies, Ch. D. Do you know what substance was ingested? B. ensure that his or her neck is hyperextended. A. observe the chest for rise and fall. A. is a rapid head-to-toe exam to detect life threats. A. tenting. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. C. 90 mm Hg Page: 1165. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: A. sexual activity When a child experiences a blunt injury to the abdomen: he or she can compensate for blood loss better than adults. signs of vasoconstriction in the infant or child include:types of family health services. c. diminished breath sounds. C. you should document your perceptions on the run form. C. monitor the pulse oximeter reading. When you arrive at the scene, the child is A. requesting a paramedic ambulance to insert an advanced airway device. C. Children are more likely to experience diving-related injuries. Page: 1156. Page: 1195. C. Most cases of SIDS occur in infants younger than 6 months. (c) 70C420mmHg70^{\circ} \mathrm{C}_4 20 \mathrm{~mm} \mathrm{Hg}70C420mmHg. 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. C. perform a blind finger sweep. 46. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: When inserting an oropharyngeal airway in an infant or child, you should: depress the tongue with a tongue depressor. A. stridor. Which of the following is NOT a known risk factor of SIDS? The MOST appropriate treatment for this child includes: administering blow-by oxygen and transporting the child with her mother. The mother tells you that the seizure lasted 81. Question Type: Critical Thinking If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head Question Type: General Knowledge Question Type: Critical Thinking Which of the following groups of people is associated with the lowest risk of meningitis? D. buttocks. Vasoconstriction can help or hurt your body, depending on the situation. A. put padding behind his or her head. Page: 1188. 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? A. Page: 1173. 13. Boerrhave's syndrome. A. wheezing. A. place padding under the child's head. B. rhonchi. 6. A. heart rate Answer: B Question Type: General Knowledge Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: B. he or she has no visible injuries. D. place the child in a supine position and perform abdominal thrusts. B. crying and anxiety. The purpose of the pediatric assessment triangle (PAT) is to: allow you to rapidly and visually form a general impression of the child. By 3 months old, your baby may respond to these sounds with excitement. D. assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and C. nasal flaring. 18. Which of the following groups of people is associated with the lowest risk of meningitis? 67. C. administering blow-by oxygen and transporting the child with her mother. D. activity, respiratory quality, and level of consciousness. Page: 1182.
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