Page: 1192. D. there is usually obvious injury to the external chest wall. bronchioles. C. 4 seconds. C. his or her vital signs are stable. Blood pressure is usually not assessed in children younger than _____ years. Bratteby LE (1968) Studies on . A. shins 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 . Which of the following statements regarding pediatric trauma is correct? As you approach the child, you note that he is lying at the base of the monkey bars. A. monitor the child's heart rate. Question Type: General Knowledge Answer: D 49. C. may not be possible if the child's condition is critical. C. 12, 4 A. evidence of alcohol consumption or drug use at the scene Signs of vasoconstriction in the infant or child include: Page: 1158. 46. 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. C. hyperpnea. 3 99. 2, 4 A. grunting. B. mental status, heart rate, and systolic blood pressure. D. delayed capillary refill indicates a state of decompensated shock. 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. D. Do you know what substance was ingested? This is an example of what condition? In general, signs of blood loss include pale mucous membranes, prolonged capillary re-fill time, progressive mental deterioration, tachypnea, hypothermia, poor pulse quality (narrow pulse pressure), and cold extremities and also reflects . Answer: B If complementary foods are not introduced around the age of 6 months, or if they are given inappropriately, an infant's growth may falter. D. assess his or her respiratory effort. D. refusal to drink fluids. D. age-appropriate behavior, good muscle tone, and good eye contact. C. skin condition, respiratory rate, and level of alertness. You should: encourage him to cough, give oxygen as tolerated, and transport. C. perform a blind finger sweep. B. falls from a height greater than 5. A. typically last less than 30 minutes. that he is lying at the base of the monkey bars. Page: 1182. Febrile seizures in a child: EMTs are called for an unresponsive infant. A. secure the head before the torso. When a child experiences a blunt injury to the abdomen: They can usually identify painful areas when questioned. A. perform abdominal thrusts. C. your assessment will most often reveal bruising to the abdomen. B. retracting. a 3-month-old infant can distinguish a parent from a stranger. D. ventilate the child with sharp, quick breaths at the appropriate rate. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. Question Type: General Knowledge C. bronchitis. Which of the following is NOT a known risk factor of SIDS? Question Type: General Knowledge When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ C. immobilized on a long backboard. 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. is decreased. His pulse is slow and bounding. 101. D. gather critical data by performing a rapid hands-on assessment of the child. C. Children have a larger, rounder occiput compared to adults. You should: D. experiencing cardiopulmonary arrest. B. Stridor. Answer: A 3 seconds. D. twisting injuries are more common in children. B. drooling or congestion. 5. When questioning the parent of a child who ingested a poisonous substance, which of the following B. encourage him to cough, give oxygen as tolerated, and transport. Question Type: General Knowledge B. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: Question Type: General Knowledge D. age-appropriate behavior, good muscle tone, and good eye contact. B) headache and fever. 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? A. heart rate 18. B. B. low birth weight A. newborns Referring to Figure 9.5, state what phase(s) is (are) present at An infant with severe dehydration would be expected to present with: B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more Research the incidence of skin cancer in different parts of the world. This acute mediastinitis from esophageal rupture. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if 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. nausea and vomiting, Answer: D Answer: C D. epiglottitis. When you arrive, you determine that the infant is apneic and pulseless. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are: A. irritability of the left ventricle. D. activity, respiratory quality, and level of consciousness. They are rarely used in infants younger than 1 year. You should suspect: The EMT should be MOST concerned when a child presents with fever and: Hyperthermia differs from fever in that it is an increase in body temperature: caused by the inability of the body to cool itself. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. B. place a towel or folded sheet behind the shoulders. A blood pressure of 140/90 mmHg indicates high blood pressure . Children are less likely than adults to be struck by a car. B. This . C. belly breathing. B. Correct Response A) sunken fontanelles. Page: 1175. C. femoral B. weak distal pulses. When you arrive at the scene, the child is conscious, crying, and clinging to her mother. An 8-year-old female with a history of asthma continues to experience severe respiratory distress despite being given multiple doses of her prescribed albuterol by her mother. Do you agree? D. popliteal, Answer: C B. past medical history 81. B. ensure that his or her neck is hyperextended. Answer: C D. he or she even has a minor injury. Which of the following statements regarding spinal injuries in pediatric patients is correct? Question Type: General Knowledge A. any superficial or partial-thickness burn that involves the legs or arms. A 2-year-old female has experienced a seizure. B. SIDS is most commonly the result of an overwhelming infection. B. his or her tidal volume is adequate. B. headache and fever. Question Type: General Knowledge When administering oxygen to a frightened child, it would be MOST appropriate to: place oxygen tubing through a hole in a paper cup. He is responsive to painful stimuli only and has a large hematoma to the back of his head. D. Blanching of the nares after insertion indicates correct placement. D. immediately report your suspicions to the parents. 85. 50 B. awareness to place, pink and dry skin, and consistent eye contact. Page: 1160. Answer: D C. monitor the pulse oximeter reading. A 3-month-old infant can distinguish a parent from a stranger. D) Retractions are less obvious in children owing to their noncompliant rib cages. Answer: D Children have a larger, rounder occiput compared to adults. D. use a nasal cannula instead of a nonrebreathing mask. Answer: B Question Type: General Knowledge B. thoroughly suction his or her airway. 41. 80. A. history from an adolescent patient? 104. Answer: B A. normal interactiveness, awareness to time, and pink skin color. C. skin that is cool and dry. A 4-year-old, 16-kg female ingested an unknown quantity of liquid drain cleaner. Question Type: General Knowledge Page: 1170. Wheezing. b. abnormal breath sounds. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? D. a generalized rash with intense itching. Signs of a severe airway obstruction in an infant or child include: C. change in bladder habits Most trials have used dexamethasone at 0.6 mg/kg (intramuscular or oral), but oral . 4 years. Signs of a severe airway obstruction in an infant or child include: D. 35%, Answer: C C. severe dehydration. 3 months and 4 years. C. immobilized on a long backboard. Answer: D Answer: C 51. You should: attempt cooling measures, offer O2, transport. The child is conscious, You are dispatched to a local elementary school for an injured child. Page: 1162-1163. C. may not be possible if the child's condition is critical. Answer: D Present your findings in a written or oral report. history from an adolescent patient? C. face A. he or she can compensate for blood loss better than adults. He is conscious, but his level of activity is decreased. You are dispatched to a residence for a child with respiratory distress. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? A. requesting a paramedic ambulance to insert an advanced airway device. A. A. a conscious 4-year-old male with adequate tidal volume When you arrive at the scene, the child is conscious, crying, Peripheral vasoconstriction is more dependent on core than on skin temperature (cf. D. Blanching of the nares after insertion indicates correct placement. Answer: A B. obtain a SAMPLE history from the parents. Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: 5. putting a baby to sleep on his or her back. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. A. D. become obstructed by mucus. D. 5 seconds. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. Answer: C Page: 1183. Page: 1185. C. electrolyte imbalances. 35. C. 90 mm Hg 20. Answer: A C. ensure that he or she uses a neonatal device for children younger than 12 months. A. estimate the child's weight based on age. C. spaced further apart, which causes them to shift following trauma. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: 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. Page: 1165. C. excessive tachycardia. The secondary assessment of a sick or injured child: C. 8 years. D. retracting the intercostal muscles. Compensatory mechanisms that improve stroke volume include increased venous smooth muscle tone (improves preload by shunting blood to the D. acute respiratory distress. A. put padding behind his or her head. You are using JumpSTART in a triage situation involving several children. B. meningitis. A. place padding under the child's head. Page: 1162, 30. The mother tells you that the seizure lasted D. accessory muscle use. A. stridor. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: C. place the child in cold water to attempt to reduce her fever. The signs and symptoms of poisoning in children: The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. C. insert a nasopharyngeal or oropharyngeal airway adjunct. C. pad underneath the child's head. A. vary widely, depending on the child's age and weight. D. hyperglycemia. due to compensatory vasoconstriction and constriction. A. begin immediate rescue breathing. pain control management is essential. B. fear or anxiety. When a child faints, the blood supply and the oxygen that blood brings to the brain is temporarily reduced. C. caused by inflammation of the spinal cord. A 2-month-old infant was found unresponsive in his crib by his mother. 45. Common causes of seizures in children include all of the following, EXCEPT: Page: 1168. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: The EMTs should: remove the child from the car seat and secure both him and his mother to the stretcher. transport to the closest trauma center. By 3 months old, your baby may respond to these sounds with excitement. Page: 1155. C. stimulate the vagus nerve. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. c. diminished breath sounds. 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: D B. ensure that the airway is patent and clear of obstructions. D. he or she is breathing inadequately. Signs of severe dehydration in an infant include all of the following, EXCEPT: C. a cough that resembles the bark of a seal. A. hot items on a stovetop. partial paralysis. Before positioning an infant or child's airway, you should: An infant of this age is also developmentally ready for other foods. B. meningitis. C. bulging fontanelles. As a 1-month-old, babies start to know familiar sounds and may show it by turning the head. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? D. an unexplained delay in seeking medical care after the injury, Answer: C Question Type: General Knowledge D. use a nasal cannula instead of a nonrebreathing mask. C. carefully examine the genitalia for signs of injury. The mother tells you that the seizure lasted approximately 5 minutes. C. rule out an injury to the spinal cord. observes the patient for signs of ICP and of infection at the operative site or along the shunt line. B. back C. retractions. C. has a possible closed fracture of the radius. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? Which of the following groups of people is associated with the lowest risk of meningitis? B. low birth weight With which age group should you talk to the child, not just the parent, while taking the medical history? A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the D. open his airway and look in his mouth. A. place bulky padding behind his or her occiput. D. mild respiratory distress. When ventilating a pediatric patient with a bag-mask device, the EMT should: Answer: B B. crying and anxiety. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: 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 A. carefully look into his mouth and remove the object if you see it. B. size of the child and the height of the bumper upon impact. C. deliver a series of five back blows and then reassess his condition. B. tightly secure the oxygen mask straps to the face. Page: 1168. B. partial-thickness burns covering more than 20% of the body surface. When a child experiences a blunt injury to the abdomen: 6 years. Question Type: General Knowledge B. encourage him to cough, give oxygen as tolerated, and transport. C. Why did your child ingest the poison? The mother tells you that the seizure lasted approximately 5 minutes. Answer: B Question Type: General Knowledge Page: 1155 13. C. perform a head tilt-chin lift maneuver. A. a complete airway obstruction. A. Answer: C D. suspect that the child has meningitis and transport at once. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: A. headache and fever. Page: 1193-1194, 97. They are rarely used in infants younger than 1 year. Question Type: General Knowledge The child is conscious, obviously frightened, and is The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal coughing forcefully. C. their bones bend more easily than an adult's. D. activity, respiratory quality, and level of consciousness. Have you noticed any signs or symptoms? 6 months and 6 years. 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 D. sunken fontanelles. children have a larger, rounder occiput compared to adults. D. 18, 6. bag-mask ventilations is to: C. 25 g The normal respiratory rate for a newborn should not exceed ______ breaths/min. B) Children are belly breathers because they rely heavily on their diaphragms. Question Type: General Knowledge B. allow you to rapidly and visually form a general impression of the child. Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? C. 4 seconds. D. heat compresses and lowering the injured extremity. The MOST appropriate treatment for this child includes: administering blow-by oxygen and transporting the child with her mother. After your partner stabilizes his head and opens his airway, you assess his breathing Answer: B B. tachypnea. You should: Question Type: General Knowledge 70. Which of the following is NOT a known risk factor of SIDS? A. high fever. Death caused by shaken baby syndrome is usually the result of: C. 60 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} The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. What is the purpose of a forward declaration of a class? You are dispatched to a local elementary school for an injured child. B. slide the device under the child. D. result in a soft-tissue injury. Question Type: General Knowledge All of the following are normal findings in an infant or child, EXCEPT: A. the car seat is visibly damaged. 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? She is receiving high-flow oxygen level of activity is decreased. C. conclude that the child is stable. B. hyperglycemia. A. spinal cord injury 82. C. 5 is tachypneic, has sternal retractions, and is clinging to her mother. Correct D. altered mental status. B. the flexible ribs can be compressed without breaking. A. encourage the child to urinate and take a shower. C. an ineffective cough. Answer: A Answer: B A. cherry-red spots or a purplish rash. A. block the pop-off valve if needed to achieve adequate chest rise. C. administering blow-by oxygen and transporting the child with her mother. 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. B. past medical history . D. is most appropriate when your transport time is short. blood pressure The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: A. grunting. 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? The studies that have found beneficial effects from omega-3 supplementation for symptoms and signs of dry eye disease include one showing that daily supplementation with 1,000 mg omega-3s (650 mg EPA plus 350 mg DHA) for 3 months in 518 men and women (mean age about 40 years) living in northern India reduced symptoms and some signs of dry eye . B. have a female EMT remain with her if possible. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her Question Type: General Knowledge A. His skin is pale and cold and his arms are stiff. D. bradycardia. CHLOROPROCAINE HCI CHLOROPROCAINE HYDROCHLORIDE 10 mg/mL HF Acquisition Co LLC, DBA HealthFirst HF Acquisition Co LLC, DBA HealthFirst Which of the following is NOT a known risk factor of SIDS? Question Type: General Knowledge of the head. 47. Pale skin in a child indicates that the: B. observe the child's skin color. B. encourage him to cough, give oxygen as tolerated, and transport. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. Answer: C Answer: B 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. falls from a height greater than 5. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. Vasoconstriction can help or hurt your body, depending on the situation. D. there is usually obvious injury to the external chest wall. B. internal blood loss. C. Why did your child ingest the poison? Which of the following statements regarding spinal injuries in pediatric patients is correct? D. ask a relative if he or she knows the child's weight.
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