Death caused by shaken baby syndrome is usually the result of: Page: 1170. D. fracture of the cervical spine. Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. A. mild dehydration. C. femoral As you approach the child, you note Nesacaine CHLOROPROCAINE HYDROCHLORIDE 10 mg/mL General Injectables D. absent urine output. A. Question Type: Critical Thinking C. facilitate a rapid head-to-toe assessment of the child by visualization only. A. place oxygen tubing through a hole in a paper cup. D. a supervisor can forbid you from reporting possible abuse. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if You should: Before positioning an infant or child's airway, you should: When assessing an infant's ventilation status, you should: All of the following are normal findings in an infant or child, EXCEPT: Drawing in of the muscles between the ribs or of the sternum during inspiration is called: A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or C. conclude that the child is stable. 54. B. C. skin that is cool and dry. Answer: A The mother tells you that the seizure lasted approximately 5 minutes. Submersion injuries in the adolescent age group are MOST commonly associated with: Page: 1166, 39. Answer: B Question Type: General Knowledge Page: 1155 13. Accueil > ; Non class; signs of vasoconstriction in the infant or child include: signs of vasoconstriction in the infant or child include: 1 March 2022 A 4-year-old female ingested an unknown quantity of liquid drain cleaner. When inserting an oropharyngeal airway in an infant or child, you should: Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? hospital. A. typically last less than 30 minutes. 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. Question Type: Critical Thinking D. experiencing cardiopulmonary arrest. A. routinely suction the mouth to remove oral secretions. C. rule out an injury to the spinal cord. D. give detailed updates to the infant's parents. B. tightly secure the oxygen mask straps to the face. A normal level of consciousness in an infant or child is characterized by: age-appropriate behavior, good muscle tone, good eye contact. Question Type: General Knowledge A. infection. Question Type: General Knowledge via a nonrebreathing mask. Answer: C A. a cardiac arrhythmia. 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 . an unresponsive 5yearold male with shallow respirations. D. hyperglycemia. When administering oxygen to a frightened child, it would be MOST appropriate to: 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. is a rapid head-to-toe exam to detect life threats. 55. Answer: B Chapter 34 Quiz Flashcards by Ryan Clark | Brainscape When a child experiences a blunt injury to the abdomen: Kho St Cng Trnh Ngm kent, wa police news today. C. a rapid heart rate. B. more vascular despite the fact that they are proportionately smaller. A. a conscious 4-year-old male with adequate tidal volume Her skin is hot and moist. Her skin is pink and dry, and her heart rate is 120 beats/min. The first month of life after birth is referred to as the: 2. 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 that the airway is patent and clear of obstructions. C. palpate the abdomen for rise and fall. 102. A 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 This acute mediastinitis from esophageal rupture. D. The cause of death following SIDS can be established by autopsy. Page: 1158. A. alcohol. C. a cough that resembles the bark of a seal. C. skin condition C. his or her respirations are shallow. 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. D. nausea and vomiting. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: A normal level of consciousness in an infant or child is characterized by: A. mother younger than 20 years Because of a child's proportionately large head, they are more prone to spinal cord injuries than adults. Hyperthermia differs from fever in that it is an increase in body temperature: The normal respiratory rate for a newborn should not exceed ______ breaths/min. Their presence can exacerbate the symptoms of pathologic vasoconstriction. Which of the following statements regarding a pediatric patient's anatomy is correct? C. carefully examine the genitalia for signs of injury. C. his or her vital signs are stable. D. a headache. Answer: D A. cherry-red spots or a purplish rash. Page: 1180, 65. Respiratory acidosis occurs when the arterial partial pressure of carbon dioxide (P a CO 2) is elevated above the normal range (>44 mmHg) leading to a blood pH lower than 7.35. B. respiratory or circulatory failure. D. secure the torso before the head. A. tenting. albuterol. B. slowed level of activity. D. has a history suggestive of a serious illness. Question Type: General Knowledge A. proportionately larger and situated more anteriorly. D. use a nasal cannula instead of a nonrebreathing mask. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. A. 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. Thermoregulatory thresholds for vasoconstriction in pediatric - PubMed D. Do you know what substance was ingested? Her skin is hot and moist. A. Question Type: General Knowledge A 2-year-old female has experienced a seizure. 6 years. A. stridor. Findings from the r espiratory system include apnea, cyanosis, grunt- B. he or she has no visible injuries. children are more likely to experience diving-related injuries. When assessing an infant's ventilation status, you should: All of the following are normal findings in an infant or child, EXCEPT: Drawing in of the muscles between the ribs or of the sternum during inspiration is called: A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or A. pallor. D. children with shunts. A. vary widely, depending on the child's age and weight. You are dispatched to a local elementary school for an injured child. Study Resources. following questions would be of LEAST pertinence? D. sunken fontanelles. C. a rapid heart rate. Correct D. altered mental status. He is complaining of pain when he tries to turn his head. Correct Response A) sunken fontanelles. D. hyperextend the neck to ensure adequate alignment. Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: Which of the following statements regarding preschool-age children is correct? An infant with severe dehydration would be expected to present with: Which of the following is MORE common in children than in adults following a head injury? B. he or she has no visible injuries. Question Type: General Knowledge b. abnormal breath sounds. The mother tells you that the seizure lasted approximately 5 minutes. 5% B. hyperglycemia. 91. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. Bratteby LE (1968) Studies on . . Stridor. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: The normal respiratory rate for a newborn should not exceed ______ breaths/min. Question Type: General Knowledge What time did the ingestion occur? Question Type: General Knowledge Question Type: General Knowledge Question Type: General Knowledge Cardiogenic shock | ACLS-Algorithms.com 18. 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 . 6 months and 6 years. 56. Question Type: General Knowledge B. julia child recipes chicken. B. past medical history The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. C. 5 B. cause the child to vomit. Answer: C Blood flow is delayed or halted as blood vessels close. B. a rash. What is the purpose of a forward declaration of a class? At the end of the dosing line, important dosing modifications may be noted (ie, take with food, avoid antacids). B. a responsive 6-year-old male who responds appropriately A. of more than 2F to 3F per hour. The secondary assessment of a sick or injured child: C. administering blow-by oxygen and transporting the child with her mother. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? D. age-appropriate behavior, good muscle tone, and good eye contact. 27. B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and B. allow you to rapidly and visually form a general impression of the child. Page: 1155. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in partial paralysis. Page: 1185. C. caused by inflammation of the spinal cord. A. encourage the child to urinate and take a shower. Hauth J, Moore T. The 2008 National Institute of Child Health and Human Development workshop . A. cyanosis. D. there is usually obvious injury to the external chest wall. B. use a length-based resuscitation tape measure. A. The MOST common cause of dehydration in pediatric patients is: and determine that it is slow and irregular. Answer: B toy into his mouth shortly before the episode began. 10. Effective methods for providing pain relief to a child with an extremity injury include: 16. Answer: A When a child is struck by a car, the area of greatest injury depends MOSTLY on the: 104. C. usually present within the first 10 minutes of ingestion. The narrowing (constriction) of blood arteries by tiny muscles in their walls is known as vasoconstriction. Her skin is pink and dry, and her heart Page: 1162. Submersion injuries in the adolescent age group are MOST commonly associated with: Chapter 32 Flashcards | Chegg.com Question Type: Critical Thinking Page: 1160. A. begin immediate rescue breathing. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. The signs and symptoms of poisoning in children: D. 35%, Answer: C 6 months and 6 years. A. bleeding in the brain. A. stridor. B. a low-grade fever and tachycardia. D. a semiconscious 7-year-old female with normal ventilation, C. an unresponsive 5-year-old male with shallow respirations. 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. She is conscious, but clearly restless. B. his or her blood pressure falls with as little as 5% blood loss. C. change in bladder habits The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal Before assessing the respiratory adequacy of an semiconscious infant or child, you must: posterior fontanelle is typically closed by _____ months of age. A. evaluate the child's baseline vital signs. A. speed at which the car was traveling when impact occurred. Vasoconstriction - an overview | ScienceDirect Topics Which of the following represents a low normal systolic blood pressure for a 6-year-old child? A. radial 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. 73. D. refusal to drink fluids. A. croup. D. he or she is breathing inadequately. C) A child's chest wall has proportionately more subcutaneous fat on the chest. Answer: C Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. Page: 1159. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of inhalation by: 13. D. popliteal. Answer: C B. attempt cooling measures, offer oxygen, and transport. B. The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-mask ventilations is to: B. the flexible ribs can be compressed without breaking. A. wheezing. B. weak distal pulses. Before assessing the respiratory adequacy of an semiconscious infant or child, you must: Which of the following statements regarding the use of nasopharyngeal airways in children is Page: 1168. C. usually present within the first 10 minutes of ingestion. 33. Question Type: General Knowledge D. popliteal, Answer: C A. child is in severe decompensated shock. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: A. hot items on a stovetop. C. monitor the pulse oximeter reading. A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: She is receiving high-flow oxygen via a nonrebreathing mask. C. severe dehydration. 3 seconds. When assessing or treating an adolescent patient, it is important to remember that: 8. Bacterial infection is a life-threatening complication that sometimes necessitates shunt removal. Question Type: General Knowledge D. has a history suggestive of a serious illness. d. an absence of breath sounds. Cardiac arrest in the pediatric population is MOST commonly the result of: 82 mm Hg Peripheral vasoconstriction is more dependent on core than on skin temperature (cf. Study Resources. Answer: D Vasoconstriction: Causes, Symptoms & Treatment - All Health Post Greenstick fractures occur in infants and children because: their bones bend more easily than an adult's. level of activity is decreased. PDF Red Cell Volume Measurements and Acute Blood Loss in High-Risk Newborn C. administering blow-by oxygen and transporting the child with her mother. Question Type: Critical Thinking When assessing an 8-year-old child, you should: B. talk to the child, not just the caregiver. You should: You should: Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Hypothermia Meaning, Symptoms, Temperature, Treatment & Causes The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. B. scalding water in a bathtub. B) Children are belly breathers because they rely heavily on their diaphragms. B. oxygen content in the blood is decreased. Answer: D Early signs of respiratory distress in the pediatric patient include all of the following, EXCEPT: C. assuming a tripod position. D. place him or her on a firm surface. A. child abuse. Children are less likely than adults to be struck by a car. 3 blood pressure The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: Page: 1160. D. 98 mm Hg. You should: D. he or she even has a minor injury. B. monitor her airway and give oxygen. When immobilizing an injured child in a pediatric immobilization device, you should: When you arrive at the scene, the child is conscious, crying, and clinging to her mother. When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or ________ pulse. A. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the A. monitor the child's heart rate. 84. C. crying or combativeness, good muscle tone, and awareness to time. A. child abuse. Answer: B D. buttocks. Febrile seizures are MOST common in children between: The common symptoms of vasoconstriction are as follows: High blood pressure Dilated pupils Cramps Headache Changes in the skin color Imbalance Numbness Tingling in toes and fingers Impaired muscle control Muscle paralysis Slurred speech Vision problems Causes of Vasoconstriction Febrile seizures are MOST common in children between the ages of: Which of the following statements regarding a 3-month-old infant is correct? D. acute respiratory distress. B. cause the child to vomit. D. swimming pools. C. determine why the ingestion occurred. B. burns to the hands or feet that involve a glove distribution Pale skin in a child indicates that the: Answer: D 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. Your assessment reveals that she What is the threshold of blood volume loss in children? B. slide the device under the child. A. C. excessive tachycardia. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: severe hypoxia and bradycardia. These highlights do not include all the information needed to use C. vomiting and diarrhea. 17. He is unresponsive and there are no signs of breathing. 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 . His pulse is slow and bounding. 82. 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. 4 C. palpate the abdomen for rise and fall. You should: 32 Flashcards | Chegg.com B. stabilize his head and check for a pulse. D. entrapment in a structural fire. B. secondary to a severe bacterial infection. C. Children have a larger, rounder occiput compared to adults. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of Chapter 34 Flashcards | Quizlet 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. C. 60 A. perform abdominal thrusts. D. nausea and vomiting, Answer: D 100. There are no obvious signs of trauma to the child, and the car seat does not appear to be damaged. B. encourage him to cough, give oxygen as tolerated, and transport. A. evidence of alcohol consumption or drug use at the scene Page: 1164, 36. C. place the child in cold water to attempt to reduce her fever. A. bleeding in the brain. C. are usually caused by viral meningitis. Answer: A You are dispatched to a local elementary school for an injured child. Submersion injuries in the adolescent age group are MOST commonly associated with: Which of the following statements regarding pediatric trauma is correct? Which of the following inquiries should you make in private when obtaining a SAMPLE A. block the pop-off valve if needed to achieve adequate chest rise. Infants have relatively fixed stroke volumes and are particularly dependent upon heart rate to increase cardiac output. recent ear infection. A. an oral airway has been inserted. B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. She is receiving high-flow oxygen via a nonrebreathing mask. Which of the following statements regarding a pediatric patient's anatomy is correct? A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: C. perform a blind finger sweep. 6, 12 The child is conscious, obviously frightened, and is D. brisk capillary refill. Page: 1170. C. deliver a series of five back blows and then reassess his condition. pulse. Question Type: General Knowledge You should: All of the following are normal findings in an infant or child, EXCEPT: A child may begin to show signs of separation anxiety as early as: 6 months. D. capillary refill. A. allow the mother to drive her daughter to the hospital. Page: 1195, 98. Which of the following is NOT a known risk factor of SIDS? Answer: B B. bradycardia. A. A. discourage the family from observing. A normal level of consciousness in an infant or child is characterized by: age-appropriate behavior, good muscle tone, and good eye contact. C. a congenital cardiovascular defect. A common cause of shock in an infant is: Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: A. intercostal muscles are not well developed. 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). Answer: C Pediatric Emergencies, Ch. Common causes of seizures in children include all of the following, EXCEPT: Which of the following is NOT a known risk factor of SIDS? B. D. assess the child's heart rate and skin condition. A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. Which of the following is NOT a known risk factor of SIDS? Arch Dis Child 25(123): 242-253. C. a rapid heart rate. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: EMT Chapter 34 - Pediatric Emergencies Quiz, EMT-B Chapter 34 - Pediatric Emergencies (Mul, AAOS EMT Eleventh Edition Chapter 34 Pediatri, EMT: Chapter 33 [obstetrics & neonatal care], EMT: Chapter 32 [environmental emergencies], Julie S Snyder, Linda Lilley, Shelly Collins, Stanwick Managerial Accounting T/F & MC for E, Captulo 23: Aparato reproductor femenino. The child is conscious and appears alert. D. age-appropriate behavior, good muscle tone, and good eye contact. The suture of the anterior fontanelle is typically closed by _____ months of age, and the suture of the A. shins When interventions are not provided to prevent hypothermia, the infant exhibits irritability, excessive motor activity, tachycardia, bradycardia, respiratory distress, cyanosis, skin mottling, or. Cardiac arrest in the pediatric population is MOST commonly the result of: 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. Children are more likely to experience diving-related injuries. D. become obstructed by mucus. When you stimulate the child, she responds. A. any superficial or partial-thickness burn that involves the legs or arms. He is responsive to painful stimuli only and has a large hematoma to the back of his head. 2 seconds. Page: 1186. Page: 1169. wreck in west monroe, la today. 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. D. depress the tongue with a tongue depressor. Ch. 34 - Pediatric Emergencies Flashcards | Quizlet Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. Answer: C C. his or her respirations are shallow. Question Type: General Knowledge they are: B. use a length-based resuscitation tape measure. Chapter 34 Pediatric Emergencies - Free Essay Examples Database A child who has no recent history of illness suddenly appears cyanotic and cannot speak after signs of vasoconstriction in the infant or child include weak distal pulses which of the following statement regarding spinal injuries in pediatric patients is correct? D. 10 years. PDF Physiology and classification of shock in children 20 g D. cardiovascular disease. A. pink, dry skin. Page: 1170. Answer: D What immediate effects does alcohol have on the body? D. suspect that the child has meningitis and transport at once. D. 18, 6. A 4-year-old female ingested an unknown quantity of liquid drain cleaner. C. Children are more likely to experience diving-related injuries. C. blood vessels near the skin are constricted. Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of 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. a cardiac arrhythmia. A. warm, dry skin. Question Type: General Knowledge 29. Using the discussion earlier, answer the questions below: b. B. allow the family to observe if they wish. Chapter 34: Pediatric Emergencies Flashcards | Quizlet Question Type: General Knowledge Question Type: General Knowledge C. perform a blind finger sweep. B. a stiff or painful neck. B. internal blood loss. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. When assessing an 8-year-old child, you should: 7. This is an example of what condition? b. abnormal breath sounds. Answer: D D. duration of symptoms. C. spaced further apart, which causes them to shift following trauma. 82 mm Hg 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. C. face 53. B. dehydration from vomiting and diarrhea. 70. C. your assessment will most often reveal bruising to the abdomen. 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? A. child abuse must be reported only if it can be proven. When you arrive at the scene, the child is signs of vasoconstriction in the infant or child include: The presence of those signs indicates very late signs of brain stem dysfunction and that cerebral blood flow has been significantly inhibited. B. ensure that his or her neck is hyperextended. B. moist oral mucosa. He is responsive to painful stimuli only and has a large hematoma to D. may indicate a serious underlying illness. Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? C. They are usually not well tolerated in children with a gag reflex. The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: B. Question Type: General Knowledge 14. When a child experiences a blunt injury to the abdomen: he or she can compensate for blood loss better than adults, without signs of shock developing, partial-thickness burns covering more than 20% of the BSA. B. a sudden ventricular arrhythmia. His skin is pale and cold and his arms are stiff. D. Inexperience and poor judgment are rare causes of pediatric trauma.