Answer: A D. duration of symptoms. Question Type: General Knowledge C. Children are more likely to experience diving-related injuries. 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. More importantly, the effect of vasoconstriction on central temperature in pediatric patients remains unknown. B. have a female EMT remain with her if possible. You should: C. crying or combativeness, good muscle tone, and awareness to time. D. has a history suggestive of a serious illness. B. headache and fever. A. a conscious 4-year-old male with adequate tidal volume C. an ineffective cough. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. 86. All of the following are normal findings in an infant or child, EXCEPT: 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. There are no obvious signs of trauma to the child, and the car seat does not appear to be damaged. Which of the following statements regarding pediatric trauma is correct? C. hypothermia and an irregular pulse. Question Type: General Knowledge Page: 1170. A 2-year-old female has experienced a seizure. C. 12, 4 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. D. 18 months and 10 years. Question Type: General Knowledge D. gather critical data by performing a rapid hands-on assessment of the child. Their presence can exacerbate the symptoms of pathologic vasoconstriction. C. perform a head tilt-chin lift maneuver. After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within: He is responsive to painful stimuli only and has a large hematoma to D. 5 seconds. C. 25% B. retracting. C. bulging fontanelles. C. determine why the ingestion occurred. As you approach the child, you note D. 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. begin immediate rescue breathing. 88 mm Hg D. an unexplained delay in seeking medical care after the injury, Answer: C B. Which of the following groups of people is associated with the lowest risk of meningitis? A. hot items on a stovetop. 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 . prepare for immediate transport to a trauma center. Identify similarities and differences in the types of skin cancer. Question Type: General Knowledge B. allow the family to observe if they wish. Greenstick fractures occur in infants and children because: 51. 2, 4 Answer: C 88 mm Hg Blood pressure is usually not assessed in children younger than _____ years. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. D. head bobbing. B. awareness to place, pink and dry skin, and consistent eye contact. B. meningitis. Question Type: General Knowledge C. severe hypoxia and bradycardia. The instrument that measures the velocity of a vibrating body is called a(n) _______. Boerrhave's syndrome. 94. A. shins A. child abuse must be reported only if it can be proven. Children have a larger, rounder occiput compared to adults. imagine kit homes reviews nz; . D. child's core body temperature is elevated. they are rarely used in infants younger than 1 y.a. Common causes of seizures in children include all of the following, EXCEPT: C. administering blow-by oxygen and transporting the child with her mother. Arch Dis Child 25(123): 242-253. Question Type: General Knowledge Blood pressure is usually not assessed in children younger than _____ years. Answer: A Question Type: General Knowledge She is conscious, but clearly restless. 49. You should: When assessing an infant's ventilation status, you should: B. not rule out compensated shock. A. B. slowed level of activity. following questions would be of LEAST pertinence? A. quiet breathing. Bruising to the _________ is LEAST suggestive of child abuse. Which of the following groups of people is associated with the lowest risk of meningitis? B. attempt cooling measures, offer oxygen, and transport. due to compensatory vasoconstriction and constriction. B. tachypnea. His skin is pale and cold and his arms are stiff. Question Type: General Knowledge C. second-degree burns covering more than 10% of the body surface. B. child abuse. 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 that the airway is patent and clear of obstructions. When a child is struck by a car, the area of greatest injury depends MOSTLY on the: B. use a length-based resuscitation tape measure. C. vomiting and diarrhea. Question Type: Critical Thinking Pale skin in a child indicates that the: Question Type: General Knowledge B. bradycardia. C. a congenital cardiovascular defect. The EMT should be MOST concerned when a child presents with fever and: Page: 1165. As you approach the child, you note that he is lying at the base of the monkey bars. The patient, an 18-month-old female, They can usually identify painful areas when questioned. When you arrive at the scene, the child is D. place him or her on a firm surface. When ventilating a pediatric patient with a bag-mask device, the EMT should: 88. When ventilating a pediatric patient with a bag-mask device, the EMT should: block the pop-off valve if needed to achieve adequate chest rise. B. carotid The infant's mother tells you that he has not had a soiled diaper in over 12 hours. Question Type: General Knowledge D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement D. acute hypoxia and tachycardia. Where no specific pediatric dose is given, the implication is that this drug is not commonly used or indicated in that age group. A. a conscious 4-year-old male with adequate tidal volume B. he or she has no visible injuries. Padding underneath the torso when immobilizing an injured child is generally not necessary if he or she is: B. the flexible ribs can be compressed without breaking. D. 18 months and 10 years. Question Type: General Knowledge Question Type: General Knowledge C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her B. A. proportionately larger and situated more anteriorly. 80. C) a stiff or painful neck. A. extreme restlessness. 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} When a child experiences a blunt injury to the abdomen: Page: 1187. B. positioning, ice packs, and emotional support. A. child abuse. A. encourage the child to urinate and take a shower. A. croup. 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 34. Answer: C D. a headache. This . C. insert it until the flange rests on the teeth. They are rarely used in infants younger than 1 year. A. is experiencing mild to moderate pain. Question Type: General Knowledge may indicate a serious underlying illness. 95. C. electrolyte imbalances. D. depress the tongue with a tongue depressor. B. should be performed, regardless of the circumstances. A. monitor the child's heart rate. D. mild respiratory distress. It happens when smooth muscles in blood vessel walls tighten. B) headache and fever. A. proportionately larger and situated more anteriorly. B. EMTs must report all suspected cases of child abuse. Immediate transport is indicated for a child when he or she: A. begin immediate rescue breathing. D. dry mucous membranes. You are dispatched to a local elementary school for an injured child. He is unresponsive and there are no signs of breathing. She is receiving high-flow oxygen via a nonrebreathing mask. B. awareness to place, pink and dry skin, and consistent eye contact. 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 When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. Page: 1155. B) Children are belly breathers because they rely heavily on their diaphragms. When administering oxygen to a frightened child, it would be MOST appropriate to: place oxygen tubing through a hole in a paper cup. 40 A. observe the chest for rise and fall. is tachypneic, has sternal retractions, and is clinging to her mother. Before positioning an infant or child's airway, you should: Answer: B An infant with severe dehydration would be expected to present with: C. insert a nasopharyngeal or oropharyngeal airway adjunct. Page: 1176, 57. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after D. open his airway and look in his mouth. C. seizures and hypoxia B. respiratory or circulatory failure. B. internal blood loss. 56. C. altered mental status. Children with N meningitides would MOST likely present with: 6, 12 Use the following terms to create a concept map: atoms, average atomic mass, molecules, mole, percentage composition, and molar masses. b. abnormal breath sounds. A. infection. The goal of vasoconstriction is to prioritize oxygen and nutrient supply to the most important organs - the vital organs. C. Most cases of SIDS occur in infants younger than 6 months. D. stridorous breathing. B. their bones are more brittle than an adult's. A. A. determine if the child's vital signs are within the age-appropriate limits. determining the presence of shock in infants and children? C. face Page: 1173. A. Signs of vasoconstriction in the infant or child include weak distal pulses What is meant by vasoconstriction ? A. a blank stare, a duration of between 15 and 30 minutes, and a prolonged postictal phase. transport to the closest trauma center. Write a test program that displays m(i) for i = 1, 2, . The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if: 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. B. secondary to a severe bacterial infection. 9. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: D. The cause of death following SIDS can be established by autopsy. C. 60 In a normal adult, greater than 30% to 40% of blood volume loss significantly increases the risk of shock. Page: 1193. A. an oral airway has been inserted. D. give oxygen and transport at once. You should: attempt cooling measures, offer O2, transport. A. bleeding in the brain. C. electrolyte imbalances. C. perform a hands-on assessment of the ABCs. B. retractions. Cardiac arrest in the pediatric population is MOST commonly the result of: Submersion injuries in the adolescent age group are MOST commonly associated with: D. delayed capillary refill indicates a state of decompensated shock. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? A. evaluate the child's baseline vital signs. A. cyanosis. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: D. assess his or her respiratory effort. D. 5 seconds. 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? C. Children have a larger, rounder occiput compared to adults. A. pallor. C. facilitate a rapid head-to-toe assessment of the child by visualization only. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because A. stridor. D. twisting injuries are more common in children. Stridor. Compression of the cord results in vasoconstriction and resultant fetal hypoxia, which can lead to fetal death or disability if not rapidly diagnosed and managed. Answer: C Answer: B 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? Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. A. tenting. Question Type: General Knowledge Hauth J, Moore T. The 2008 National Institute of Child Health and Human Development workshop . A mixture of sperm and fluids is called _____. history from an adolescent patient? B. his or her blood pressure falls with as little as 5% blood loss. The MOST accurate method for determining if you are delivering adequate tidal volume to a child during Which of the following statements regarding preschool-age children is correct? Answer: C D. hypovolemic shock. Question Type: General Knowledge via a nonrebreathing mask. Nursing Care of a Family With a High-Risk New. Answer: C When you stimulate the child, she responds. 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. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: 11. You should: B. burns to the hands or feet that involve a glove distribution B. rule out hypoxia if cyanosis is absent. His mother states that she saw him put a small toy into his mouth shortly before the episode began. The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-mask ventilations is to: Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. Question Type: General Knowledge A. estimate the child's weight based on age. An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based product because it may: A. carefully look into his mouth and remove the object if you see it. B. Answer: D Bruising to the _________ is LEAST suggestive of child abuse. Question Type: General Knowledge A. vary widely, depending on the child's age and weight. Question Type: General Knowledge Question Type: General Knowledge C. belly breathing. C. 12, 4 A. determine if the child's vital signs are within the age-appropriate limits. D. sunken fontanelles. C. insert a nasopharyngeal or oropharyngeal airway adjunct. Page: 1176. 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? C. skin that is cool and dry. 78. Question Type: General Knowledge During the attempted resuscitation of an infant with suspected SIDS: A. The first month of life after birth is referred to as the: 2. B. fear or anxiety. The signs and symptoms of poisoning in children: Page: 1184. obviously frightened, and is coughing forcefully. C. geriatrics C. putting a baby to sleep on his or her back D. has a history suggestive of a serious illness. Signs of a severe airway obstruction in an infant or child include: an ineffective cough Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? Page: 1177. D. become obstructed by mucus. Signs of vasoconstriction in the infant or child include: When questioning the parent of a child who ingested a poisonous substance, which of the C. has a possible closed fracture of the radius. You are dispatched to a residence for a child with respiratory distress. 70. B. slowed level of activity. 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. A. extreme restlessness. posterior fontanelle is typically closed by _____ months of age. A. secure the head before the torso. The purpose of the pediatric assessment triangle (PAT) is to: Which of the following statements regarding the use of nasopharyngeal airways in children is A. block the pop-off valve if needed to achieve adequate chest rise. When assessing an infant's ventilation status, you should: 21. A. He is unresponsive and there are no signs of breathing. A. child is in severe decompensated shock. Question Type: General Knowledge Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. B. SIDS is most commonly the result of an overwhelming infection. D. give 12.5 to 25 g of activated charcoal. Question Type: General Knowledge rate is 120 beats/min. A. a complete airway obstruction. A. 12.5 g A. excessive tearing. A. evaluate the child's baseline vital signs. C. his or her vital signs are stable. Which of the following represents a low normal systolic blood pressure for a 6-year-old child? C. grunting. D. lethal cardiac rhythm disturbances. A. assume the child is hypertensive. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if 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 The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. Answer: D D. assess the child's heart rate and skin condition. B. are more obvious than in the adult population. C. have a parent restrain the child as you give oxygen. 2, 4 B. ensure that his or her neck is hyperextended. of the head. You should: signs of vasoconstriction in the infant or child include:types of family health services. B. As the heart beats to push blood through these narrowed vessels, the increased pressure and resistance can dislodge a plaque, allowing it to travel through the bloodstream. D. he or she is breathing inadequately. A C. stimulate the vagus nerve. D. Do you know what substance was ingested? Signs and symptoms are usually intermittent and mild; however, very rare sequelae include digital ulceration and/or soft tissue breakdown. Question Type: General Knowledge Submersion injuries in the adolescent age group are MOST commonly associated with: C. estimate the child's weight based on appearance. A. A child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement of the head. D. epiglottitis. You should: be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. 50 A. heart rate B. crying and anxiety. D. They can usually identify painful areas when questioned. An 8-year-old female with a history of asthma continues to experience severe respiratory distress despite Question Type: General Knowledge What time did the ingestion occur? B. blood pressure Answer: B 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. Page: 1175. C. retractions. D. give detailed updates to the infant's parents. Page: 1182. 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. D. accessory muscle use. D. observe the chest for adequate rise. Correct D. altered mental status. A 3-month-old infant can distinguish a parent from a stranger. Which of the following statements regarding spinal injuries in pediatric patients is correct? B. encourage him to cough, give oxygen as tolerated, and transport. When a child experiences a blunt chest injury: 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. Answer: C A. croup. A. depress the gag reflex. A. alcohol. C. 5 D. mild respiratory distress. C. severe infection. Page: 1180. C. his or her respirations are shallow. When immobilizing an injured child in a pediatric immobilization device, you should: Which of the following statements regarding the use of nasopharyngeal airways in children is correct? Question Type: Critical Thinking The components of the PAT are: C. 5 Children with N meningitides would MOST likely present with: B. moist oral mucosa. Page: 1162. Answer: B Question Type: General Knowledge Page: 1155 13.