C. your assessment will most often reveal bruising to the abdomen. Early signs of respiratory distress in the child include: The MOST accurate method for determining if you are delivering adequate tidal volume to a child during 41. Question Type: General Knowledge Page: 1184, 77. C. Why did your child ingest the poison? When you arrive at the scene, the child is A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the Question Type: General Knowledge When caring for a female child who has possibly been sexually abused, you should: have a female EMT remain with her if possible. Page: 1158. D. decreased LOC. B. C. estimate the child's weight based on appearance. bronchioles. D. hypovolemic shock. D. sunken fontanelles. The EMT should be MOST concerned when a child presents with fever and: D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. Question Type: General Knowledge A. secure the head before the torso. B. separating the child from her mother and providing ventilatory assistance. C. apply high-flow oxygen via a nonrebreathing mask, obtain baseline vital signs, apply full spinal precautions, and perform a secondary assessment. A child may begin to show signs of separation anxiety as early as: 6 months. D. height of the child and the speed at which the car was traveling. Children are less likely than adults to be struck by a car. C. Why did your child ingest the poison? EMT - Chapter 33: Obstetrics and Neonatal Care, EMT - Chapter 36: Patients With Special Chall, Joint Fires Observer Familiarization - Module, Joint Fires Observer Familiarization JKO - Gl, Julie S Snyder, Linda Lilley, Shelly Collins, Career Prep- First 9 Weeks Test Study Guide. B. rhonchi. The normal respiratory rate for a newborn should not exceed ______ breaths/min. D. a supervisor can forbid you from reporting possible abuse. 69. D. head bobbing. albuterol. Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children? C. blood vessels near the skin are constricted. The components of the PAT are: Question Type: General Knowledge They are rarely used in infants younger than 1 year. Answer: B C. severe hypoxia and bradycardia. C. sunken fontanelles. C. a rapid heart rate. A friend tells you that a refrigerator door, beneath its layer of painted plastic, is made of aluminum. 40 When inserting an oropharyngeal airway in an infant or child, you should: A. put padding behind his or her head. A. radial Bruising to the _________ is LEAST suggestive of child abuse. C. insert it until the flange rests on the teeth. Question Type: General Knowledge C. caused by inflammation of the spinal cord. Which of the following statements regarding a 3-month-old infant is correct? Answer: C C. excessive tachycardia. 50 Which of the following findings is LEAST suggestive of child abuse? Page: 1180, 66. C. Most cases of SIDS occur in infants younger than 6 months. Answer: B B. oxygen content in the blood is decreased. D. use a nasal cannula instead of a nonrebreathing mask. 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? Answer: A B. headache and fever. D. hyperglycemia. B. ensure that his or her neck is hyperextended. 13. B) headache and fever. B. females Question Type: General Knowledge A. 6, 12 When administering oxygen to a frightened child, it would be MOST appropriate to: D. immediately report your suspicions to the parents. B. C. has a possible closed fracture of the radius. D. absent urine output. C. Most cervical spine fractures in infants and children occur between the first and second cervical vertebrae. Signs of vasoconstriction in the infant or child include weak distal pulses What is meant by vasoconstriction ? You are dispatched to a local elementary school for an injured child. B. C. palpate the abdomen for rise and fall. A. Page: 1170. Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: C. result in airway swelling. Question Type: General Knowledge 32. Question Type: General Knowledge 2 seconds. B. loss of consciousness C. perform a blind finger sweep. D. epiglottitis. D. swimming pools. C. 60 D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement A. requesting a paramedic ambulance to insert an advanced airway device. C. his or her vital signs are stable. They can usually identify painful areas when questioned. Wheezing. B. crying and anxiety. Effective methods for providing pain relief to a child with an extremity injury include: coughing forcefully. C. may not be possible if the child's condition is critical. A. excessive tearing. Which of the following is NOT a known risk factor of SIDS? When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. D. lower in the abdominal cavity, where the muscles are not as strong. C. severe hypoxia and bradycardia. D. abnormal airway noise. 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 . The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal In most children, febrile seizures are characterized by: In a normal adult, greater than 30% to 40% of blood volume loss significantly increases the risk of shock. He is unresponsive and there are no signs of breathing. You are using JumpSTART in a triage situation involving several children. He is conscious, but his level of activity is decreased. C. exposure to caustic chemicals. B. falls from a height greater than 5. and determine that it is slow and irregular. C. insert it until the flange rests on the teeth. C. perform a hands-on assessment of the ABCs. When you arrive at the scene, the child is conscious, crying, and clinging to her mother. C. perform a hands-on assessment of the ABCs. D. has a history suggestive of a serious illness. D. age-appropriate behavior, good muscle tone, and good eye contact. D. an altered mental status. 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. Stridor. Question Type: General Knowledge A. shins Answer: A Page: 1159. should: A 2-year-old female has experienced a seizure. 4 A. B. 19. B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. Page: 1170. B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more albuterol. Answer: C After your partner stabilizes his head and opens his airway, you assess his breathing partial paralysis. 93. An infant with severe dehydration would be expected to present with: D. wheezing. As you approach the child, you note that he is lying at the base of the monkey bars. Question Type: General Knowledge C. result in airway swelling. 6 months and 6 years. B. retractions. The child is conscious, The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: Answer: B B. wheezing. A. speed at which the car was traveling when impact occurred. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: 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. C. facilitate a rapid head-to-toe assessment of the child by visualization only. Where no specific pediatric dose is given, the implication is that this drug is not commonly used or indicated in that age group. A. older than 8 to 10 years. Before positioning an infant or child's airway, you should: C. a law enforcement officer must be present. B. ensure that the airway is patent and clear of obstructions. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. A. extreme restlessness. signs of vasoconstriction in the infant or child include: A. An increased respiratory rate, particularly with signs of distress (eg, increased respiratory effort including nasal flaring, retractions, seesaw breathing, or grunting) An inadequate respiratory rate, effort, or chest excursion (eg, diminished breath sounds or gasping), especially if mental status is depressed Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: 11. You are dispatched to a residence for a child with respiratory distress. The secondary assessment of a sick or injured child: C. the sudden force against the ribs causes them to fracture. Page: 1185. Answer: C A. appearance, work of breathing, and skin circulation. 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. Answer: D A. place her supine and elevate her legs. Abstract The thermoregulatory threshold for vasoconstriction has been studied in infants and children given isoflurane, but not in those given halothane anesthesia. B. multiple open fractures. C. a rapid heart rate. 99. B. rhonchi. D. give oxygen if the SpO2 is less than 90%. A. mother younger than 20 years A B. slide the device under the child. Late signs of intracranial pressure that comprise Cushing triad include hypertension with a widening pulse pressure, bradycardia, and abnormal respiration. Signs of a severe airway obstruction in an infant or child include: they can usually identify painful areas when questioned. B. complaining of severe back pain. Question Type: General Knowledge 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 The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. Answer: D When assessing or treating an adolescent patient, it is important to remember that: 8. B. use a length-based resuscitation tape measure. 25. toy into his mouth shortly before the episode began. There may be . D. cardiovascular disease. D. lethal cardiac rhythm disturbances. Question Type: General Knowledge Use of a nonrebreathing mask or nasal cannula in a child is appropriate ONLY if: Correct D. altered mental status. Signs of vasoconstriction in the infant or child include: Which of the following statements regarding spinal injuries in pediatric patients is correct? Page: 1168. Children have a larger, rounder occiput compared to adults. 2, 4 C. 60 B. insert an oral airway, hyperventilate him with a bag-mask device, apply full spinal precautions, and C. are usually caused by viral meningitis. Question Type: General Knowledge D. experiencing cardiopulmonary arrest. D. retracting the intercostal muscles. Submersion injuries in the adolescent age group are MOST commonly associated with: b. abnormal breath sounds. C. administering blow-by oxygen and transporting the child with her mother. Page: 1169. 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.

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