Ch. 35 Flashcards
(20 cards)
A normal level of consciousness in an infant or child is characterized by:
-Crying or combativeness, good muscle tone, and awareness to time
-Awareness to place, pink, and dry skin, and consistent eye contact
-Age-appropriate behavior, good muscle tome, and good eye contact
-Normal interactiveness, awareness to time, and pink skin color
Age-appropriate behavior, good muscle tome, and good eye contact
An infant with severe dehydration wild be expected to present with:
-Bulging fontanelles
-Moist oral mucosa
-Excessive tearing
-Absent urine output
Absent urine output
Febrile seizures are most common in child between:
-3 months and 4 years
-8 months and 8 years
-18 months and 10 years
-6 months and 6 years
6 months and 6 years
Signs of an upper airway obstruction in an infant or child include all of the following, except:
-Wheezing
-A weak cough
-Stridorous breathing
-A cough that resembles the bark of a seal
Wheezing
Submersion injuries in the adolescent age group are most commonly associated with:
-Alcohol
-Child abuse
-Hyperthermia
-Swimming pools
Alcohol
The first month of life after birth is referred to as the:
-Start of infancy
-Neonatal period
-Toddler period
-Premature phase
Neonatal period
When a child experiences a blunt chest injury:
-The flexible ribs can be compressed without breaking
-The sudden force against the ribs cause them to fracture
-There is usually obvious injury to the external chest wall
-The flexible rib cage protects the vital thoracic organs
The flexible ribs can be compressed without breaking
When assessing an 8-year-old child, you should:
-Talk to the child, not just the caregiver
-Use a toe-to-head assessment approach
-Rely solely on the parent for information
-Refrain from taking a blood pressure
Talk to the child, not just the caregiver
Which of the following is true regarding the legal implications of child abuse?
-A supervisor can forbid an EMT from reporting possible abuse
-Child abuse must be reported only if if can be proven
-EMTs must report all suspected cases of child abuse
-EMTs should document their perceptions on the run form
EMTs must report all suspected cases of child abuse
Which of the following statements regarding a 3-month-old infant is correct?
-The infant should be aroused easily from a sleeping state
-At this age, the infant typically sleeps for up to 8 hours a day
-The infant is unable to turn his or her head and focus
-A 3-month-old infant can distinguish a parent from a stranger
A 3-month-old infant can distinguish a parent from a stranger
How does pediatric anatomy differ from adult anatomy?
-The trachea is more rigid
-The tongue is proportionately smaller
-The epiglottis is less floppy
-The head is proportionately larger
The head is proportionately larger
When a small child falls from a significant height, the _____ most often strikes the ground first.
-Head
-Back
-Feet
-Side
head
When assessing a conscious and alert 9-year-old child, you should:
-Isolate the child from his or her parent
-Allow the child to answer your questions
-Obtain all of your information from the patient
-Avoid placing yourself below the child’s eye level
Allow the child to answer your questions
The purpose of a shunt is to:
-Minimize pressure within the skull
-Reroute blood away from the lungs
-instill food directly into the stomach
-Drain excess fluid from the peritoneum
Minimize pressure within the skull
Which of the following statements regarding febrile seizures is correct?
-Febrile seizures usually indicate a serious underlying condition, such as meningitis
-Most febrile seizures occur in children between the ages of 2 months and 2 years of age
-Febrile seizures are rarely associated with tonic-clonic activity, but last for more than 15 minutes
-Febrile seizures usually last less than 15 minutes and often do not have a postitcal phase
Febrile seizures usually last less than 15 minutes and often do not have a postitcal phase
You respond to a sick child late at night. The child appears very ill, has a high fever, and is drooling. He is sitting in a tripod position, struggling to breathe. You should suspect:
-Croup
-Pneumonia
-Epiglottitis
-Sever asthma
Epiglottitis
Treatment for a semiconscious child who swallowed an unknown quantity of pills includes:
-Administering 1 g/kg of activated charcoal and rapidly transporting
-Monitoring the child for vomiting, administering oxygen, and transporting
-Positioning the child on his left side, elevating his legs 6 inches, and transporting
-Contacting medical control and requesting permission to induce vomitting
Monitoring the child for vomiting, administering oxygen, and transporting
When using the mnemonic CHILD ABUSE to assess a child for signs of abuse, you should recall that the “D” stands for:
-Delay in seeking care
-Divorced parents
-Dirt appearance
-Disorganized speech
Delay in seeking care
A 4-year-old girl fell from a second-story balcony and landed on her head. She is unresponsive; has slow, irregular breathing; has a large hematoma to the top of her head; and is bleeding from her nose. You should:
-Immediately perform a full-body scan to detect other injuries, administer high-flow oxygen, and transport at one
-Apply a pediatric-sized cervical collar, administer high-flow oxygen via pediatric nonrebreathing mask, and prepare for immediate transport
-Manually stabilize her head, open her airway with the jaw-thrust maneuver, insert an airway adjunct, and begin assisting her ventilations with a bag-valve mask
-Suction her airway for up to 10 seconds, insert a nasopharyngeal airway, apply a pediatric-sized cervical collar, and administer oxygen via pediatric nonrebreathing mask
Manually stabilize her head, open her airway with the jaw-thrust maneuver, insert an airway adjunct, and begin assisting her ventilations with a bag-valve mask
The AVPU scale is used to monitor a patient’s level of consciousness. What does the “P” stand for?
-Pallor
-Pediatric
-Painful
-Pale
Painful
