fisdap OBPEDS Flashcards by nha bui

A 2 year old female is lethargic to respond. She has dry mucous membranes and a tearless cry. What should you suspect?

Hypoxia
hypoglycemia
hypovolemia
hypothermia
Dehydration
hypovolemia

hypovolemia

How well did you know this?

Not at all

Perfectly

You have just delivered a baby girl who remains cyanotic and is not responding to stimulation and oxygen therapy. Heart rate is 90. You should

Attempt suctioning and contact medical control
Perform chest compressions at 15:2
Continue to provide stimulation by flicking the soles of her feet
Begin positive pressure ventilations

Begin positive pressure ventilations

How well did you know this?

Not at all

Perfectly

A 6 month old is febrile, cyanotic, and grunting with labored breathing. You should?

Assist ventilations via bvm
sponge the infant with tepid water
apply blow by 02 and trans
perform a rapid medical assessment

apply blow by 02 and trans

How well did you know this?

Not at all

Perfectly

Before assessing the respiratory adequacy of an unconscious infant or child, you should

Routinely suction the mouth to remove oral secretions
Insert and OPA or an NPA
Ensure that his or her head is in a hyperextended position
Ensure the airway is patent and clear of obstructions

Ensure the airway is patent and clear of obstructions

How well did you know this?

Not at all

Perfectly

Febrile seizures in children are most often the result of a/an

Abrupt rise in body temp
life threatening infection
Temp greater than 100 Fahrenheit
inflammatory process

Abrupt rise in body temp

How well did you know this?

Not at all

Perfectly

A 4 year old patient has sustained blunt trauma to the chest. Based on the MOI you should suspect

Good chest rise with no diaphragmatic breathing
Minimal external signs with serious internal injury
Multi rib fractures due to fragile bone structure
Dark ecchymosis around the umbilical area

Minimal external signs with serious internal injury

How well did you know this?

Not at all

Perfectly

A mother has just delivered a newborn with central cyanosis. The newborns vitals are P 82, R 30. You should?

Initiate active warming
begin positive pressure ventilations
administer blow by O2
suction the airway and stimulate

begin positive pressure ventilations

How well did you know this?

Not at all

Perfectly

A 37 year old female in the later stages of pregnancy has been experiencing abdominal pain and vomiting for the last two days. She responds to verbal stimulus. Vital signs are BP 100/70, P 116 R 24, skin cool and dry, How should you position her?

In Fowler’s position on the stretcher
Semi Fowlers with knees bent
Left lateral recumbent with knees bent
Supine with a pillow under her knees

Left lateral recumbent with knees bent

How well did you know this?

Not at all

Perfectly

What is the proper way to size an OPA for a child?

Tip of the nose to the corner of the mouth
corner of mouth to the angle of the mandible
the length of the index finger of the child
middle of the mouth to the ear lobe

corner of mouth to the angle of the mandible

How well did you know this?

Not at all

Perfectly

A 6 year old is shy and withdrawn. He has multiple contusions in various stages of healing. His mother states “he fell on the playground.” What should you suspect?

Sexual abuse
Emotional abuse
Neglect
Physical abuse

Physical abuse

How well did you know this?

Not at all

Perfectly

Where should you apply pressure to access for uterine contractions?

Left and right upper quadrants
abdomen below the navel
abdomen above the navel
left and right flank

abdomen below the navel

How well did you know this?

Not at all

Perfectly

A 14 year old jumped off a 4 foot wall, landing on her feet. She is complaining of tingling below waist, lower back pain, and cramping in both feet. Vital signs are BP 106/74, P 112, and R 20. You should

Immobilize to a long spine board
Transport in a position of comfort
Apply bilateral soft splints to lower extremities
Coach her to slow her breathing

Immobilize to a long spine board

How well did you know this?

Not at all

Perfectly

Which of the following indicates decompensated shock in a pediatric patient?

Shallow breathing
rapid heart rate
pale cool and diaphoretic
loss of consciousness

loss of consciousness

How well did you know this?

Not at all

Perfectly

A 3 year old is unresponsive and apneic on the floor of a restaurant. He was choking, turned blue, and collapsed. What should you do?

Begin chest compressions
Perform a blind finger sweep
Give 5 abdominal thrusts
Give 5 back blows

Begin chest compressions

How well did you know this?

Not at all

Perfectly

In centimeters what is the correct depth of chest compressions for a 7 year old child?

1.5
6
5
2

How well did you know this?

Not at all

Perfectly

What is the proper method for suctioning a newborn’s airway with a bulb syringe?

Squeeze after placing the bulb syringe in the nose
Squeeze before placing the bulb syringe in the nose
Squeeze after placing the bulb syringe in the mouth
Squeeze before placing the bulb syringe in the mouth

Squeeze before placing the bulb syringe in the mouth

How well did you know this?

Not at all

Perfectly

A 3 year old drank some drain cleaner. It would be most helpful to?

Administer activated charcoal
transport immediately
administer glucagon
induce vomiting

transport immediately

How well did you know this?

Not at all

Perfectly

A cord is wrapped around a baby’s neck during childbirth. This is called

Neck cord
Nuchal cord
Circumferential cord
Prolapsed cord

Nuchal cord

How well did you know this?

Not at all

Perfectly

Scald injuries to a child’s lower extremity can be indicative of?

Abuse
radiant heat
accidents
chemicals

Abuse

How well did you know this?

Not at all

Perfectly

You have assisted a mother in delivering a premature newborn. Assessment after 5 minutes shows newborn has central cyanosis and heart rate of 90. What should you do?

Begin chest compressions
Continue to dry and warm the newborn
Administer oxygen via blow-by
Provide ventilatory assistance

Provide ventilatory assistance

How well did you know this?

Not at all

Perfectly

You are treating a 3 month old, apneic patient with a pulse of 110. In preparing to ventilate this infant, you should?

Institute 2 min of CPR and then ventilate
place a small towel under their shoulders
open the airway with an OPA and bag every 6 seconds
attach the AED and wait instructions

place a small towel under their shoulders

How well did you know this?

Not at all

Perfectly

Normal response for a healthy 9 month old infant.

Gaze follows parents
pays no attention to you when entering
ribs clearly visible upon inspiration
extremities feel cool to the touch

Gaze follows parents

How well did you know this?

Not at all

Perfectly

2 year old is restless, irritable, and febrile with a distinct cough. The parent states that the child is calmer in a steam shower. You should suspect?

Influenza
bronchitis
croup
epiglottis

croup

How well did you know this?

Not at all

Perfectly

13 month old lying supine in crib, crying. Fever of 104.5, rash on body and some spots are purple. You should?

Transport
put on surgical mask
open airway
apply high-flow oxygen

put on surgical mask

How well did you know this?

Not at all

Perfectly

20 year old female is pregnant for the first time with twins. What is she considered? Gravida I| Gravidarum primigravida

primigravida

Initiate CPR on infant if heart rate is less than?

Neonatal 2 week old female is dyspneic and lethargic to respond. Vitals are P 58, R 4 and irregular. What should you be concerned about? Altered mental status cerebral hypoxia respiratory acidosis cardiac arrest

cardiac arrest

During assessment of a crying infant, you discover a sunken fontanelle. Your next question should be? Birth defects fallen recently how many wet diapers has the baby produced

how many wet diapers has the baby produced

When assessing distal circulatory function in a 3 year old, a reliable indicator is? Pulse ox BP Cap refill Skin temp

Cap refill

Your neighbor has asked you to check on her 2 month old baby. The baby is sleeping and vitals are P 130, R 40, and he continues to sleep even when you try to wake him up. What should you do? Call for EMS tell your neighbor that he is sleeping soundly check on the baby again in a few hours recommend that your neighbor call the pediatrician

Call for EMS

4 year old is having trouble breathing. He is drooling and sitting forward in a chair with his mouth wide open. He has a 103.2 temp. you should suspect? Epiglottitis croup hyperthermia asthma attack

Epiglottitis

3 year old child involved in a motor vehicle collision needs to be secured on an adult backboard. You should? Secure the feet first, then the torso secure the head first, then the torso place padding under the child's head place padding under the child's torso

place padding under the child's torso

When inserting an OPA in a child you should? Hold the tongue in position Use tongue depressor

Hold the tongue in position

Pediatric airways differ from adult airways in that Trachea is more rigid child's tongue takes up less space oral airways devices cannot be used on children all structures are smaller and can be more easily obstructed

all structures are smaller and can be more easily obstructed

10 year old patient was injured while skating, upon assessment you note a visible deformity of the forearm. The fingers are pale and cool without a palpable pulse. You should apply? A rigid splint gentle manual traction a cold pack and rapid transport significant traction until pulse returns

gentle manual traction

7 year old presents with a pencil in his left cheek, you should? Remove the pencil stabilize the pencil check for airway patency control bleeding

check for airway patency

37 week pregnant woman with tearing abdominal pain and weak, vitals are 90/60, 140, and 26 with pale, cool, diaphoretic skin, you should suspect? Supine hypotensive syndrome imminent delivery abruptio placentae placenta previa

abruptio placentae

Which may indicate that a fetus was in distress before delivery?

meconium

A 2 year old child presents with a fever, lethargy, and screaming upon neck flexion. You should suspect? Meningitis Influenza febrile seizure ear infection

Meningitis

A conscious child has a significant airway obstruction due to an illness. You should? Insert OPA examine the upper airway for white spots place the child in a supine position give o2 and transport immediately

give o2 and transport immediately

With pediatric patient, your assessment should begin? At first sight after you intro yourself after parents consent at first contact

At first sight

A child is postictal. You should? Note length of seizure administer blow by o2 ensure open airway protect patient from injury

ensure open airway

Shortly after delivery, a mother experiences dyspnea and becomes hypotensive. No excessive bleeding is noted and the uterus seems firm. You should suspect? Abruptio placenta pulmonary embolism post delivery trauma uterine rupture

pulmonary embolism

Compared to adults in shock, pediatric patients? Stay in compensated shock longer do not require treatment as quickly are less likely to become hypovolemic become hypertensive sooner

Stay in compensated shock longer

Pre- eclampsia becomes eclampsia when A seizure occurs constant hyperten occurs systolic above 170 third trimester begins

A seizure occurs

38 year old female reports left sided abdominal pain that radiates to the back. Vitals are 90/64, 118, 20. You should suspect? Pelvic inflammatory disease kidney stones a ruptured ectopic emergency cholecystitis

a ruptured ectopic emergency

33 year old female was in a motor vehicle collision. She is 36 weeks pregnant. First responders have removed the patient from the vehicle and immobilized her and they cannot obtain a blood pressure. You should? Load and go to the nearest trauma center tilt the backboard to the left immediately loosen the backboard straps as soon as possible apply oxygen and call for helicopter transport

tilt the backboard to the left immediately

5 year old is actively seizing, his respirations are slow and skin is pale. His parents say he had seized several times in the last 15 minutes without waking up. You should suspect that the? Seizure is about to end and you should wait to treat him child will become postictal and will regain consciousness child is in status epilepticus and medication is required child is in diabetic ketoacidosis and medication is required

child is in status epilepticus and medication is required

Nausea, vomiting, vaginal discharge, irregular periods and abdominal pain are signs and symptoms of? Pelvic inflammatory disease ruptured ectopic pregnancy endometriosis cystitis

Pelvic inflammatory disease

What effect can excessive traction have on the umbilical cord during placental delivery? Uterine rupture umbilical bleeding abruptio placenta

abruptio placenta

The cessation of menses with associated decrease of estrogen secretion is called? Menopause menarche myometrium mitted schmerz

Menopause

24 year old female in her second trimester of pregnancy presents with mild contractions. There is no regular pattern to the contractions, and they have not increased in intensity since they began. She denies vaginal bleeding or any other symptoms. This patient is most likely experiencing? Braxton Hicks contractions premature labor a placenta previa a threatened abortion

Braxton Hicks contractions

A 20 year old female feels faint and has severe pain between her shoulder blades. Her skin is cool and clammy. Vital signs are BP 82/48, P 134, R 22, and SPO2 92%. What should you suspect? Sexual transmitted infection spontaneous abortion pelvic inflammatory disease rupture ectopic pregnancy

rupture ectopic pregnancy

A woman is 36 weeks pregnant and complaining of painless vaginal bleeding. The most likely cause is? Abruptio placenta placenta previa spontaneous abortion bloody show

placenta previa

A 4 year old male is sitting upright and drooling. He has swallowed a marble that is completely blocking his airway. What should you do? Start chest compressions perform abdominal thrusts provide back blows suction the airway

perform abdominal thrusts

To relieve pressure on the vena cava when transporting a pregnant patient, you should? Place on left side place in recovery raise the patient's legs place in semi fowler's

Place on left side

A maternal condition that occurs when the placenta separates from the uterine wall and is a cause of pre birth bleeding is? Abruptio placenta uterine rupture placenta previa ectopic pregnancy

Abruptio placenta

32 week pregnant female complaining of facial swelling, headache, vomiting, and experiencing visual disturbances last 12 hours. You should suspect? Gestational diabetes eclampsia severe migraine pre eclampsia

pre eclampsia

35 week pregnant woman. Following scenarios most life threatening? Hypertension and experiencing visual disturbances fever and pain on urination sharp lower abdominal pains contracts with mucous discharge

Hypertension and experiencing visual disturbances

One sign of respiratory distress in a neonate? Grunting increased activity barrel chest tachycardia

Grunting

Assess on infant. Which artery should you take for pulse? Brachial radial carotid femoral

Brachial

50 year old fell from her bicycle after hitting a bump in the road. She is now bleeding from her vagina. You should Gently pack the vagina with sterile dressing transport the patient with legs elevated transport patient in the left lateral recumbent apply external sterile bulky dressing

apply external sterile bulky dressing

If a patient presents vaginal bleeding within the first 20 weeks of pregnancy you should suspect? Abruptio placentae ruptured uterus placenta previa Spontaneous abortion

Spontaneous abortion

Placenta previa occurs when the placenta.. Separates from the uterus is abnormally positioned separates from umbilical cord disrupted

is abnormally positioned

Assisting a home birth and baby's head just delivered. You should? Examine for nuchal guide and rotate turn face up and suction

Examine for nuchal

Alert & oriented 4 year old patient has possible head injury from a fall. Vitals are P 120, R 18. How should you transport? Fully immobilize with towel under his scapulae fully immobilize in Trendelenburg position secure child's safety seat to the stretcher allow the patient to sit on his mother's lap

Fully immobilize with towel under his scapulae

Painless bright red vaginal bleeding late in the third trimester. You should suspect? Placenta previa abruptio placentae ectopic pregnancy spontaneous abortion

Placenta previa

Signs or symptoms of a pre delivery emergency? Hypertension Back pain crowning gush of amniotic fluid

Hypertension

24 year old woman presents with vaginal bleeding following sexual assault, controlling bleeding would best be done by Packing a vaginal canal with gauze apply direct pressure placing a dressing @ the vaginal opening bending the patient's legs upward

placing a dressing @ the vaginal opening

A patient is in labor and has a strong urge to push. The baby's head is not yet visible, but the umbilical cord is protruding, you should? Clamp the cord in 2 places and cut between them place her in knee-chest position and transport cover the cord with a dry sterile dressing encourage her to bear down and push

place her in knee-chest position and transport

A pale 2 year old male turns his face away and hides when you approach. Vital signs are P 150 R 32 with audible wheezing what should you be most concerned about? Heart rate skin color respiratory rate breath sounds

skin color

Which signs and symptoms most suggest pre eclampsia? Hypertension and excessive water retention inability to sleep supine and acid reflux hypoglycemia and swollen extremities polyuria and postural hypotension

Hypertension and excessive water retention

The period of time during which intrauterine fetal development occurs is called? Gravidity gestation parity primi gravity

gestation

You are assisting a vaginal delivery and the mom is crowning. The infant's head suddenly disappears and the mother begins to complain of sharp, intense, constant abdominal pain. You should suspect? Placenta previa multiple births uterine rupture transition to phase III of delivery

uterine rupture

2 year old patient has a respiratory rate of 30 breaths per minute. This is considered? Too fast inadequate normal too slow

normal

fisdap OBPEDS Flashcards

(75 cards)