TEST 2 Flashcards

1
Q

What regarding infant’s vital signs is correct?

A

An infant’s HR generally ranges between 70 and 110 BPM

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2
Q

An infant’s BP typically increases with age because

A

BP directly corresponds to body weight

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3
Q

You are dispatched to a call for a 4-month old infant with respiratory distress. While you prepare to take care of the child, you must remember that

A

small infants are nose breathers and require clear nasal passages at all times

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4
Q

Infants are often referred to as “belly breathers” because

A

their rib cage is less rigid and the ribs sit horizontally

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5
Q

Anatomic difference between children and adults?

A

An infant’s tongue is proportionately larger than an adults

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6
Q

An infant or small child’s airway can be occluded if it is overextended or overflexed because

A

The occiput is proportionately large and the trachea is flexible

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7
Q

Describe the Moro reflex

A

The neonate opens his or her arms wide, spreads his or her fingers, and seems to grasp at something after being startled

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8
Q

The anterior fontanelle fuses together between the ages of

A

9 and 18 months

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9
Q

You are assessing a 13-month-old female who is running and has been vomiting. While you are performing your PE on the child, you will most likely find that she

A

responds to her name but is fearful of your presence

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10
Q

What are noticeable characteristics of a 9-month-old infant?

A

places objects in the mouth, pulls themselves up

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11
Q

In contrast to secure attachment, anxious-avoidant attachment occurs when a child

A

shows little emotional response to a parent or caregiver following repeated rejection

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12
Q

At what age does separation anxiety typically peak in infants and small children?

A

10-18 months

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13
Q

An infant or small toddler would most likely gain trust in an individual who

A

provides an organized, routine environment

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14
Q

What regarding toddlers and preschoolers is correct

A

toddlers and preschoolers commonly experience upper respiratory infections because of a loss of passive immunity

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15
Q

The pulse rate of a child from ages 6-12 is approximately

A

70-120 BPM

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16
Q

In preconventional reasoning, children

A

act almost purely to avoid punishment and to get what they want

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17
Q

Which of the following is a physical change that typically occurs in the adolescent age group?

A

Secondary sexual development begins

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18
Q

A 16-year-old female c/o vaginal bleeding and abdominal cramping that began several hours ago. During your assessment interview, you should

A

inquire about the possibility of pregnancy in private; if possible

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19
Q

Statement regarding psychosocial development in the adolescent age group

A

Antisocial behavior and peer pressure peak around 14 to 16 years of age

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20
Q

The human body should be functioning at its optimal level between the ages of

A

19 and 25 years

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21
Q

The low normal systolic blood pressure for a 30 y/o is

A

90

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22
Q

Physical changes that typically occur in early adults include an

A

increase in fatty tissue which leads to weight gain

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23
Q

The average pulse rate between 19 and 60 y/o is typically

A

70 BPM

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24
Q

Correct statement regarding middle adults

A

Cardiovascular health becomes an issue in this age group, as does the greater incidence of cancer

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25
Q

Why do middle adults commonly experience financial concerns?

A

They are preparing for retirement but must still manage everyday financial demands

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26
Q

At present the average life expectancy is ___ and the max life expectancy is ___

A

78, 120

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27
Q

Not a common factor that would effect a 75 y/o’s vitals

A

increased weight

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28
Q

The decline in cardiac function that commonly occurs in late adulthood is most often related to

A

atherosclerosis

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29
Q

When assessing and treating injured patients in their 70’s and 80’s you must recall that

A

their ability to physiologically compensate for their injury may be impaired due to an inability to increase cardiac output

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30
Q

With increasing age, the heart must work harder to move the blood effectively because

A

the blood vessels become stiff

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31
Q

When assessing an 80 y/o patient in shock it is important to remember that

A

age-related changes in the cardiovascular system may make the pt less able to compensate for decreased perfusion

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32
Q

Breathing is often more labor intensive in order adults because

A

elasticity of the lungs decreased

33
Q

Factors that contribute to a decline in the vital capacity of an elderly patient does not include

A

increased surface area available for air exchange

34
Q

In late adults, the amount of air left in the lungs after expiration of the maximum amount of air

A

increases, which hampers diffusion of gases because of stagnant air that remains in the alveoli

35
Q

Why does the incidence of diabetes mellitus increase with age?

A

decreased physical activity, increased weight gain, and decreased insulin production

36
Q

Age-related changes in the renal system result in

A

a decreased ability to clear wastes from the body and a decreased ability to conserve fluids when needed

37
Q

Age-related changes in the nervous system

A

Interconnections between brain cells often prevent a loss of knowledge or skill, despite a loss of neurons

38
Q

The risk of bleeding in the skull, which increases which age, is MOST directly related to

A

shrinkage of the brain

39
Q

When communicating with an older patient it is important to remember that

A

age-related changes diminish the effectiveness of the eyes and ears

40
Q

According to the terminal drop hypothesis

A

mental function is presumed to decline in the 5 years preceding death

41
Q

first number on BP

A

systolic BP - amount of pressure in your arteries during the contraction of your heart muscle

42
Q

If you have fluid collecting around the heart what kind of shock will it be

A

Obstructive shock

43
Q

The bile that your liver produces is stored where

A

gallbladder (small pouch connected to the bile ducts that are connected to the liver)

44
Q

Brain is connected to the spinal cord through

A

Foramen magnum (great opening)

45
Q

Urine goes from the kidney to the bladder through

A

Ureter via peristalsis

46
Q

What happens when the body loses blood

A

body becomes cold - BP decreases - HR increases - hypovolemic shock

47
Q

System responsible for releasing hormones

A

Endocrine system - made up of glands that produce hormones, chemical substances produced in the body that regulate the activity of cells or organs

48
Q

What is the normal BP for 30 y/o

A

over 120/80 and under 140/90

49
Q

Describe a toddler

A

1-3 y/o
Pulse 90-150
20-30 breaths per minute

50
Q

What is the average pulse rate for an early adult

A

70 BPM

51
Q

Important to remember when trying to communicate with an elderly adult

A

Talk slow and clear, patience. Loud, but not yelling

52
Q

Where can you check central pulses?

A

Carotid, femoral

53
Q

What is the name of the tissue that connects the bones?

A

ligaments - a band of fibrous tissue that connects bones; also supports and strengthens a joint

54
Q

What are descending vertebrae and how many are in each?

A
Cervical - 7
Thoracic - 12
Lumbar - 5
Sacral vertebrae (sacrum) - 5
Coccygeal vertebrae (coccyx) - 4
TOTAL OF 33 VERTEBRAE
55
Q

Ventilation

A

simple movement of air between the lungs and the environment - requires chest rise/fall

56
Q

Respiration

A

process of gas exchange - gets O2 to cells and removes the waste product CO2 - helps control PH of blood

57
Q

Diffusion

A

A process in which molecules move from an area with high concentration (the air) to low concentration (the bloodstream)

58
Q

Hypoxic drive

A

a “backup system” to control respiration; senses drops in the O2 level in the blood. When the O2 levels fall this system will stimulate breathing

59
Q

Stroke Volume (SV)

A

the amount of blood moved in 1 beat

60
Q

Cardiac output

A

the amount of blood moved in 1 minute
Cardiac output = HR x SV
this is to know how much blood is being pumped to the body for its needs

61
Q

HR

A

number of heartbeats during 1 minute

62
Q

What is the main artery leaving the back left side of the heart? It carries fresh oxygenated blood to the body

A

Aorta

63
Q

What is the part of the brain that is involved in attention, sleep, and arousal (reaction)? It is located in the midbrain and it keeps you awake

A

Reticular activating system

64
Q

What part of the brain connects to the spinal cord and controls the cardiac and respiratory function? This also regulates consciousness

A

Brain Stem

65
Q

What part of the brain regulates consciousness? It also regulates muscle tone and posture

A

midbrain

66
Q

What are nerve fibers in the brain that assist with sleep, respiration, and the respiratory system?

A

Pons

67
Q

What are nerve tissues that assist in heart rate, BP, and respiratory rate?

A

Medulla oblongata

68
Q

What is the area of the brain responsible for all voluntary activities of the body?

A

Cerebrum

69
Q

What are the 4 lobes of the brain?

A

Frontal, parietal, occipital, temporal

70
Q

Temporal lobe

A

located at temples

job is interpreting sounds

71
Q

Occipital lobe

A

back of brain

vision

72
Q

Parietal lobe

A

top of head

sensory and perception

73
Q

Frontal lobe

A

front of head

voluntary muscles

74
Q

What is the cerebellum?

A

the little brain in charge of body movements like writing, speech, posture, balance, and coordination - largest part of brain

75
Q

What is cerebrospinal fluid?

A

fluid in the space around the brain and spinal cord that acts as a shock absorber that protects the CNS; filters out impurities and toxins

76
Q

What is the spinal cord?

A

An extension of the brain stem; made up of never fibers that transmit info from the brain - nerves cross at the beck which is why left side of body/right brain and right side of body/left brain

77
Q

What is the peripheral nervous system?

A

The portion of the nervous system that is outside the brain and the spinal cord
Made up of cranial nerves and peripheral nerves

78
Q

What are the 3 main parts of the brain?

A

Brain step, cerebrum and cerebellum

79
Q

What does the brain stem control?

A

breathing BP swelling and pupil constriction