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Terms in this set (53)
Which of the statements about shock in pediatric patients is TRUE ?
Children compensate for shock for a long time , then crash quickly
A pediatric patient has extensive burn injuries. Rescuers have applied a wet but sterile burn sheet. You know that this is likely to:
Increase the risk of hypothermia
Which is typically helpful in assessing a pediatric patient?
Communicate with the patient at eye level
Adolescent patients will NOT likely cooperate if you:
Speak down to them
Which is typically helpful in assessing a younger pediatric patient ?
Let the parent hold the child when possible
A bulging fontanelle can be sign of
Which statement regarding the trachea in pediatric patients is TRUE ?
It's narrower than in adults
Rough handling or agitation of a pediatric patient with epiglottis could lead to:
Complete airway obstruction
A retraction relates to:
Work of breathing
In order for the pediatric patient's to be calm, you should:
Also be calm
Your pediatric patient accidentally ingested a medication that causes widespread vasodilation. This increases the patient's risk of:
Which statements about butn management in pediatric patients is TRUE ?
Moist dressings should be used with caution
Which age group is most heavily influenced by their peers & what their peers think?
A nasopharyngeal airway should be
About the thickness of a patient's little finger
Which is NOT a legitimate assessment technique for a pediatric patient?
Shake the child to assess alertness
When you're assessing a child's appearance in the Pediatric Assessment Triangle, which is observed when assessing the patient's tone?
Because pediatric patients are abdominal breathers:
Evaluating their breathing is different than evaluating an adult
Which of the following signs of shock is useful in pediatric patients but not in adults?
Your EMS system requires EMTS to report suspected child abuse. Which statements about reporting suspected abuse is TRUE?
Be careful to qualify statements of your suspicion with words such as "suspected" & "possible"
The parents of a child who's in an artificial ventilator call EMS for help when the ventilator begins to malfunction. Your primary care to this patient will NOT include:
Restarting the machine
For a pediatric patient run over by a car, you'd LEAST expect:
Obvious external damage to the chest and abdomen
You've arrived on the scene of a child with reported difficulty breathing. The patient is a four yr old male who's sitting on the floor, putting together a puzzle with his mom. One of the FIRST things you notice is that the child is grunting with each expiration. This finding :
Which statements about injuries to pediatric patients is TRUE ?
Most injuries to children are caused by blunt trauma
To conserve your pediatric patients body heat, you should:
Cover the patient's head & torso
Which respiratory rate ranges is normal for a child between 1 & 3 yrs of age ?
20-30 breaths per minute
The "from the doorway" impression of the child that's part of pediatric assessment triangle relies primarily on:
Because infants and small children rely more heavily on the diaphragm for breathing, respiratory distress can be detected by observing which one of the signs that's not prominent in adults?
Movement of the abdomen with respiratory effort
Which is the tendency for a frightened child to act younger than his age?
You're assessing a 2 yr old child whose mother states she has had a fever for several hours. Which signs is cause for concern?
Grunting at the end of expiration
Which would be an appropriate statement for gaining the cooperation of a 7 yr okd pediatric patient during your assessment?
"Katie, this is my stethoscope. I can use it to hear what your breathing sounds like. Would you like to look at it for a minute?"
Your patient is a 3 yr old child who's severe respiratory distress. She's cyanotic & responds only to painful stimuli. According to the patient's mother, the child had complained of a sore throat earlier and has had a fever since early in the morning. You determine that the child may have epiglottis. Which of the following is the BEST course of action?
Begin gentle ventilations with a bag-valve mask. & supplemental oxygen
You're responding to a 6 yr old with a fever & difficulty breathing. His mother reports that he was playing normally this morning but when he came in for lunch he had spiked a fever. Now, he's sitting up with his mouth open, drooling. Which sign would point to epiglottis?
Which should be considered by the EMT as a result of the proportionally larger size of a small child's head?
Neutral alignment of cervical spine & airway will be difficult
Which statements regarding child abuse is TRUE ?
Among child abusers, there's no distinction as to race , creed, ethnicity, or economic background
What's the significance of a child's body surface area being larger in proportion to body mass?
A child is more prone to heat loss
A bulging fontanelle in a quietly resting child may be an indication of?
Increased intracranial pressure
Which is NOT a sign/ symptom of meningitis
Bulging fontanelle with dehydration
Which is a concern when dealing with an adolescent patient?
The adolescent patient fears permanent disfigurement from injuries
Which statements regarding normal vital sign ranges for pediatric patients is TRUE ?
A normal pulse rate for a newborn at rest is 120 to 160 beats per min.
As a rule, as child gets older, the BP
Rises and the pulse rate falls
Your patient is a 11 mnth old make who began choking while his babysitter was feeding him some sliced peaches. The child has retractions of his intercostal muscles, is drowsy, & grayish in color. Which is the BEST immediate intervention for this patient?
Back slaps & chest thrusts
Which is NOT a common cause of shock in infants and children?
All of the following are normal parental reactions to a child suffering from a sudden life-threatening illness or injury except:
Your patient is a 3 yr old male who developed sudden stridor while playing with some of his 5 yr old cousin's toys. The patient is alert and anxious, producing stridor when he cries. His skin is pink and warm and capillary refill is less than 2 seconds. Which is appropriate in management of this child?
Transport the child in a restrained car seat w/ his mother by his side
Which is the MOST common cause of death in children?
Active rewarming of a hypothermic pediatric patient:
Dictated by local protocols & should involve medical direction
What would you expect to find in an adult airway that you would NOT expect to find in a child's airway?
A school-age child:
Will likely be modest
Which interventions is NOT generally recommended for a child with diarrhea & vomiting?
Offer chipped ice or clear liquids
Which statements concerning respiratory problems in pediatric patients is TRUE ?
About one third of all pediatric trauma deaths are related to airway or respiratory compromise
Which signs is LEAST likely to indicate aspirin poisoning in a child?
Restlessness followed by drowsiness
Which should LEAST increase your suspicion of child abuse?
Parents showing serious concern of their child
Which is NOT likely complication of long term central intravenous line use?
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