signs of vasoconstriction in the infant or child include:mark james actor love boat

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C) a stiff or painful neck. 17. Which of the following is NOT a known risk factor of SIDS? C. 8 months and 8 years. level of activity is decreased. C. the sudden force against the ribs causes them to fracture. The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: use a length-based resuscitation tape measure. B. occur after a week of a febrile illness. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. 88 mm Hg C. perform a blind finger sweep. A. be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital. C. blood vessels near the skin are constricted. Which of the following inquiries should you make in private when obtaining a SAMPLE C. his or her vital signs are stable. C. perform a hands-on assessment of the ABCs. C. 4 seconds. Which of the following groups of people is associated with the lowest risk of meningitis? C. begin immediate ventilation assistance and ensure that you squeeze the bag forcefully in order to open her bronchioles. After determining that an infant or child has strong central pulses, you should: D. 35%, Answer: C 2 seconds. Bruising to the _________ is LEAST suggestive of child abuse. After determining that an infant or child has strong central pulses, you should: Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lbs. She is receiving high-flow oxygen Page: 1171. Page: 1171. Compared to adults, the liver and spleen of pediatric patients are more prone to injury and bleeding because they are: The triggers for vasoconstriction are fluid loss (blood, urine, stomach contents, sweat, fluid evaporation due to severe burns), hypothermia, and hypernatremia (too much sodium in the blood). When a child is struck by a car, the area of greatest injury depends MOSTLY on the: size of the child and the height of the bumper upon impact. Answer: A . D. mother smoked during pregnancy. You are dispatched to a local elementary school for an injured child. A normal level of consciousness in an infant or child is characterized by: D. an unexplained delay in seeking medical care after the injury, Answer: C B. low birth weight Signs of severe dehydration in an infant include all of the following, EXCEPT: Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her Certain cases of SIDS are predictable and therefore preventable. B. dehydration from vomiting and diarrhea. 92. C. perform a hands-on assessment of the ABCs. Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT: A 6-year-old male presents with acute respiratory distress. 12.5 g A 4-year-old female ingested an unknown quantity of liquid drain cleaner. Central chest pain following prolonged vomiting usually with circulatory collapse. D. he or she is breathing inadequately. 61. B. child abuse. Question Type: General Knowledge His mother states that she saw him put a small toy into his mouth shortly before the episode began. D. mild respiratory distress. The MOST ominous sign of impending cardiopulmonary arrest in infants and children is: C. 4 seconds. Answer: A Answer: B 50 A. estimate the child's weight based on age. Febrile seizures are MOST common in children between: Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of shock. partial paralysis. The MOST common cause of dehydration in pediatric patients is: An infant with severe dehydration would be expected to present with: Signs of severe dehydration in an infant include all of the following, EXCEPT: A 6-month-old male presents with 2 days of vomiting and diarrhea. An infant or child with respiratory distress will attempt to keep his or her alveoli expanded at the end of Page: 1177. Answer: C B. positioning, ice packs, and emotional support. A. chills. A. a conscious 4-year-old male with adequate tidal volume A. hot items on a stovetop. D. a generalized rash with intense itching. following questions would be of LEAST pertinence? A. The MOST accurate method for determining if you are delivering adequate tidal volume to a Page: 1156. You should: assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and prepare for immediate transport to a trauma center. B. squeeze the bag 40 times/min when ventilating an infant. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: intercostal muscles are not well developed, blood vessels near the skin are constricted. C. generalized tonic-clonic activity, a duration of less than 15 minutes, and a short or absent postictal phase. 33. D. a semiconscious 7-year-old female with normal ventilation. B. blood pressure B. not rule out compensated shock. B. carotid D. mother smoked during pregnancy, C. putting a baby to sleep on his or her back. Pale skin in a child indicates that the: C. nasal flaring. B. retractions. Answer: A A. requesting a paramedic ambulance to insert an advanced airway device. 42. You should: He is unresponsive and there are no signs of breathing. B. SIDS is most commonly the result of an overwhelming infection. The child is conscious, obviously frightened, and is coughing forcefully. You should: Inform the child's mother that her son is deceased. B. A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: A. observe the chest for rise and fall. Children with N meningitides would MOST likely present with: Drawing in of the muscles between the ribs or of the sternum during inspiration is called: Page: 1158. Question Type: General Knowledge Which of the following groups of people is associated with the lowest risk of meningitis? A. When administering oxygen to a frightened child, it would be MOST appropriate to: place oxygen tubing through a hole in a paper cup. A. allow the mother to drive her daughter to the hospital. A. irritability of the left ventricle. Page: 1180, 66. D. isolated tonic-clonic activity, a duration of greater than 15 minutes, and a short postictal phase. B. 22. You should: Answer: D C. geriatrics B. attempt cooling measures, offer oxygen, and transport. Kho St Cng Trnh Ngm kent, wa police news today. She further tells you that her daughter has no history of seizures, but has had a A. profound tachycardia. This is what is known as an embolus. they are: and determine that it is slow and irregular. A. cyanosis. Page: 1164. due to compensatory vasoconstriction and constriction. B. ensure that his or her neck is hyperextended. Which of the following statements regarding spinal injuries in pediatric patients is correct? B. retracting. D. Blanching of the nares after insertion indicates correct placement. conscious, crying, and clinging to her mother. Causes of infant death that may be mistaken for SIDS include all of the following, EXCEPT: C. retractions. When questioning the parent of a child who ingested a poisonous substance, which of the Answer: C C. carefully examine the genitalia for signs of injury. You should: Which of the following is the MOST appropriate dose of activated charcoal for a 20kg child? 38. Page: 1187, 87. Question Type: Critical Thinking Blood loss in a child exceeding _____ of his or her total blood volume significantly increases the risk of Question Type: General Knowledge B. burns to the hands or feet that involve a glove distribution Question Type: General Knowledge C. They are usually not well tolerated in children with a gag reflex. The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in C. carefully examine the genitalia for signs of injury. You should: assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and prepare for immediate transport to a trauma center. A. separating the child from his or her parents. C. face B. have a female EMT remain with her if possible. An 8-year-old female with a history of asthma continues to experience severe respiratory distress despite being given multiple doses of her prescribed albuterol by her mother. This acute mediastinitis from esophageal rupture. B. What time did the ingestion occur? Blood pressure is usually not assessed in children younger than _____ years. Which of the following statements regarding preschool-age children is correct? There is acute shortness of breath with pleuritic pain to the lateral side of the chest wall with physical signs of pneumothorax- hyper-resonance with absent breath sounds. Signs of vasoconstriction in the infant or child include: A) warm, dry skin. C. insert a nasopharyngeal or oropharyngeal airway adjunct. B. ensure that his or her neck is hyperextended. 102. In contrast to adults, deterioration to cardiac arrest in infants and children is usually associated with: severe hypoxia and bradycardia. C. second-degree burns covering more than 10% of the body surface. Page: 1175. D. experiencing cardiopulmonary arrest. 104. determining the presence of shock in infants and children? Question Type: Critical Thinking B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. B. positioning, ice packs, and emotional support. Answer: B Question Type: Critical Thinking The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: The normal respiratory rate for a newborn should not exceed ______ breaths/min. C. Why did your child ingest the poison? Page: 1161. B. continue high-flow oxygen therapy, contact medical control, and request permission to administer more The majority of cervical spine injuries in children are partial transections of the spinal cord, resulting in partial paralysis. Page: 1192. Respiratory acidosis occurs when the arterial partial pressure of carbon dioxide (P a CO 2) is elevated above the normal range (>44 mmHg) leading to a blood pH lower than 7.35. D. give oxygen if the SpO2 is less than 90%. C. an ineffective cough. an unresponsive 5yearold male with shallow respirations. ., 10. Febrile seizures are MOST common in children between: C. facilitate a rapid head-to-toe assessment of the child by visualization only. The four common clinical signs that distinguish cardiogenic shock are tachycardia, dyspnea, jugular vein distention, and hepatomegaly. B. have a female EMT remain with her if possible. When you arrive at the scene, the child is conscious, crying, Bruising to the _________ is LEAST suggestive of child abuse. A. the car seat is visibly damaged. Answer: D She is conscious, but clearly restless. B. the flexible ribs can be compressed without breaking. You should: Answer: B product because it may: B. drooling or congestion. He is responsive to painful stimuli only and has a large hematoma to the back of his head. D. decreased LOC. The infant's heart rate is 140 beats/min and his anterior fontanelle appears to be slightly sunken. Signs of vasoconstriction in the infant or child include: weak distal pulses Which of the following statements regarding spinal injuries in pediatric patients is correct? C. ensure that he or she uses a neonatal device for children younger than 12 months. Critical burns in children include: When questioning the parent of a child who ingested a poisonous substance, which of the following B. B. weak distal pulses. Signs and symptoms are usually intermittent and mild; however, very rare sequelae include digital ulceration and/or soft tissue breakdown. B. place a towel or folded sheet behind the shoulders. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. 12. When administering oxygen to a frightened child, it would be MOST appropriate to: D. acute respiratory distress. The infant's mother tells you that he has not had a soiled diaper in over 12 hours. B. females D. gather critical data by performing a rapid hands-on assessment of the child. Febrile seizures in a child: A. D. superficial burns covering more than 10% to 15% of the body surface. It is the recommended adjunct for children with head trauma. She is B. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: A. intercostal muscles are not well developed. A. a conscious 4-year-old male with adequate tidal volume D. twisting injuries are more common in children. D. 6, Answer: A After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. C. are usually caused by viral meningitis. C. hyperthermia. B. blood pressure 90. They are rarely used in infants younger than 1 year. B. visualize the child's airway. Cardiac arrest in the pediatric population is MOST commonly the result of: When assessing or treating an adolescent patient, it is important to remember that: they usually do not wish to be observed during a procedure. When assessing an 8-year-old child, you should: 7. A. chills. B. his or her tidal volume is adequate. 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. Which of the following inquiries should you make in private when obtaining a SAMPLE history from an adolescent patient? As the heart beats to push blood through these narrowed vessels, the increased pressure and resistance can dislodge a plaque, allowing it to travel through the bloodstream. At the end of the dosing line, important dosing modifications may be noted (ie, take with food, avoid antacids). If the situation allows, a child should be transported in a car seat if he or she weighs less than _____ lb. 47. A. sunken fontanelles. Greenstick fractures occur in infants and children because: their bones bend more easily than an adult's. Which of the following is NOT a known risk factor of SIDS? Which of the following is the MOST appropriate dose of activated charcoal for a 20-kg child? Page: 1174. This means that the patient has: a. normal breath sounds. B. retracting. B. monitor her airway and give oxygen. 95. The MOST appropriate treatment for this child includes: When ventilating a pediatric patient with a bag-mask device, the EMT should: B. bradycardia. What should you use the Wong-Baker FACES scale to determine? A. mild dehydration. B. rule out hypoxia if cyanosis is absent. B. EMTs must report all suspected cases of child abuse. C. deliver a series of five back blows and then reassess his condition. blood pressure The MOST efficient way to identify the appropriately sized equipment for a pediatric patient is to: Answer: C Answer: C The first month of life after birth is referred to as the: Which of the following statements regarding a 3-month-old infant is correct? Answer: D C. consistency in the method of injury reported by the caregiver D. depress the tongue with a tongue depressor. A. normal interactiveness, awareness to time, and pink skin color. A. evidence of alcohol consumption or drug use at the scene C. electrolyte imbalances. B. headache and fever. C. severe hypoxia and bradycardia. of the head. A. any superficial or partial-thickness burn that involves the legs or arms. A. Signs of a severe airway obstruction in an infant or child include: Question Type: General Knowledge His pulse is slow and bounding. mouth. Febrile seizures are MOST common in children between the ages of: Which of the following statements regarding a 3-month-old infant is correct? B. toddler period. Which of the following inquiries should you make in private when obtaining a SAMPLE Page: 1168. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. You should: encourage him to cough, give O2 as tolerated, and transport. 3 seconds. When ventilating a pediatric patient with a bag-mask device, the EMT should: When a child experiences a blunt injury to the abdomen: B. separating the child from her mother and providing ventilatory assistance. C. 25 g What does respiratory syncytial virus (RSV) cause? Answer: A 3 months and 4 years. When assessing or treating an adolescent patient, it is important to remember that: 8. C. blood vessels near the skin are constricted. C. may not be possible if the child's condition is critical. Which of the following statements regarding the use of nasopharyngeal airways in children is correct? A. appearance, work of breathing, and skin circulation. D. retracting the intercostal muscles. B. oxygen content in the blood is decreased. When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds. D. abnormal airway noise. When caring for a female child who has possibly been sexually abused, you should: have a female EMT remain with her if possible. A. observe the chest for rise and fall. Common causes of seizures in children include all of the following, EXCEPT: An oropharyngeal airway should not be used in children who have ingested a caustic or petroleum-based Page: 1170. C. administering blow-by oxygen and transporting the child with her mother. 20 g 84. 15% 29. Peripheral vasoconstriction is more dependent on core than on skin temperature (cf. C. hyperpnea. Which of the following statements regarding the use of nasopharyngeal airways in children is history from an adolescent patient? D. open his airway and look in his mouth. D. If the cervical spine is injured, it is most likely to be an injury to the ligaments because of rapid movement Page: 1196, 103. Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: Question Type: General Knowledge The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. 48. B. have a female EMT remain with her if possible. C. vomiting and diarrhea. 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 . spinal precautions, and transport. C. slightly flex the neck to prevent tracheal kinking. C. excessive tachycardia. 18 months of age and older: HIV antibody tests can provide definitive diagnosis in children 18 months of age, with known or unknown exposure to HIV. 2 seconds. C. insert it until the flange rests on the teeth. 40 A child who has no recent history of illness suddenly appears cyanotic and cannot speak after 6, 12 D. a headache. B. a sudden ventricular arrhythmia. Death caused by shaken baby syndrome is usually the result of: D. an altered mental status. signs of vasoconstriction in the infant or child include: Home; american dad steve runs away; signs of vasoconstriction in the infant or child include: D. use a nasal cannula instead of a nonrebreathing mask. In most children, febrile seizures are characterized by: Her skin is pink and dry, and her heart rate is 120 beats/min. Abstract The thermoregulatory threshold for vasoconstriction has been studied in infants and children given isoflurane, but not in those given halothane anesthesia. B. he or she presents with: A. A. cherry-red spots or a purplish rash. Question Type: General Knowledge C. 60 Answer: C Which of the following is MORE common in children than in adults following a head injury? Answer: B B. partial-thickness burns covering more than 20% of the body surface. 72. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. posterior fontanelle is typically closed by _____ months of age. You should: 21. 10. 60. D. refusal to drink fluids. D. begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min. A. a cardiac arrhythmia. Familial dysautonomia (FD), also known as Riley-Day syndrome, is a rare, progressive, recessive genetic disorder of the autonomic nervous system that affects the development and survival of sensory, sympathetic, and some parasympathetic neurons in the autonomic and sensory nervous system.. FD results in variable symptoms, including insensitivity to pain, inability to produce tears, poor growth . B. putting a baby to sleep on his or her back. Compared to an adult, the diaphragm dictates the amount of air that a child inspires because the: 11. D. acute hypoxia and tachycardia. 55. D. head bobbing. When assessing an infant's ventilation status, you should: All of the following are normal findings in an infant or child, EXCEPT: Drawing in of the muscles between the ribs or of the sternum during inspiration is called: A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called: When assessing the heart rate of a 6-month-old infant, you should palpate the brachial pulse or Page: 1182. Page: 1188. Nursing Care of a Family With a High-Risk New. Answer: B He is unresponsive and there are no signs of breathing. C. a stiff or painful neck. conscious, crying, and clinging to her mother. Page: 1158. A. warm, dry skin. Infants produce heat by non-shivering thermogenesis (NST) and should exhibit peripheral vasoconstriction when cold, but little empirical evidence confirms that ELBW infants are capable of peripheral vasoconstriction. 2. C. pad underneath the child's head. D. assess the child's heart rate and skin condition. Page: 1162. A. imagine kit homes reviews nz; . 81. The purpose of the pediatric assessment triangle (PAT) is to: B. tachypnea. In most children, febrile seizures are characterized by: A. separating the child from his or her parents. The mother tells you that the seizure lasted 5. B. A tight, whistling or musical sound heard with each breath may indicate that the air passages may be smaller, making it more difficult to breathe. B. unresponsiveness, complete body relaxation, a fever greater than 105F, and a short postictal phase. Which of the following children would benefit the LEAST from a nonrebreathing mask? He is responsive to painful stimuli only and has a large hematoma on the back of his head. You should: An 8-year-old female with a history of asthma continues to experience severe respiratory distress despite being given multiple doses of her prescribed albuterol by her mother. Immediate transport is indicated for a child when he or she: The MOST accurate method for determining if you are delivering adequate tidal volume to a child during bag-mask ventilations is to: B. partial-thickness burns covering more than 20% of the body surface. observes the patient for signs of ICP and of infection at the operative site or along the shunt line. Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? The child is conscious and appears alert. All of the following are normal findings in an infant or child, EXCEPT: B. his or her tidal volume is adequate. Children have a larger, rounder occiput compared to adults. D. 5 seconds. 6, 12 A. C. an unresponsive 5-year-old male with shallow respirations B. fear or anxiety. B. his or her blood pressure falls with as little as 5% blood loss.

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