Ch30 Practice Questions Pt.1 Flashcards

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1
Q

A 9-month-old boy has been stung on his tongue after sucking on a bottle that had a bee on the nipple. In comparison to the same injury in an adult, why would an OEC technician be more concerned over this child?

A) A child’s airway has more blood vessels than an adult’s, making bleeding more of a concern.

B) Children tend to be highly allergic to bee stings, whereas the same allergy in adults is rare.

C) A child’s tongue is proportionally larger, increasing the chances of airway occlusion from even minor swelling.

D) When injured, a child’s mouth produces more saliva, making choking a major concern.

A

A 9-month-old boy has been stung on his tongue after sucking on a bottle that had a bee on the nipple. In comparison to the same injury in an adult, why would an OEC technician be more concerned over this child?
A) A child’s airway has more blood vessels than an adult’s, making bleeding more of a concern.
B) Children tend to be highly allergic to bee stings, whereas the same allergy in adults is rare.
C) A child’s tongue is proportionally larger, increasing the chances of airway occlusion from even minor swelling.
D) When injured, a child’s mouth produces more saliva, making choking a major concern.

Ans: C

Complexity: Easy
Ahead: Anatomy and Physiology
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 685
Objective: 30-1
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2
Q

Fontanels, which are openings in the skulls of newborns that allow brain expansion, close when the child is at approximately what age?

A) 3–4 months of age
B) 18–20 months of age
C) 3 years of age
D) 1 year of age

A
Fontanels, which are openings in the skulls of newborns that allow brain expansion, close when the child is at approximately what age?
A) 3–4 months of age
B) 18–20 months of age
C) 3 years of age
D) 1 year of age

Ans: B

Complexity: Easy
Ahead: Anatomy and Physiology
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 685
Objective: 30-1
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3
Q

An OEC technician asks you why you should not overextend the airway when performing a head tilt-chin lift maneuver on a pediatric patient. Which of the following replies would you make?

A) “The pediatric cervical spine is delicate and can be injured if the neck is hyperextended.”

B) “The tongue of a pediatric patient is proportionally larger and blocks the airway when the neck is hyperextended.”

C) “The cartilage of the trachea is very soft and can compress if the neck is extended too far.”

D) “The esophagus in a pediatric patient is very thick and will occlude the airway if the neck is hyperextended.”

A

An OEC technician asks you why you should not overextend the airway when performing a head tilt-chin lift maneuver on a pediatric patient. Which of the following replies would you make?
A) “The pediatric cervical spine is delicate and can be injured if the neck is hyperextended.”
B) “The tongue of a pediatric patient is proportionally larger and blocks the airway when the neck is hyperextended.”
C) “The cartilage of the trachea is very soft and can compress if the neck is extended too far.”
D) “The esophagus in a pediatric patient is very thick and will occlude the airway if the neck is hyperextended.”

Ans: C

Complexity: Moderate
Ahead: Anatomy and Physiology
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 685 
Objective: 30-1
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4
Q

You are treating a 2-year-old who fell down a flight of stairs. You are concerned about a head injury and know that toddlers have a higher risk for traumatic brain injury than adults because:

A) a toddler has a smaller head than an adult.

B) during rapid deceleration, a toddler’s head is propelled forward first, before the body.

C) a toddler’s balance is not fully developed.

D) a toddler’s fontanelles will not close until the child reaches preschool age until the child is about 18 months old.

A

You are treating a 2-year-old who fell down a flight of stairs. You are concerned about a head injury and know that toddlers have a higher risk for traumatic brain injury than adults because:
A) a toddler has a smaller head than an adult.
B) during rapid deceleration, a toddler’s head is propelled forward first, before the body.
C) a toddler’s balance is not fully developed.
D) a toddler’s fontanelles will not close until the child reaches preschool age until the child is about 18 months old.

Ans: D

Complexity: Easy 
Ahead: Anatomy and Physiology
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 685 
Objective: 30-1
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5
Q

Children exhibit great bursts of energy followed by sudden profound fatigue because:

A) they lose interest in their current activity.
B) they have attention deficit disorder.
C) they need to take a nap.
D) they have fewer energy reserves than adults.

A

Children exhibit great bursts of energy followed by sudden profound fatigue because:
A) they lose interest in their current activity.
B) they have attention deficit disorder.
C) they need to take a nap.
D) they have fewer energy reserves than adults.

Ans: D

Complexity: Easy
Ahead: Anatomy and Physiology
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 686
Objective: 30-1
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6
Q

You are assessing a 2-week-old baby who is sick. Assessment reveals that he has a fever and difficulty breathing. Which of the following additional assessment findings would be most concerning to you given the age of this patient?

A) A respiratory rate of 30 breaths per minute
B) A pulse of 116 beats per minute
C) Continual crying
D) Nasal passages that are occluded by mucus

A

You are assessing a 2-week-old baby who is sick. Assessment reveals that he has a fever and difficulty breathing. Which of the following additional assessment findings would be most concerning to you given the age of this patient?
A) A respiratory rate of 30 breaths per minute
B) A pulse of 116 beats per minute
C) Continual crying
D) Nasal passages that are occluded by mucus

Ans: D

Complexity: Moderate
Ahead: Anatomy and Physiology
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 686
Objective: 30-5
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7
Q

An adolescent is defined as someone who is:

A) 8–16 years old.
B) 10–16 years old.
C) 13–18 years old.
D) 9–18years old.

A
An adolescent is defined as someone who is:
A) 8–16 years old.
B) 10–16 years old.
C) 13–18 years old.
D) 9–18years old.

Ans: C

Complexity: Easy 
Ahead: Human Growth and Development
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 688-689 [Table 30-1]
Objective: 30-2
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8
Q

You have been called to care for a 21-month-old girl who has been bitten by a dog. Given the patient’s age, you would appropriately classify the patient as:

A) an infant.
B) a school-age child.
C) a preschooler.
D) a toddler.

A
You have been called to care for a 21-month-old girl who has been bitten by a dog. Given the patient’s age, you would appropriately classify the patient as:
A) an infant.
B) a school-age child.
C) a preschooler.
D) a toddler.

Ans: D

Complexity: Easy 
Ahead: Human Growth and Development
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 688-689 [Table 30-1]
Objective: 30-2
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9
Q

You are reviewing psychosocial development of a preschooler in your OEC class. You recognize that “preschooler” includes children who are:

A) 2–3 years old.
B) 3–5 years old.
C) 6¬–8 years old.
D) over 9 years of age.

A
You are reviewing psychosocial development of a preschooler in your OEC class. You recognize that “preschooler” includes children who are:
A) 2–3 years old.
B) 3–5 years old.
C) 6¬–8 years old.
D) over 9 years of age.

Ans: B

Complexity: Easy 
Ahead: Human Growth and Development
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 688-689 [Table 30-1]
Objective: 30-2
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10
Q

A mother brings her 3-year-old son into the aid room. She says he has a low-grade fever and seems to be having slight difficulty breathing. Which of the statements by the mother would make you think the child may have croup?

A) “Last night, he had a barking-like cough.”

B) “There are times when he continually drools.”

C) “When I turn the air conditioner on, he gets even more short of breath.”

D) “He has a rash on his chest.”

A

A mother brings her 3-year-old son into the aid room. She says he has a low-grade fever and seems to be having slight difficulty breathing. Which of the statements by the mother would make you think the child may have croup?
A) “Last night, he had a barking-like cough.”
B) “There are times when he continually drools.”
C) “When I turn the air conditioner on, he gets even more short of breath.”
D) “He has a rash on his chest.”

Ans: A

Complexity: Easy 
Ahead: Common Pediatric Illnesses and Injuries
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 689
Objective: 30-5
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11
Q

A 4-year-old girl is sitting upright on her mother’s lap with her chin thrust forward. She looks lethargic and is drooling. Her airway is open, and she appears to be breathing adequately. Her mother says she has had a fever and is complaining of a sore throat. You are very concerned that she may be developing:

A) strep throat.
B) meningitis.
C) epiglottitis.
D) pneumonia.

A
A 4-year-old girl is sitting upright on her mother’s lap with her chin thrust forward. She looks lethargic and is drooling. Her airway is open, and she appears to be breathing adequately. Her mother says she has had a fever and is complaining of a sore throat. You are very concerned that she may be developing: 
A) strep throat.
B) meningitis.
C) epiglottitis.
D) pneumonia.

Ans: C

Complexity: Moderate
Ahead: Common Pediatric Illnesses and Injuries
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 691
Objective: 30-5
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12
Q

Cardiac arrest in children is most commonly caused by:

A) respiratory failure.
B) trauma.
C) birth defects.
D) SIDS.

A
Cardiac arrest in children is most commonly caused by:
A) respiratory failure.
B) trauma.
C) birth defects.
D) SIDS.

Ans: A

Complexity: Easy 
Ahead: Common Pediatric Illnesses and Injuries
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 691
Objective: 30-6
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13
Q

You have been called to assist a panicked mother who is worried about her son. When you arrive, she tells you that her 4-year-old son has been quiet all morning and napping while the rest of her children were skiing. While napping he began to “shake all over” for about 30 seconds. The child is now resting quietly and has adequate respirations. His radial pulse is strong, and his skin is very hot and moist to the touch. Based on this presentation and information, you assume that the seizure occurred secondary to:

A) hypoxia.
B) a fever.
C) hypoglycemia.
D) altered mental status.

A
You have been called to assist a panicked mother who is worried about her son. When you arrive, she tells you that her 4-year-old son has been quiet all morning and napping while the rest of her children were skiing. While napping he began to “shake all over” for about 30 seconds. The child is now resting quietly and has adequate respirations. His radial pulse is strong, and his skin is very hot and moist to the touch. Based on this presentation and information, you assume that the seizure occurred secondary to:
A) hypoxia.
B) a fever.
C) hypoglycemia.
D) altered mental status.

Ans: B

Complexity: Easy
Ahead: Common Pediatric Illnesses and Injuries
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 692
Objective: 30-7
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14
Q

Which of the following conditions is not a possible cause of seizures in young children?

A) Fever
B) Hypothermia
C) Diabetes
D) Epilepsy

A
Which of the following conditions is not a possible cause of seizures in young children?
A) Fever
B) Hypothermia
C) Diabetes
D) Epilepsy

Ans: B

Complexity: Easy 
Ahead: Common Pediatric Illnesses and Injuries
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 692
Objective: 30-7
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15
Q

You read in the newspaper about a 9-month-old child who died from sudden infant death syndrome (SIDS). From your training, you know that this means that the infant:

A) had a congenital heart defect.
B) suffocated in his crib blankets.
C) had a history of sleep apnea.
D) died unexpectedly and of an undetermined cause.

A

You read in the newspaper about a 9-month-old child who died from sudden infant death syndrome (SIDS). From your training, you know that this means that the infant:
A) had a congenital heart defect.
B) suffocated in his crib blankets.
C) had a history of sleep apnea.
D) died unexpectedly and of an undetermined cause.

Ans: D

Complexity: Easy
Ahead: Common Pediatric Illnesses and Injuries
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 694 
Objective: 30-10
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16
Q

The increased pliability of the ribs of children makes them more prone to:

A) bruising of the lung.
B) rib fractures.
C) cardiac arrest.
D) over inflation of the lungs.

A
The increased pliability of the ribs of children makes them more prone to:
A) bruising of the lung.
B) rib fractures.
C) cardiac arrest.
D) over inflation of the lungs.

Ans: A

Complexity: Easy 
Ahead: Common Pediatric Illnesses and Injuries
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 695 
Objective: 30-1
17
Q

Which of the following statements about shaken baby syndrome is false?

A) It rarely occurs in upper-class families.

B) It often results in a traumatic brain injury.

C) It is a form of child abuse.

D) Most cases are perpetrated by someone close to the child.

A

Which of the following statements about shaken baby syndrome is false?
A) It rarely occurs in upper-class families.
B) It often results in a traumatic brain injury.
C) It is a form of child abuse.
D) Most cases are perpetrated by someone close to the child.

Ans: A

Complexity: Easy 
Ahead: Common Pediatric Illnesses and Injuries
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 696-697
Objective: 30-8
18
Q

Bilateral injuries, circumferential bruising, and pattern bruises are suggestive of:

A) shaken child syndrome.
B) child abuse.
C) suicidal behavior.
D) infant neglect.

A
Bilateral injuries, circumferential bruising, and pattern bruises are suggestive of:
A) shaken child syndrome.
B) child abuse.
C) suicidal behavior.
D) infant neglect.

Ans: B

Complexity: Moderate
Ahead: Common Pediatric Illnesses and Injuries
Subject: Chapter 30
Title: Pediatric Emergencies
Feedback: 696-697 
Objective: 30-8