Chapter 34 Quiz Flashcards
You are dispatched to a residence for a child with respiratory distress. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. Her skin is pink and dry, and her heart rate is 120 beats/min. The MOST appropriate treatment for this child includes:
A. requesting a paramedic ambulance to insert an advanced airway device.
B. allowing the child to remain with her mother and applying a nasal cannula.
C. separating the child from her mother and providing ventilatory assistance.
D. administering blow-by oxygen and transporting the child with her mother.
D. administering blow-by oxygen and transporting the child with her mother.
Chapter 34, page 1230, Patient Assessment
Which of the following findings is LEAST suggestive of child abuse?
A. An unexplained delay in seeking medical care after the injury
B. Consistency in the method of injury reported by the caregiver
C. Evidence of alcohol consumption or drug use at the scene
D. Burns to the hands or feet that involve a glove distribution
B. Consistency in the method of injury reported by the caregiver
Chapter 34, page 1269, Child Abuse and Neglect
Which of the following statements regarding sudden infant death syndrome (SIDS) is correct?
A. Death as a result of SIDS can occur at any time of the day or night.
B. The cause of death following SIDS can be established by autopsy.
C. SIDS is most commonly the result of an overwhelming infection.
D. Certain cases of SIDS are predictable and therefore preventable.
A. Death as a result of SIDS can occur at any time of the day or night.
Chapter 34, page 1271, Sudden Infant Death Syndrome
A viral infection that may cause obstruction of the upper airway in a child is called:
A. croup.
B. epiglottitis.
C. bronchitis.
D. asthma.
A. croup.
Chapter 34, page 1244, Respiratory Emergencies and Management
Common causes of seizures in children include all of the following, EXCEPT:
A. electrolyte imbalances.
B. infection.
C. poisonings or ingestion.
D. hyperglycemia.
D. hyperglycemia.
Chapter 34, page 1256, Neurologic Emergencies and Management
An infant with severe dehydration would be expected to present with:
A. excessive tearing.
B. moist oral mucosa.
C. bulging fontanelles.
D. absent urine output.
D. absent urine output.
Chapter 34, page 1259, Poisoning Emergencies and Management
Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT:
A. a stiff or painful neck.
B. headache and fever.
C. altered mental status.
D. sunken fontanelles.
D. sunken fontanelles.
Chapter 34, page 1257, Neurologic Emergencies and Management
When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence initially?
A. Do you know what substance was ingested?
B. Have you noticed any signs or symptoms?
C. What time did the ingestion occur?
D. Why did your child ingest the poison?
D. Why did your child ingest the poison?
Chapter 34, page 1258, Poisoning Emergencies and Management
A 2-year-old female has experienced a seizure. When you arrive at the scene, the child is conscious, crying, and clinging to her mother. Her skin is hot and moist. The mother tells you that the seizure lasted approximately 5 minutes. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. You should:
A. cool the child with tepid water and transport to the hospital.
B. allow the mother to drive her daughter to the hospital.
C. suspect that the child has meningitis and transport at once.
D. place the child in cold water to attempt to reduce her fever.
A. cool the child with tepid water and transport to the hospital.
Chapter 34, page 1261, Fever Emergencies and Management
Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler:
A. in the ambulance.
B. en route to the hospital.
C. at the feet.
D. at the head.
C. at the feet.
Chapter 34, page 1220, Growth and Development
