Chapter 35 Flashcards
Question 1: A 2-month-old infant was found unresponsive in his crib by his mother. When you arrive, you determine that the infant is apneic and pulseless. His skin is pale and cold and his arms are stiff. You should:
request the medical examiner to perform an autopsy.
begin high-quality CPR and transport immediately.
inform the child’s mother that her son is deceased.
begin high-quality CPR and request an ALS ambulance.
“inform the child’s mother that her son is deceased.”
Question 2: A 2-year-old child who has no recent history of illness suddenly appears cyanotic and cannot speak after playing with a small toy. You should:
give oxygen and transport at once.
perform a blind finger sweep.
perform abdominal thrusts.
visualize the child’s airway.
“perform abdominal thrusts.”
Question 3: 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:
place the child in cold water to attempt to reduce her fever.
suspect that the child has meningitis and transport at once.
cool the child with tepid water and transport to the hospital.
allow the mother to drive her daughter to the hospital.
“cool the child with tepid water and transport to the hospital.”
Question 4: A 4-year-old, 16-kg female ingested an unknown quantity of liquid drain cleaner. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. You should:
determine why the ingestion occurred.
place her supine and elevate her legs.
administer 16 g of activated charcoal.
monitor her airway and give oxygen.
“monitor her airway and give oxygen.”
Question 5: A 5-year-old child has had severe vomiting and diarrhea for 4 days. Which of the following assessment findings would be the most indicative of decompensated shock?
Pulse rate greater than 120/min
Respiratory rate of 30 breaths/min
Capillary refill time of 4 seconds
Blood pressure of 70/40 mm Hg
Blood pressure of 70/40 mm Hg.
Question 6: A child might begin to show signs of separation anxiety as early as:
18 months.
12 months.
2 months.
6 months.
6 months.
Question 7: A common cause of shock in an infant is:
dehydration from vomiting and diarrhea.
a cardiac dysrhythmia.
cardiovascular disease.
excessive tachycardia.
“dehydration from vomiting and diarrhea.”
Question 8: After a head injury, which of the following is more common in children than in adults?
Spinal cord injury
Loss of consciousness
Nausea and vomiting
Seizures and hypoxia
“Nausea and vomiting.”
Question 9: After using the pediatric assessment triangle (PAT) to form your general impression of a sick or injured child, you should:
assess the child’s heart rate and skin condition.
obtain a SAMPLE history from the parents.
perform a hands-on assessment of the ABCs.
evaluate the child’s baseline vital signs.
“perform a hands-on assessment of the ABCs.”
Question 10: A high-pitched inspiratory sound that indicates a partial upper airway obstruction is called:
stridor.
wheezing.
rhonchi.
grunting.
“stridor.”
Question 11: 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. She is conscious but clearly restless. Her heart rate is 130 beats/min, and her respiratory rate is 30 breaths/min. She is receiving high-flow oxygen via a nonrebreathing mask. You should:
continue high-flow oxygen therapy, contact medical control, and request permission to administer more albuterol.
be prepared to assist her ventilations, transport at once, and request an ALS intercept en route to the hospital.
begin chest compressions if she becomes unresponsive and her heart rate falls below 80 beats/min.
begin immediate ventilation assistance and ensure that you squeeze the bag forcefully to open her bronchioles.
“be prepared to assist her ventilations
Question 12: An infant with severe dehydration would be expected to present with:
moist oral mucosa.
bulging fontanelles.
absent urine output.
excessive tearing.
“absent urine output.”
Question 13: A viral infection that might cause obstruction of the upper airway in a child is called:
epiglottitis.
bronchitis.
asthma.
croup.
“croup.”
Question 14: Blood pressure is usually not assessed in children younger than _____ years.
4
3
5
6
3
Question 15: Bruising to the _________ is least suggestive of child abuse.
face
back
buttocks
shins
“shins.”
