fisdap OBPEDS Flashcards
A 2 year old female is lethargic to respond. She has dry mucous membranes and a tearless cry. What should you suspect?
Hypoxia hypoglycemia hypovolemia hypothermia Dehydration hypovolemia
hypovolemia
You have just delivered a baby girl who remains cyanotic and is not responding to stimulation and oxygen therapy. Heart rate is 90. You should
Attempt suctioning and contact medical control
Perform chest compressions at 15:2
Continue to provide stimulation by flicking the soles of her feet
Begin positive pressure ventilations
Begin positive pressure ventilations
A 6 month old is febrile, cyanotic, and grunting with labored breathing. You should?
Assist ventilations via bvm
sponge the infant with tepid water
apply blow by 02 and trans
perform a rapid medical assessment
apply blow by 02 and trans
Before assessing the respiratory adequacy of an unconscious infant or child, you should
Routinely suction the mouth to remove oral secretions
Insert and OPA or an NPA
Ensure that his or her head is in a hyperextended position
Ensure the airway is patent and clear of obstructions
Ensure the airway is patent and clear of obstructions
Febrile seizures in children are most often the result of a/an
Abrupt rise in body temp
life threatening infection
Temp greater than 100 Fahrenheit
inflammatory process
Abrupt rise in body temp
A 4 year old patient has sustained blunt trauma to the chest. Based on the MOI you should suspect
Good chest rise with no diaphragmatic breathing
Minimal external signs with serious internal injury
Multi rib fractures due to fragile bone structure
Dark ecchymosis around the umbilical area
Minimal external signs with serious internal injury
A mother has just delivered a newborn with central cyanosis. The newborns vitals are P 82, R 30. You should?
Initiate active warming
begin positive pressure ventilations
administer blow by O2
suction the airway and stimulate
begin positive pressure ventilations
A 37 year old female in the later stages of pregnancy has been experiencing abdominal pain and vomiting for the last two days. She responds to verbal stimulus. Vital signs are BP 100/70, P 116 R 24, skin cool and dry, How should you position her?
In Fowler’s position on the stretcher
Semi Fowlers with knees bent
Left lateral recumbent with knees bent
Supine with a pillow under her knees
Left lateral recumbent with knees bent
What is the proper way to size an OPA for a child?
Tip of the nose to the corner of the mouth
corner of mouth to the angle of the mandible
the length of the index finger of the child
middle of the mouth to the ear lobe
corner of mouth to the angle of the mandible
A 6 year old is shy and withdrawn. He has multiple contusions in various stages of healing. His mother states “he fell on the playground.” What should you suspect?
Sexual abuse
Emotional abuse
Neglect
Physical abuse
Physical abuse
Where should you apply pressure to access for uterine contractions?
Left and right upper quadrants
abdomen below the navel
abdomen above the navel
left and right flank
abdomen below the navel
A 14 year old jumped off a 4 foot wall, landing on her feet. She is complaining of tingling below waist, lower back pain, and cramping in both feet. Vital signs are BP 106/74, P 112, and R 20. You should
Immobilize to a long spine board
Transport in a position of comfort
Apply bilateral soft splints to lower extremities
Coach her to slow her breathing
Immobilize to a long spine board
Which of the following indicates decompensated shock in a pediatric patient?
Shallow breathing
rapid heart rate
pale cool and diaphoretic
loss of consciousness
loss of consciousness
A 3 year old is unresponsive and apneic on the floor of a restaurant. He was choking, turned blue, and collapsed. What should you do?
Begin chest compressions
Perform a blind finger sweep
Give 5 abdominal thrusts
Give 5 back blows
Begin chest compressions
In centimeters what is the correct depth of chest compressions for a 7 year old child?
1.5
6
5
2
5
What is the proper method for suctioning a newborn’s airway with a bulb syringe?
Squeeze after placing the bulb syringe in the nose
Squeeze before placing the bulb syringe in the nose
Squeeze after placing the bulb syringe in the mouth
Squeeze before placing the bulb syringe in the mouth
Squeeze before placing the bulb syringe in the mouth
A 3 year old drank some drain cleaner. It would be most helpful to?
Administer activated charcoal
transport immediately
administer glucagon
induce vomiting
transport immediately
A cord is wrapped around a baby’s neck during childbirth. This is called
Neck cord
Nuchal cord
Circumferential cord
Prolapsed cord
Nuchal cord
Scald injuries to a child’s lower extremity can be indicative of?
Abuse
radiant heat
accidents
chemicals
Abuse
You have assisted a mother in delivering a premature newborn. Assessment after 5 minutes shows newborn has central cyanosis and heart rate of 90. What should you do?
Begin chest compressions
Continue to dry and warm the newborn
Administer oxygen via blow-by
Provide ventilatory assistance
Provide ventilatory assistance
You are treating a 3 month old, apneic patient with a pulse of 110. In preparing to ventilate this infant, you should?
Institute 2 min of CPR and then ventilate
place a small towel under their shoulders
open the airway with an OPA and bag every 6 seconds
attach the AED and wait instructions
place a small towel under their shoulders
Normal response for a healthy 9 month old infant.
Gaze follows parents
pays no attention to you when entering
ribs clearly visible upon inspiration
extremities feel cool to the touch
Gaze follows parents
2 year old is restless, irritable, and febrile with a distinct cough. The parent states that the child is calmer in a steam shower. You should suspect?
Influenza
bronchitis
croup
epiglottis
croup
13 month old lying supine in crib, crying. Fever of 104.5, rash on body and some spots are purple. You should?
Transport
put on surgical mask
open airway
apply high-flow oxygen
put on surgical mask
20 year old female is pregnant for the first time with twins. What is she considered?
Gravida I|
Gravidarum
primigravida
primigravida
Initiate CPR on infant if heart rate is less than?
60
Neonatal 2 week old female is dyspneic and lethargic to respond. Vitals are P 58, R 4 and irregular. What should you be concerned about?
Altered mental status
cerebral hypoxia
respiratory acidosis
cardiac arrest
cardiac arrest
During assessment of a crying infant, you discover a sunken fontanelle. Your next question should be?
Birth defects
fallen recently
how many wet diapers has the baby produced
how many wet diapers has the baby produced
When assessing distal circulatory function in a 3 year old, a reliable indicator is?
Pulse ox
BP
Cap refill
Skin temp
Cap refill
Your neighbor has asked you to check on her 2 month old baby. The baby is sleeping and vitals are P 130, R 40, and he continues to sleep even when you try to wake him up. What should you do?
Call for EMS
tell your neighbor that he is sleeping soundly
check on the baby again in a few hours
recommend that your neighbor call the pediatrician
Call for EMS
4 year old is having trouble breathing. He is drooling and sitting forward in a chair with his mouth wide open. He has a 103.2 temp. you should suspect?
Epiglottitis
croup
hyperthermia
asthma attack
Epiglottitis
3 year old child involved in a motor vehicle collision needs to be secured on an adult backboard. You should?
Secure the feet first, then the torso
secure the head first, then the torso
place padding under the child’s head
place padding under the child’s torso
place padding under the child’s torso
When inserting an OPA in a child you should?
Hold the tongue in position
Use tongue depressor
Hold the tongue in position
Pediatric airways differ from adult airways in that
Trachea is more rigid
child’s tongue takes up less space
oral airways devices cannot be used on children
all structures are smaller and can be more easily obstructed
all structures are smaller and can be more easily obstructed
10 year old patient was injured while skating, upon assessment you note a visible deformity of the forearm. The fingers are pale and cool without a palpable pulse. You should apply?
A rigid splint
gentle manual traction
a cold pack and rapid transport
significant traction until pulse returns
gentle manual traction
7 year old presents with a pencil in his left cheek, you should?
Remove the pencil
stabilize the pencil
check for airway patency
control bleeding
check for airway patency
37 week pregnant woman with tearing abdominal pain and weak, vitals are 90/60, 140, and 26 with pale, cool, diaphoretic skin, you should suspect?
Supine hypotensive syndrome
imminent delivery
abruptio placentae
placenta previa
abruptio placentae
Which may indicate that a fetus was in distress before delivery?
meconium
A 2 year old child presents with a fever, lethargy, and screaming upon neck flexion. You should suspect?
Meningitis
Influenza
febrile seizure
ear infection
Meningitis
A conscious child has a significant airway obstruction due to an illness. You should?
Insert OPA
examine the upper airway for white spots
place the child in a supine position
give o2 and transport immediately
give o2 and transport immediately
With pediatric patient, your assessment should begin?
At first sight
after you intro yourself
after parents consent
at first contact
At first sight
A child is postictal. You should?
Note length of seizure
administer blow by o2
ensure open airway
protect patient from injury
ensure open airway
Shortly after delivery, a mother experiences dyspnea and becomes hypotensive. No excessive bleeding is noted and the uterus seems firm. You should suspect?
Abruptio placenta
pulmonary embolism
post delivery trauma
uterine rupture
pulmonary embolism
Compared to adults in shock, pediatric patients?
Stay in compensated shock longer
do not require treatment as quickly
are less likely to become hypovolemic
become hypertensive sooner
Stay in compensated shock longer
Pre- eclampsia becomes eclampsia when
A seizure occurs
constant hyperten occurs
systolic above 170
third trimester begins
A seizure occurs
38 year old female reports left sided abdominal pain that radiates to the back. Vitals are 90/64, 118, 20. You should suspect?
Pelvic inflammatory disease
kidney stones
a ruptured ectopic emergency
cholecystitis
a ruptured ectopic emergency
33 year old female was in a motor vehicle collision. She is 36 weeks pregnant. First responders have removed the patient from the vehicle and immobilized her and they cannot obtain a blood pressure. You should?
Load and go to the nearest trauma center
tilt the backboard to the left immediately
loosen the backboard straps as soon as possible
apply oxygen and call for helicopter transport
tilt the backboard to the left immediately
5 year old is actively seizing, his respirations are slow and skin is pale. His parents say he had seized several times in the last 15 minutes without waking up. You should suspect that the?
Seizure is about to end and you should wait to treat him
child will become postictal and will regain consciousness
child is in status epilepticus and medication is required
child is in diabetic ketoacidosis and medication is required
child is in status epilepticus and medication is required
Nausea, vomiting, vaginal discharge, irregular periods and abdominal pain are signs and symptoms of?
Pelvic inflammatory disease
ruptured ectopic pregnancy
endometriosis
cystitis
Pelvic inflammatory disease
What effect can excessive traction have on the umbilical cord during placental delivery?
Uterine rupture
umbilical bleeding
abruptio placenta
abruptio placenta
The cessation of menses with associated decrease of estrogen secretion is called?
Menopause
menarche
myometrium
mitted schmerz
Menopause
24 year old female in her second trimester of pregnancy presents with mild contractions. There is no regular pattern to the contractions, and they have not increased in intensity since they began. She denies vaginal bleeding or any other symptoms. This patient is most likely experiencing?
Braxton Hicks contractions
premature labor
a placenta previa
a threatened abortion
Braxton Hicks contractions
A 20 year old female feels faint and has severe pain between her shoulder blades. Her skin is cool and clammy. Vital signs are BP 82/48, P 134, R 22, and SPO2 92%. What should you suspect?
Sexual transmitted infection
spontaneous abortion
pelvic inflammatory disease
rupture ectopic pregnancy
rupture ectopic pregnancy
A woman is 36 weeks pregnant and complaining of painless vaginal bleeding. The most likely cause is?
Abruptio placenta
placenta previa
spontaneous abortion
bloody show
placenta previa
A 4 year old male is sitting upright and drooling. He has swallowed a marble that is completely blocking his airway. What should you do?
Start chest compressions
perform abdominal thrusts
provide back blows
suction the airway
perform abdominal thrusts
To relieve pressure on the vena cava when transporting a pregnant patient, you should?
Place on left side
place in recovery
raise the patient’s legs
place in semi fowler’s
Place on left side
A maternal condition that occurs when the placenta separates from the uterine wall and is a cause of pre birth bleeding is?
Abruptio placenta
uterine rupture
placenta previa
ectopic pregnancy
Abruptio placenta
32 week pregnant female complaining of facial swelling, headache, vomiting, and experiencing visual disturbances last 12 hours. You should suspect?
Gestational diabetes
eclampsia
severe migraine
pre eclampsia
pre eclampsia
35 week pregnant woman. Following scenarios most life threatening?
Hypertension and experiencing visual disturbances
fever and pain on urination
sharp lower abdominal pains
contracts with mucous discharge
Hypertension and experiencing visual disturbances
One sign of respiratory distress in a neonate?
Grunting
increased activity
barrel chest
tachycardia
Grunting
Assess on infant. Which artery should you take for pulse?
Brachial
radial
carotid
femoral
Brachial
50 year old fell from her bicycle after hitting a bump in the road. She is now bleeding from her vagina. You should
Gently pack the vagina with sterile dressing
transport the patient with legs elevated
transport patient in the left lateral recumbent
apply external sterile bulky dressing
apply external sterile bulky dressing
If a patient presents vaginal bleeding within the first 20 weeks of pregnancy you should suspect?
Abruptio placentae
ruptured uterus
placenta previa
Spontaneous abortion
Spontaneous abortion
Placenta previa occurs when the placenta..
Separates from the uterus
is abnormally positioned
separates from umbilical cord
disrupted
is abnormally positioned
Assisting a home birth and baby’s head just delivered. You should?
Examine for nuchal
guide and rotate
turn face up and suction
Examine for nuchal
Alert & oriented 4 year old patient has possible head injury from a fall. Vitals are P 120, R 18. How should you transport?
Fully immobilize with towel under his scapulae
fully immobilize in Trendelenburg position
secure child’s safety seat to the stretcher
allow the patient to sit on his mother’s lap
Fully immobilize with towel under his scapulae
Painless bright red vaginal bleeding late in the third trimester. You should suspect?
Placenta previa
abruptio placentae
ectopic pregnancy
spontaneous abortion
Placenta previa
Signs or symptoms of a pre delivery emergency?
Hypertension
Back pain
crowning
gush of amniotic fluid
Hypertension
24 year old woman presents with vaginal bleeding following sexual assault, controlling bleeding would best be done by
Packing a vaginal canal with gauze
apply direct pressure
placing a dressing @ the vaginal opening
bending the patient’s legs upward
placing a dressing @ the vaginal opening
A patient is in labor and has a strong urge to push. The baby’s head is not yet visible, but the umbilical cord is protruding, you should?
Clamp the cord in 2 places and cut between them
place her in knee-chest position and transport
cover the cord with a dry sterile dressing
encourage her to bear down and push
place her in knee-chest position and transport
A pale 2 year old male turns his face away and hides when you approach. Vital signs are P 150 R 32 with audible wheezing what should you be most concerned about?
Heart rate
skin color
respiratory rate
breath sounds
skin color
Which signs and symptoms most suggest pre eclampsia?
Hypertension and excessive water retention
inability to sleep supine and acid reflux
hypoglycemia and swollen extremities
polyuria and postural hypotension
Hypertension and excessive water retention
The period of time during which intrauterine fetal development occurs is called?
Gravidity
gestation
parity
primi gravity
gestation
You are assisting a vaginal delivery and the mom is crowning. The infant’s head suddenly disappears and the mother begins to complain of sharp, intense, constant abdominal pain. You should suspect?
Placenta previa
multiple births
uterine rupture
transition to phase III of delivery
uterine rupture
2 year old patient has a respiratory rate of 30 breaths per minute. This is considered?
Too fast
inadequate
normal
too slow
normal
