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Exam 33: Pediatric Emergencies

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Question 1

Multiple Choice

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Prehospital management of the abused child includes all of the following except:

A) treating all injuries.
B) eliciting a complete history from child and parents.
C) allowing parent to drive child to hospital.
D) reporting your findings to the emergency department staff.

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Question 2

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Your protocols call for you to use the pediatric assessment triangle when assessing young children.You know that the second leg of the triangle assesses the "work of breathing" and the bottom leg of the triangle assesses "circulation to the skin." What does the first leg of the triangle stand for?

A) Appearance
B) Airway
C) Alteration of mental status
D) Assessment

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Question 3

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You are called for a sick 2-year-old boy.When you arrive,you see the boy sitting quietly on his mother's lap.You note that he is not crying and has his head tucked against his mother's chest.However,he does lift his head and look at you when you enter.As you approach,he withdraws deeper toward his mother.What have you learned about the patient so far?

You respond to a 5-year-old child who has been injured while playing in his backyard.It appears that he has broken his arm,but you cannot tell how it occurred.You will need to gather some information regarding what exactly happened.Therefore,you should:

Which of the following statements is true regarding child abuse injuries?

You are called for a child that has had a fever for a couple of days.The parents tell you that two of the other children have been home with a stomach virus and fever.As you attempt to assess the child,he pulls away from you and grabs onto his mother.Which of the following behaviors would be considered "normal" for a 4-year-old?

You are called for a 6-year-old girl who is not well.Her mother says that the child has been sick for several days but today she has had trouble keeping her daughter awake.You note that the girl's capillary refill time is 4 seconds and she has a skin rash.The MOST important part of your assessment will be to:

Capillary refill should be assessed in which of the following age groups?

Your patient has a tracheostomy and is on a ventilator.He presents in acute respiratory distress.You assess his trach tube and it appears clear,but there is something wrong with the ventilator.You do not notice any loose fittings or disconnected tubes.The airway is clear and he is sitting upright.What is your next step?

You are trying to ventilate an 18-month-old baby who has stopped breathing.You have laid him down on a flat surface to ventilate him,but you are unable to get his chest to rise.You should:

Because infants and small children rely more heavily on the diaphragm for breathing,respiratory distress can be detected by observing which one of the following signs that is not prominent in adults?

Which of the following is NOT likely to be a cause of respiratory distress in a 2-year-old child?

In general,a child is considered an adolescent when he reaches the age of ________ years.

Which of the following statements is true regarding SIDS?

Artificial ventilations for a 5-year-old child should be provided at a rate of ________ per minute.

Which of the following is the MOST common cause of death in children?

Which of the following is an indication of shock in an infant or small child?

You are assessing a child who is having problems breathing.Her mother states that she has been diagnosed with asthma and has recently started using an inhaler.Which of the following would indicate early respiratory distress?

Which of the following is characteristic of preschool-age children?

You are trying to assess Judy,a 16-year-old girl,who has abdominal cramps with nausea and vomiting.Her mother,Mrs.Smith,is attempting to give you her daughter's past medical history.It is important that you get the history of the present illness.Therefore,you should: