Infants and Children From Bradys Emergency Care 10 th Edition. 2. Why should moist dressings be used sparingly in a pediatric burn patient?

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Toby French
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1 Infants and Children From Bradys Emergency Care 10 th Edition 1. Which is the most frequent sign of head injury in a child? A.) Nausea B.) Vomiting C.) Altered mental status D.) Shock 2. Why should moist dressings be used sparingly in a pediatric burn patient? A.) Higher tolerance B.) Loss of body heat C.) Increased infection D.) Lower body mass 3. Which direction is the tip of the oropharyngeal airway pointed when inserted into a child's mouth? A.) Down B.) Right C.) Left D.) Up 4. What is the approximate blood volume of a newborn? A.) More than 24 ounces B.) 2-liters C.) Less than 12 ounces D.) 4 liters 5. Which part of the airway does a respiratory disease generally affect? A.) Upper B.) Mid-upper C.) Middle D.) Lower

2 6. Where should a young child be allowed to sit during initial assessment if possible? A.) Favorite chair B.) Ambulance bay C.) Family couch D.) Parent's lap 7. What should be done immediately when clothing must be removed from a child for examination or treatment? A.) Put clothing back on B.) Move inside C.) Allow the parent to come in D.) Cover with blanket 8. What causes a child to suffer from hypothermia more quickly than adults? A.) Larger head to body size B.) Smaller head to body size C.) Larger surface area to body mass D.) Smaller surface area to body mass 9. Which is NOT a sign of shock in an infant? A.) Rising blood pressure B.) Delayed capillary refill C.) Weak, thready pulse D.) Lack of vitality 10. Where should pressure NOT be applied to an infant? A.) Facial bones B.) Fontanelles C.) Abdomen D.) Chest 11. What is the number one cause of death in infants and children? A.) Cardiac emergency B.) Poisoning C.) Drowning D.) Trauma

3 12. What should be suctioned first for an infant? A.) Nose B.) Mouth C.) Throat D.) Ears 13. What is an error to avoid when treating a child with a head injury? A.) Administering oxygen B.) Placing cervical collar on C.) Suspecting internal injuries D.) Using sandbags to stabilize head 14. What is a drainage device that runs from the brain to the abdomen? A.) Gastric tube B.) Shunt C.) Ventilator D.) Valve 15. Which is NOT a common cause of shock in children? A.) Dehydration B.) Heart failure C.) Infection D.) Allergic reactions 16. Which is NOT an auscultation site on a pediatric patient? A.) Axillary B.) Posterior C.) Apical D.) Clavicle 17. What should be watched for in terms of the nose when the infant is having trouble breathing? A.) Nasal protruding B.) Nasal retraction C.) Nasal pinching D.) Nasal flaring

4 18. Which should NOT be done when treating a pediatric patient with a fever? A.) Give ice chips to suck on B.) Cover with a towel soaked in ice water C.) Cover with a towel soaked in tepid water D.) Give fluids by mouth 19. What makes children more vulnerable to spinal injuries? A.) Proportionately larger head B.) Proportionately larger spine C.) Proportionately smaller spine D.) Proportionately smaller head 20. What condition would prevent you from providing resuscitation and transport to an infant? A.) Respiratory distress B.) Respiratory arrest C.) Cardiac arrest D.) Rigor mortis 21. What is the formula for calculating the approximate systolic pressure for each age? A.) 80 plus 2 X age B.) 70 plus 2 X age C.) 90 plus 2 X age D.) 60 plus 2 X age 22. Which is a description of the well child's mental status? A.) Drowsy B.) Alert C.) Sleeping D.) Inattentive 23. Which is a sign of a partial airway obstruction in a pediatric patient? A.) Stridor without difficulty B.) Unconsciousness C.) Ineffective cough D.) Cyanosis

5 24. What should be used to determine the pediatric patient's temperature? A.) Palm of ungloved hand B.) Rectal thermometer C.) Back of ungloved hand D.) Oral thermometer 25. What is the minimum age patient that should have their blood pressure taken? A.) 2 B.) 4 C.) 5 D.) When should nothing be given to the pediatric patient by mouth? A.) Fever B.) Dehydration C.) Nausea D.) Diarrhea 27. How hard should the EMT-B blow in a pocket mask when using this on a pediatric patient? A.) Just enough to make the stomach rise B.) Just enough to make the chest rise C.) Just enough to make the cheeks bulge D.) Just enough to make the eyes open 28. Which age group does not mind having its clothing removed? A.) Birth to 1 year B.) 12 to 18 years C.) 3 to 6 years D.) 1 to 3 years 29. What is used to hold the tongue down when inserting an oropharyngeal airway in a child? A.) EMT-B's finger B.) Body of the airway C.) Tongue depressor D.) Scope

6 30. What should be done when a parent is out of control at an emergency scene? A.) Have a relative remove them from the scene B.) Call the police to take them to jail C.) Give them a sedative to calm them down D.) Tell them to sit down and be quiet 31. Which direction does the child's head tip when laid suspine? A.) Backward B.) Left C.) Right D.) Forward 32. What position should the patient with epiglottitis be transported in? A.) Sitting upright B.) Truembel C.) Left recumbent recovery D.) Laying down flat 33. Which is NOT a common location of injury in the battered child? A.) Face B.) Back C.) Arms D.) Legs 34. What could indicate swallowed air in a pediatric patient? A.) Swelling in the chest B.) Swelling in the neck C.) Swelling in the face D.) Swelling in the abdomen 35. Which age group should be given the responsibility of giving the history? A.) 6 to 12 years B.) 1 to 3 years C.) 0 to 1 years D.) 3 to 6 years

7 36. How far from the patient's face should the oxygen mask be held to perform the blow by technique? A.) 6 inches B.) 2 inches C.) 8 inches D.) 4 inches 37. What age does the child's head become more in proportion to the rest of the body? A.) 3 B.) 1 C.) 2 D.) Which would NOT be a red flag for possible child abuse? A.) Poorly healing wounds B.) Fear on part of the child to tell you about the injury C.) Indications of past injuries to the child D.) Single response to provide care 39. At what percentage of blood loss does decompensating shock begin in a child patient? A.) 30% B.) 50% C.) 60% D.) 40% 40. Which is NOT a sign of possible sexual abuse? A.) Bilateral burns to the buttocks B.) Seminal fluid on the clothing C.) Wounds to the genitalia D.) Unexplained genital wounds

8 41. Which is NOT something that needs to be done when assessing a pediatric patient with altered mental status? A.) Be alert for evidence of poisoning B.) Be alert for signs of shock C.) Be alert for seizures D.) Be alert for mechanism of injury 42. When should medical direction be contacted when encountering an unresponsive poisoning patient? A.) Before providing oxygen B.) First thing on the scene C.) After giving activated charcoal D.) After transport 43. What should NOT be done when you suspect abuse? A.) Tell the emergency staff about suspicions B.) Ask the child if they were abused C.) Talk to the child about the injury D.) Interview the parents separately 44. Which is a late sign of respiratory distress in a pediatric patient? A.) Audible wheezing B.) Decreased heart rate C.) Breathing rate above 60 D.) Nasal flaring 45. Which direction is the tip of the oropharyngeal airway pointed when inserted into an infant's mouth? A.) Left B.) Up C.) Down D.) Right 46. What makes the face mask seal harder to obtain on a child? A.) Narrow airways B.) Rounded cheeks C.) Smaller head D.) Flat nose and face

9 47. Which quadrant contains the large and small intestine? A.) Right upper B.) Left upper C.) Right lower D.) Left lower 48. How does the fever of epiglottitis come on? A.) Intermittently B.) Fluctuates C.) Suddenly D.) Slowly 49. What is the lowest dose of ferrous sulfate that can prove fatal to a child? A.) 10 grams B.) 5 grams C.) 1 gram D.) 14 grams 50. What age group includes preschool children? A.) 1 to 3 years B.) 6 to 12 years C.) 3 to 6 years D.) 12 to 18 years 51. Which should NOT be done when a pediatric patient has a partial airway obstruction? A.) Take blood pressure B.) Transport C.) Offer high concentration oxygen D.) Allow to sit on parent's lap 52. What is the most common cause of seizures in infants? A.) Colds B.) Fever C.) Poisoning D.) Head injury

10 53. Which is the reason that there can be internal damage when there are no outward signs? A.) Ribs are rigid B.) Ribs are smaller C.) Ribs are flexible D.) Ribs are longer 54. Where should a towel be placed to help maintain a neutral position of the child's airway? A.) Head B.) Shoulders C.) Neck D.) Back 55. If a 5 year old is found unconscious and you are alone, how long should you wait before calling for help? A.) 3 minutes B.) 1 minute C.) 7 minutes D.) 5 minutes 56. How often should the vital signs of a stable pediatric patient be assessed? A.) 5 minutes B.) 15 minutes C.) 3 minutes D.) 10 minutes 57. Which is NOT a part of the pediatric assessment triangle (PAT)? A.) Breathing B.) Circulation C.) Attitude D.) Appearance

11 58. What should be done when needing to remove clothing for an examination on an adolescent patient? A.) Be open about embarrassment B.) Explain it first C.) Act in a shy manner D.) Simply do what you need to do 59. Which area should be checked for crepitus? A.) Arm B.) Back C.) Neck D.) Abdomen 60. Which characteristic about the child's skin would be alarming? A.) Warm B.) Moist C.) Pink D.) Dry 61. Which is a part of the up close assessment of breathing in a pediatric patient? A.) Make sure airway is open B.) Coloration of skin C.) Visible movement with breathing D.) Noise with breathing 62. What approximate percentage of the child's total body weight is made up from their blood? A.) 8% B.) 12% C.) 32% D.) 21% 63. What is a familiar sign from adults that is reassuring to children? A.) Hug B.) Tickle C.) Touch D.) Smile

12 64. Which action is inappropriate when providing patient care for a pediatric seizure patient? A.) Insert a bite stick B.) Maintain open airway C.) Suction as needed D.) Provide oxygen 65. How many back blows should be performed in a row when an infant is found conscious but chocking? A.) 5 B.) 11 C.) 7 D.) How should you identify yourself to the child patient? A.) By first name B.) By last name C.) By calling yourself a helper D.) By first and last name 67. What is a major area of heat loss on a child patient? A.) Head B.) Extremities C.) Trunk D.) Feet 68. How long should the pediatric patient be suctioned at a time? A.) 20 to 25 seconds B.) A few minutes C.) 10 to 15 seconds D.) A few seconds 69. How long after being submerged in cold water have patients been revived? A.) 45 minutes B.) 60 minutes C.) 96 minutes D.) 30 minutes

13 70. Which is NOT generally checked for in the extremities of a pediatric patient? A.) Pulses B.) Tenderness C.) Warmth D.) Sensation 71. Which is NOT a sign of croup? A.) A loud seal bark cough B.) Worsens during the day C.) Restlessness D.) Mild fever 72. Which form of child abuse is the EMT-B often called out for? A.) Psychological B.) Sexual C.) Neglect D.) Emotional 73. How thick should the nasopharyngeal airway be when used on the pediatric patient? A.) Thumb B.) Index finger C.) Little finger D.) Ring finger 74. What is the ventilation rate of a child under the age of 8 years old? A.) 10 breaths/minute B.) 18 breaths/minute C.) 12 breaths/minute D.) 20 breaths/minute 75. What does a sunken fontanelle mean in an infant? A.) Fluid retention B.) Dehydration C.) Normalcy D.) Increased intracranial pressure

14 76. What will aid in communicating with a child at an emergency scene? A.) Isolate them from others B.) Remove them from the scene C.) Show them around the scene D.) Help them to remain calm 77. How many of the pediatric trauma deaths are related to airway mismanagement? A.) 1/3 B.) 1/8 C.) 1/4 D.) 1/2 78. What is the ventilation duration for a child over 8 years old? A.) 2 seconds B.) 1 second C.) 4 seconds D.) 3 seconds 79. Which is emergency care if called out for complications with a central intravenous line? A.) Maintaining an open airway B.) Apply pressure if there is bleeding C.) Be alert for altered mental status D.) Ventilate with pocket mask 80. What does the child use mostly to breathe? A.) Chest B.) Ribs C.) Mouth D.) Diaphragm 81. Where can a great deal of information be gathered from with a pediatric patient? A.) Training B.) Doorway C.) Bedside D.) En route

15 82. Which of the following is NOT a sign or symptom of meningitis? A.) High fever B.) Stiff neck C.) Irritability D.) Restlessness 83. Which should NOT be done when assessing the mental status of an infant or child? A.) Shout B.) Tap C.) Pinch D.) Shake 84. Which are the most lethal type of child abuse injuries? A.) Broken bones in many stages of healing B.) Burn marks that are small and round from cigarettes C.) Central nervous system injuries from shaken baby syndrome D.) Head injuries from skull fractures

Homework Assignment Complete and Place in Binder

Homework Assignment Complete and Place in Binder Chapter # 34/35: Pediatric & Geriatric Emergencies 1. The first month of life after birth is referred to as the: A) neonatal period. B) toddler period.