Questions and Answers
What is the first month of life after birth referred to as?
neonatal period
What is the purpose of the pediatric assessment triangle (PAT)?
allow you to rapidly and visually form a general impression of the child
What should you do for a 2-year-old female experiencing a seizure?
cool the child with tepid water and transport to the hospital
When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence initially?
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Burns in children are commonly caused by all the following, EXCEPT:
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Common causes of seizures in children include all of the following, EXCEPT:
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Which of the following assessment findings would be the MOST indicative of decompensated shock in a child with severe vomiting and diarrhea?
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Unless critically ill or injured, how should you begin your assessment of a toddler?
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Which statement regarding sudden infant death syndrome (SIDS) is correct?
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When assessing an 8-year-old child, what should you do?
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After positioning the airway of an unresponsive and apneic 5-year-old child, what should you do next?
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What is the most appropriate treatment for an 18-month-old female child with respiratory distress?
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What should infection be considered in infants or children presenting with?
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What would you expect to find in an infant with severe dehydration?
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When a child is struck by a car, what does the area of greatest injury depend on?
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Signs and symptoms of meningitis in infants include all the following, EXCEPT:
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What should you do when caring for a female child who has possibly been sexually abused?
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Which of the following findings is LEAST suggestive of child abuse?
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What is a viral infection that may cause obstruction of the upper airway in a child called?
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What does pale skin in a child indicate?
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Study Notes
Neonatal Period
- The first month of life is known as the neonatal period.
Pediatric Assessment Triangle (PAT)
- The Pediatric Assessment Triangle (PAT) is a tool designed to quickly and visually assess a child's overall condition.
Seizure Management
- For a 2-year-old who has experienced a seizure after a recent ear infection, it is crucial to cool the child with tepid water and transport them to a hospital.
Poison Ingestion Query
- When dealing with a child who has ingested poison, the question of "Why did your child ingest the poison?" is less relevant initially compared to immediate concerns.
Causes of Burns in Children
- Common causes of burns in children include scalding, fire, and electrical sources, not entrapment in structural fires.
Seizure Causes
- Hyperglycemia is not considered a common cause of seizures in children.
Decompensated Shock Indicators
- In a child with severe vomiting and diarrhea, a blood pressure reading of 70/40 mm Hg is a significant indicator of decompensated shock.
Toddler Assessment
- When assessing toddlers, begin the evaluation at the feet unless they are critically ill or injured.
Sudden Infant Death Syndrome (SIDS)
- SIDS can occur at any time, day or night, emphasizing the unpredictability of this condition.
Communication with Children
- When assessing children, direct interaction should be established with the child, not solely with the caregiver.
Triage Protocol
- For an unresponsive, apneic child in a motor-vehicle crash, check the carotid pulse after positioning the airway.
Respiratory Distress Treatment
- An 18-month-old child in respiratory distress should receive blow-by oxygen and be transported with their mother.
Airway Obstruction Causes
- Infections may cause airway obstructions in infants or children, particularly if drooling or congestion is present.
Severe Dehydration in Infants
- An infant with severe dehydration typically exhibits absent urine output.
Injury from Vehicle Impact
- The extent of injury to a child struck by a vehicle is primarily influenced by the child's size and the height of the vehicle's bumper at the moment of impact.
Meningitis Symptoms
- In infants, symptoms of meningitis do not typically include sunken fontanelles.
Sexual Abuse Response
- When caring for a possible sexual abuse victim, it is advised to keep a female EMT present with the child, if possible.
Child Abuse Indicators
- Consistency in the caregiver's account of injuries is least suggestive of child abuse.
Croup
- Croup is a viral infection that can lead to upper airway obstruction in children.
Pale Skin in Children
- Pale skin in a child indicates constriction of blood vessels near the skin.
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