Questions and Answers
With which age group should you talk to the child, not just the parent, while taking the medical history?
School-age children (6-12 years)
Which of the following is TRUE about a child's breathing?
What does PAT assess?
The Pediatric Assessment Triangle assesses appearance, work of breathing, and circulation.
What should you use the Wong-Baker Faces scale to determine?
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What does respiratory syncytial virus (RSV) cause?
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You are assessing a 6 year old boy who has a fever of 102 and shows signs of an altered LOC. What should you expect?
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What is the threshold of blood volume loss in children that significantly increases the risk of shock?
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In a triage situation using JumpSTART, how would you rate a patient who is breathing spontaneously with a peripheral pulse and is unresponsive to painful stimuli?
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What is an example of a condition when a 3-month-old child is cyanotic and unresponsive but reacts to stimulation?
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If a pediatric patient begins seizing again during your care, which of the following would be your treatment priority?
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Study Notes
Pediatric History Taking
- Engage with school-age children (6-12 years) directly during medical history conversations to foster trust and communication.
Child's Breathing
- Children have less air exchange with each breath; detecting poor airflow or absent breath sounds can be notably challenging.
Pediatric Assessment Triangle (PAT)
- PAT is a crucial tool that evaluates a child's appearance, work of breathing, and circulation for effective assessment.
Pain Assessment
- The Wong-Baker Faces scale is utilized to assess and determine the pain level in children.
Respiratory Syncytial Virus (RSV)
- RSV commonly causes bronchiolitis, an inflammatory viral condition affecting newborns and toddlers’ bronchioles.
Meningitis Indicators
- A 6-year-old presenting with a fever of 102°F and neck pain may indicate meningitis is present.
Blood Volume Loss and Shock
- In children, significant shock risk occurs at blood volume loss thresholds of 25% or greater, unlike the 30%-40% threshold seen in adults.
JumpSTART Triage System
- In a triage scenario, a child who is breathing spontaneously, has a peripheral pulse, and is unresponsive to painful stimuli receives a yellow tag, indicating delayed treatment and transport.
Apparent Life-Threatening Events
- A 3-month-old found cyanotic but responsive after stimulation exemplifies an apparent life-threatening event, which may be a near miss for Sudden Infant Death Syndrome (SIDS).
Seizure Management
- If a pediatric patient begins to seize again during care, the immediate treatment priority should be securing and clearing the airway.
Studying That Suits You
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Description
Test your knowledge on pediatric emergencies with this flashcard quiz based on Chapter 34. Learn about effective communication with children and vital aspects of their medical care. Perfect for students and healthcare professionals in pediatric medicine.
