Questions and Answers
What should you perform and ventilate with?
chest compressions and a bag-mask device.
Which of the following would NOT be considered an approved site for intraosseous insertion?
What are the initial management steps for a 12-year-old boy who is unresponsive with pale, cool skin and has vital signs of BP 78/56, HR 146, and RR 48?
What is the dysrhythmia for a 16-year-old with a heart rate of 180 beats/min and a narrow QRS complex?
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What is the initial airway management of an unrestrained child in a motor vehicle collision with blood and broken teeth noted in the airway?
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What is the initial treatment of an 18-month-old boy with a swollen, deformed right forearm?
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What is the best way to repair a break in a central line catheter?
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What is a contraindication to straightening the head and neck of a trauma patient during spinal immobilization?
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A 7-year-old boy has difficulty breathing and is wheezing. What initial management should be performed?
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A 4-month-old infant who has had vomiting and diarrhea for the past 36 hours is lethargic. What do the signs and symptoms suggest?
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What is the priority treatment for a child who is seizing?
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What should be included in the treatment of thermal burns to the chest, abdomen, and legs?
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What is the significance of the bruising on the lateral right lower chest of a 2-year-old boy hit by a car?
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How should you manage a 9-year-old patient who fell off his bicycle and began vomiting?
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Which of the following patients may have injuries that suggest maltreatment?
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The history provided by the caregiver of which patient is inconsistent with the injury?
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What is the first step in managing a newborn with cyanosis of hands and feet?
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What is the best way to obtain medical history of a child on a ventilator?
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In what position should a child in mild respiratory distress be placed?
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What type of shock is a semi-responsive 8-year-old boy experiencing with signs of decreased vital signs?
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What is the appropriate initial management for a girl who fell from a tree house with a leg deformity?
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What is the state of lethargy and confusion known as after a seizure?
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What is the appropriate compression depth in a 6-month-old child in cardiac arrest?
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What should be administered for a 2-year-old girl with severe respiratory distress and a barklike cough?
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What should be done first in the treatment of thermal burns?
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After a seizure, what is the state called when patients are lethargic and confused?
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After delivery of an unresponsive newborn, what is your initial treatment?
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What is the appropriate management for a patient with difficulty breathing and a tracheostomy?
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What should be done for a semi-responsive boy who has had difficulty breathing?
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Study Notes
Pediatric Emergency Management
- Apply oxygen by non-rebreather mask for a child with difficulty breathing and wheezing.
- Signs of lethargy, weak cry, and mottled skin in an infant may indicate hypovolemic shock.
- Open the airway is the priority treatment for a seizing child to ensure proper ventilation.
- Administer 100% oxygen as part of managing thermal burns to critical areas like the chest and abdomen.
- Bruising on the right side of the chest signifies pliable ribs, indicating potential underlying organ damage in a child hit by a car.
- Initiate suctioning in a patient who has fallen and is vomiting to prevent airway obstruction.
- A 6-year-old with bruises throughout the back may raise suspicion for child maltreatment.
- Inconsistent caregiver history in a 2-year-old with healing circular burns suggests possible abuse.
- For a newborn delivered at home with cyanosis, drying and wrapping in a blanket is vital before any other intervention.
- The home health agency is the best source for medical history on a child on a ventilator with a tracheostomy.
- Position of comfort is recommended for children in mild respiratory distress.
- Cardiogenic shock is suggested in a child with nausea, diarrhea, and poor vital signs after being ill for multiple days.
- Cervical spine immobilization is crucial for a child ejected in a motor vehicle collision.
- Fever is identified as the most common cause of pediatric seizures.
- An AED should be utilized as soon as a pediatric cardiac arrest is witnessed.
- Nebulized beta-agonist medication is essential in the treatment of a child with wheezing and respiratory distress.
- In a tracheostomy patient experiencing breathing difficulty, suctioning the tube is the immediate step.
- Unresponsive infants with low heart rate and respiratory rate require chest compressions and ventilation.
- Intraosseous needle insertion is indicated when peripheral access cannot be established quickly in critical situations.
- While managing trauma, maintain cervical stabilization and provide rapid IV fluid boluses when necessary.
- Postictal state refers to the confusion and lethargy following a seizure.
- 1.5 inches is the recommended compression depth for a child in cardiac arrest.
- Nebulized epinephrine is advised for a child with severe respiratory distress and bark-like cough.
- Replacing a malfunctioning tracheostomy tube may be necessary if the patient is in distress.
- For newborns with signs of respiratory failure, initiating bag-mask ventilation is crucial.
- The sternum is not an approved site for intraosseous insertion; other sites like the proximal tibia are used.
- In trauma management, prioritize spinal stabilization and IV access with fluid boluses for injured children.
- Supraventricular tachycardia is characterized by a narrow QRS complex and is common in pediatric patients with elevated heart rates.### Pediatric Trauma Management
- An 18-month-old boy with a swollen, deformed right forearm and multiple healing circular bruises suggests potential child abuse scenarios.
- Initial treatment for a suspected fracture involves splinting the forearm to stabilize the injury.
Central Line Catheter Repair
- To repair a break in a central line catheter, the most effective method is to clamp the catheter with a hemostat and gauze, preventing further complications.
Spinal Immobilization Considerations
- In spinal immobilization of a trauma patient, a key contraindication for straightening the head and neck is severe pain on movement, indicating possible spinal injury.
- Other factors, such as multiple facial injuries or unilateral pupil changes, may complicate the assessment but are not direct contraindications.
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Description
Test your knowledge with these PEPP Final flashcards designed for emergency and pediatric care concepts. This quiz covers essential management strategies for respiratory distress and hydration issues in children. Perfect for those preparing for pediatric emergency care certification.
