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A 2 year old female is lethargic to respond. She has dry mucous membranes and a tearless cry. What should you suspect? Hypoxia hypoglycemia hypovolemia hypothermia Dehydration Ans- hypovolemia ... You have just delivered a baby girl who remains cyanotic and is not responding to stimulation and oxygen therapy. Heart rate is 90. You should Attempt suctioning and contact medical control Perform chest compressions at 15:2 Continue to provide stimulation by flicking the soles of her feet Begin positive pressure ventilations Ans- Begin positive pressure ventilations A 6 month old is febrile, cyanotic, and grunting with labored breathing. You should? Assist ventilations via bvm sponge the infant with tepid water apply blow by 02 and trans perform a rapid medical assessment Ans- apply blow by 02 and trans Before assessing the respiratory adequacy of an unconscious infant or child, you should Routinely suction the mouth to remove oral secretions Insert and OPA or an NPA Ensure that his or her head is in a hyperextended position Ensure the airway is patent and clear of obstructions Ans- Ensure the airway is patent and clear of obstructions Febrile seizures in children are most often the result of a/an Abrupt rise in body temp life threatening infection Temp greater than 100 Fahrenheit inflammatory process Ans- Abrupt rise in body temp A 4 year old patient has sustained blunt trauma to the chest. Based on the MOI you should suspect Good chest rise with no diaphragmatic breathing Minimal external signs with serious internal injury Multi rib fractures due to fragile bone structure Dark ecchymosis around the umbilical area Ans- Minimal external signs with serious internal injury A mother has just delivered a newborn with central cyanosis. The newborns vitals are P 82, R 30. You should? Initiate active warming begin positive pressure ventilations administer blow by O2 suction the airway and stimulate Ans- begin positive pressure ventilations A 37 year old female in the later stages of pregnancy has been experiencing abdominal pain and vomiting for the last two days. She responds to verbal stimulus. Vital signs are BP 100/70, P 116 R 24, skin cool and dry, How should you position her? In Fowler's position on the stretcher Semi Fowlers with knees bent Left lateral recumbent with knees bent Supine with a pillow under her knees Ans- Left lateral recumbent with knees bent What is the proper way to size an OPA for a child? Tip of the nose to the corner of the mouth corner of mouth to the angle of the mandible the length of the index finger of the child middle of the mouth to the ear lobe Ans- corner of mouth to the angle of the mandible A 6 year old is shy and withdrawn. He has multiple contusions in various stages of healing. His mother states "he fell on the playground." What should you suspect? Sexual abuse Emotional abuse Neglect Physical abuse Ans- Physical abuse Where should you apply pressure to access for uterine contractions? Left and right upper quadrants abdomen below the navel abdomen above the navel left and right flank Ans- abdomen below the navel A 14 year old jumped off a 4 foot wall, landing on her feet. She is complaining of tingling below waist, lower back pain, and cramping in both feet. Vital signs are BP 106/74, P 112, and R 20. You should Immobilize to a long spine board Transport in a position of comfort Apply bilateral soft splints to lower extremities Coach her to slow her breathing Ans- Immobilize to a long spine board Which of the following indicates decompensated shock in a pediatric patient? Shallow breathing rapid heart rate pale cool and diaphoretic loss of consciousness Ans- loss of consciousness A 3 year old is unresponsive and apneic on the floor of a restaurant. He was choking, turned blue, and collapsed. What should you do? Begin chest compressions Perform a blind finger sweep Give 5 abdominal thrusts Give 5 back blows Ans- Begin chest compressions In centimeters what is the correct depth of chest compressions for a 7 year old child? 1.5 6 5 2 Ans- 5 What is the proper method for suctioning a newborn's airway with a bulb syringe? Squeeze after placing the bulb syringe in the nose Squeeze before placing the bulb syringe in the nose Squeeze after placing the bulb syringe in the mouth Squeeze before placing the bulb syringe in the mouth Ans- Squeeze before placing the bulb syringe in the mouth A 3 year old drank some drain cleaner. It would be most helpful to? Administer activated charcoal transport immediately administer glucagon induce vomiting Ans- transport immediately A cord is wrapped around a baby's neck during childbirth. This is called Neck cord Nuchal cord Circumferential cord Prolapsed cord Ans- Nuchal cord Scald injuries to a child's lower extremity can be indicative of? Abuse radiant heat accidents chemicals Ans- Abuse You have assisted a mother in delivering a premature newborn. Assessment after 5 minutes shows newborn has central cyanosis and heart rate of 90. What should you do? Begin chest compressions Continue to dry and warm the newborn Administer oxygen via blow-by Provide ventilatory assistance Ans- Provide ventilatory assistance You are treating a 3 month old, apneic patient with a pulse of 110. In preparing to ventilate this infant, you should? Institute 2 min of CPR and then ventilate place a small towel under their shoulders open the airway with an OPA and bag every 6 seconds attach the AED and wait instructions Ans- place a small towel under their shoulders Normal response for a healthy 9 month old infant. Gaze follows parents pays no attention to you when entering ribs clearly visible upon inspiration extremities feel cool to the touch Ans- Gaze follows parents 2 year old is restless, irritable, and febrile with a distinct cough. The parent states that the child is calmer in a steam shower. You should suspect? [Show More]

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