EMT Chapter34

Which of the following findings is LEAST suggestive of child abuse?

A. Evidence of alcohol consumption or drug use at the scene B. Burns to the hands or feet that involve a glove distribution C. Consistency in the method of injury reported by the caregiver Correct D. An unexplained delay in seeking medical care after the injury

When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence initially?

A. Have you noticed any signs or symptoms? B. Do you know what substance was ingested? C. What time did the ingestion occur? D. Why did your child ingest the poison? Correct

A 5-year-old child has had severe vomiting and diarrhea for 4 days. Which of the following assessment findings would be the MOST indicative of decompensated shock?

A. Respiratory rate of 30 breaths/min B. Blood pressure of 70/40 mm Hg Correct C. Pulse rate greater than 120/min D. Capillary refill time of 4 seconds

Which of the following statements regarding sudden infant death syndrome (SIDS) is correct?

A. The cause of death following SIDS can be established by autopsy. B. Certain cases of SIDS are predictable and therefore preventable. C. Death as a result of SIDS can occur at any time of the day or night. Correct D. SIDS is most commonly the result of an overwhelming infection.

An infant with severe dehydration would be expected to present with:

A. absent urine output. Correct B. moist oral mucosa. C. bulging fontanelles. D. excessive tearing.

While triaging patients at the scene of a motor-vehicle crash, you encounter a 5-year-old child who is unresponsive and apneic. After positioning his airway, you should:

A. categorize him as immediate. B. deliver 5 rescue breaths. C. categorize him as deceased. D. palpate for a carotid pulse. Correct

Pale skin in a child indicates that the:

A. child's core body temperature is elevated. B. blood vessels near the skin are constricted. Correct C. oxygen content in the blood is decreased. D. child is in severe decompensated shock.

The purpose of the pediatric assessment triangle (PAT) is to:

A. determine if the child's vital signs are within the age-appropriate limits. B. facilitate a rapid head-to-toe assessment of the child by visualization only. C. allow you to rapidly and visually form a general impression of the child. Correct D. gather critical data by performing a rapid hands-on assessment of the child.

A viral infection that may cause obstruction of the upper airway in a child is called:

A. epiglottitis. B. croup. Correct C. asthma. D. bronchitis.

Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with:

A. extreme restlessness. B. acute respiratory distress. C. drooling or congestion. Correct D. skin that is cool and dry.

Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT:

A. headache and fever. B. a stiff or painful neck. C. sunken fontanelles. Correct D. altered mental status.

Common causes of seizures in children include all of the following, EXCEPT:

A. hyperglycemia. Correct B. infection. C. poisonings or ingestion. D. electrolyte imbalances.

When caring for a female child who has possibly been sexually abused, you should:

A. immediately report your suspicions to the parents. B. encourage the child to urinate and take a shower. C. carefully examine the genitalia for signs of injury. D. have a female EMT remain with her if possible. Correct

Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler:

A. in the ambulance. B. at the feet. Correct C. at the head. D. en route to the hospital.

A 2-year-old female has experienced a seizure. When you arrive at the scene, the child is conscious, crying, and clinging to her mother. Her skin is hot and moist. The mother tells you that the seizure lasted approximately 5 minutes. She further tells you that her daughter has no history of seizures, but has had a recent ear infection. You should:

A. place the child in cold water to attempt to reduce her fever. B. suspect that the child has meningitis and transport at once. C. allow the mother to drive her daughter to the hospital. D. cool the child with tepid water and transport to the hospital. Correct

The first month of life after birth is referred to as the:

A. premature phase. B. toddler period. C. neonatal period. Correct D. start of infancy.

You are dispatched to a residence for a child with respiratory distress. The patient, an 18-month-old female, is tachypneic, has sternal retractions, and is clinging to her mother. Her skin is pink and dry, and her heart rate is 120 beats/min. The MOST appropriate treatment for this child includes:

A. requesting a paramedic ambulance to insert an advanced airway device. B. administering blow-by oxygen and transporting the child with her mother. Correct C. allowing the child to remain with her mother and applying a nasal cannula. D. separating the child from her mother and providing ventilatory assistance.

Burns in children are commonly caused by all of the following, EXCEPT:

A. scalding water in a bathtub. B. exposure to caustic chemicals. Incorrect C. entrapment in a structural fire. D. hot items on a stovetop.

When a child is struck by a car, the area of greatest injury depends MOSTLY on the:

A. size of the child and the height of the bumper upon impact. B. age of the child and the size of the car that struck him or her. Correct C. height of the child and the speed at which the car was traveling. D. speed at which the car was traveling when impact occurred.

When assessing an 8-year-old child, you should:

A. use a toe-to-head assessment approach. B. refrain from taking a blood pressure. C. rely solely on the parent for information. D. talk to the child, not just the caregiver. Correct