Mod 5

sunken fontanelles

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

the flexible ribs can be compressed without breaking

When a child experiences a blunt chest injury:

inquire about the possibility of pregnancy in private, if possible.

A 16-year-old female complains of vaginal bleeding and abdominal cramping that began several hours ago. During your assessment interview, you should:

place her in a left lateral recumbent position

A 33-year-old woman who is 36 weeks pregnant is experiencing scant vaginal bleeding. During transport, you note that she suddenly becomes diaphoretic, tachycardic, and hypotensive. In addition to administering 100% oxygen, you should:

30th

Preeclampsia MOST commonly occurs after the ____ week of gestation.

positive-pressure ventilations

Common interventions used to stimulate spontaneous respirations in the newborn include all of the following, EXCEPT:

12 months

A child may begin to show signs of separation anxiety as early as:

age-appropriate behavior, good muscle tone, and good eye contact.

A normal level of consciousness in an infant or child is characterized by:

have delivered a baby before

A precipitous labor and delivery is MOST common in women who

croup

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

the placenta prematurely separates from the uterine wall

Abruptio placenta occurs when:

Ensure that it is thoroughly dried and warmed.

After a baby is born, it is important to:

2 seconds.

After squeezing the end of a child's finger or toe for a few seconds, blood should return to the area within:

weighs less than 5 lb or is born before 36 weeks' gestation.

An infant is considered to be premature if it:

Provides an organized, routine environment.

An infant or small toddler would MOST likely gain trust in an individual who:

absent urine output.

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

3

Blood pressure is usually not assessed in children younger than _____ years.

alleviation of pain with movement or changing positions

Braxton-Hicks contractions are characterized by

6 years

Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than:

seizures that result from severe hypertension.

Eclampsia is MOST accurately defined as:

increased surface area available for air exchange.

Factors that contribute to a decline in the vital capacity of an elderly patient include all of the following, EXCEPT:

6 months and 6 years

Febrile seizures are MOST common in children between the ages of:

provide emotional support to the mother.

Following delivery of a pulseless and apneic infant who has a foul odor, skin sloughing, and diffuse blistering, you should:

Uterus

From what internal female organ is the fetus expelled during delivery?

Transporting to an appropriate facility.

General treatment guidelines when caring for a woman with traumatic vaginal bleeding includes:

provide ventilations for 30 seconds

If a newborn's heart rate is less than 65 beats/min following delivery, you should:

9 and 18 months.

The anterior fontanelle fuses together between the ages of:

70 beats/min

The average pulse rate of persons between 19 and 60 years of age is typically:

neonatal period

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

the car seat is visibly damaged

The pediatric patient should be removed from his or her car seat and secured to an appropriate spinal immobilization device if:

the small amount of pink-tinged mucus that is discharged from the vagina after expulsion of the mucous plug.

The term "bloody show" is defined as:

at the feet

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

age-related changes in the cardiovascular system may make the patient less able to compensate for decreased perfusion.

When assessing an 80-year-old patient in shock, it is important to remember that:

start of one to the start of the next.

When determining the frequency of contractions, you should time the contractions from the:

consistency in the method of injury reported by the caregiver.

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

sexual activity

Which of the following inquiries should you make in private when obtaining a SAMPLE history from an adolescent patient?

An infant's tongue is proportionately larger than an adult's.

Which of the following is an anatomic difference between children and adults?

Blood pressure

Which of the following is the LEAST reliable assessment parameter to evaluate when determining the presence of shock in infants and children?

20g

Which of the following is the MOST appropriate dose of activated charcoal for a 20kg child?

Interconnections between brain cells often prevent a loss of knowledge or skill, despite a loss of neurons.

Which of the following statements regarding age-related changes in the nervous system is correct?

They are rarely used in infants younger than 1 year

Which of the following statements regarding the use of nasopharyngeal airways in children iscorrect?

Toddlers and preschoolers commonly experience upper respiratory infections because of the loss of passive immunity

Which of the following statements regarding toddlers and preschoolers is correct?

Decreased physical activity, increased weight gain, and decreased insulin production

Why does the incidence of diabetes mellitus increase with age?

Assess her for crowning

You are assessing a 25 year old woman who is 39 weeks pregnant. She is experiencing regular contractions that are approximately 3 minutes apart and states that her amniotic sac broke 2 hours ago. After taking the standard precautions, you should:

stabilize his head and check for a pulse

You are dispatched to a local elementary school for an injured child. As you approach the child, you note that he is lying at the base of the monkey bars. He is unresponsive and there are no signs of breathing. You should:

Assess the brachia or umbilical pulse

You have just delivered a full-term infant. His respirations are rapid and irregular, and he has a strong cry. What should you do next?

placing the mother supine with her head down and pelvis elevated.

Your 22-year-old patient is in active labor. Upon visual inspection, you note that the infant's leg is protruding from the vagina. Appropriate management of this situation includes:

suctioning the nose first may cause the baby to gasp and aspirate fluid

during delivery of the babies head, you should suction the mouth before the nose because:

a portion of the spinal cord or meninges protrudes outside of the vertebrae

spina bifida is a developmental defect in which