EMT Chapter 34

Which of the following findings is LEAST suggestive of child abuse? Select one: A. Consistency in the method of injury reported by the caregiver B. An unexplained delay in seeking medical care after the injury C. Burns to the hands or feet that involve a glove distribution D. Evidence of alcohol consumption or drug use at the scene

A. Consistency in the method of injury reported by the caregiver

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

A. administering blow-by oxygen and transporting the child with her mother.

When caring for a female child who has possibly been sexually abused, you should: Select one: A. have a female EMT remain with her if possible. B. immediately report your suspicions to the parents. C. carefully examine the genitalia for signs of injury. D. encourage the child to urinate and take a shower.

A. have a female EMT remain with her if possible.

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

A. palpate for a carotid pulse.

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?

B. Blood pressure of 70/40 mm

Which of the following statements regarding sudden infant death syndrome (SIDS) is correct? Select one: A. Certain cases of SIDS are predictable and therefore preventable. B. Death as a result of SIDS can occur at any time of the day or night. C. The cause of death following SIDS can be established by autopsy. D. SIDS is most commonly the result of an overwhelming infection.

B. Death as a result of SIDS can occur at any time of the day or night.

An infant with severe dehydration would be expected to present with: Select one: A. excessive tearing. B. absent urine output. C. moist oral mucosa. D. bulging fontanelles.

B. absent urine output.

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

B. age of the child and the size of the car that struck him or her.

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

B. allow you to rapidly and visually form a general impression of the child.

Pale skin in a child indicates that the: Select one: A. child's core body temperature is elevated. B. blood vessels near the skin are constricted. C. oxygen content in the blood is decreased. D. child is in severe decompensated shock.

B. blood vessels near the skin are constricted.

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

B. cool the child with tepid water and transport to the hospital.

Burns in children are commonly caused by all of the following, EXCEPT: Select one: A. scalding water in a bathtub. B. entrapment in a structural fire. C. exposure to caustic chemicals. D. hot items on a stovetop.

B. entrapment in a structural fire.

Common causes of seizures in children include all of the following, EXCEPT: Select one: A. electrolyte imbalances. B. hyperglycemia. C. infection. D. poisonings or ingestion.

B. hyperglycemia.

Signs and symptoms of meningitis in the infant or child include all of the following, EXCEPT: Select one: A. altered mental status. B. sunken fontanelles. C. headache and fever. D. a stiff or painful neck.

B. sunken fontanelles.

When assessing an 8-year-old child, you should: Select one: A. rely solely on the parent for information. B. talk to the child, not just the caregiver. C. use a toe-to-head assessment approach. D. refrain from taking a blood pressure.

B. talk to the child, not just the caregiver.

When questioning the parent of a child who ingested a poisonous substance, which of the following questions would be of LEAST pertinence initially? Select one: A. Have you noticed any signs or symptoms? B. Do you know what substance was ingested? C. Why did your child ingest the poison? D. What time did the ingestion occur?

C. Why did your child ingest the poison?

A viral infection that may cause obstruction of the upper airway in a child is called: Select one: A. epiglottitis. B. asthma. C. croup. D. bronchitis.

C. croup.

Unless he or she is critically ill or injured, you should generally begin your assessment of a toddler: Select one: A. in the ambulance. B. en route to the hospital. C. at the head. D. at the feet.

D. at the feet.

Infection should be considered a possible cause of an airway obstruction in an infant or child, especially if he or she presents with: Select one: A. acute respiratory distress. B. extreme restlessness. C. skin that is cool and dry. D. drooling or congestion.

D. drooling or congestion.

The first month of life after birth is referred to as the: Select one: A. premature phase. B. toddler period. C. start of infancy. D. neonatal period.

D. neonatal period.