Paramedic Pediatric Unit

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  1. Pediatric CPR you should depress an infants sternum ___ and the child sternum ___, allowing the chest to completely recoil at a rate of ____ per minute.
    • 4cm
    • 5cm
    • 100
  2. In PALS if an advanced airway is placed you should ventilate at a rate of ___ breaths per minute or one breath every ____ seconds.
    • 8-10 breaths per minute
    • 6-8 seconds
  3. In PALS; one rescuer CPR is __breaths : ___ compressions
    • 2 breaths 
    • 30 compression
  4. In PALS; two rescuer CPR is ___ breaths : ____ compressions.
    • 2 breaths
    • 15 compressions
  5. When checking for a pulse it should take no longer than ____ seconds
    10
  6. True/False: Adult AED's may now be used on children and infants if pediatric pads are not available?
    True
  7. The initial shock dosage for a child/infant in VF or pulseless VT is?
    2-4 j/kg
  8. Goal O2 saturation post cardiac arrest is between ___ and ___
    94% and 99%
  9. Anaphylaxis and Stridor are considered ___ airway issues and croup and asthma are considered ___ airway issues.
    Upper/Lower
  10. A 19 year-old diabetic woman who is 22 weeks pregnant presents with an occipital headache, blurred vision, and edema to her hands and feet. The patient is conscious and alert, and states that she is "retaining a lot of water". 
    B/P: 152/94
    Pulse: 108RR: 20 breaths/min
    Your MOST immediate concern should be?

    A) Her current blood sugar level.
    B) Lowering her blood pressure.
    C) The risk of fetal compromise.
    D) The possibility of a seizure
    D) The possibility of a seizure
    (this multiple choice question has been scrambled)
  11. During "true labor":

    A) Analgesics often abolish the pain from contractions.
    B) The interval between contractions gradually shortens.
    C) The intensity of uterine contractions remains constant.
    D) Contractions are irregularly spaced from one to the next.
    B) The interval between contractions gradually shortens.
    (this multiple choice question has been scrambled)
  12. The MOST appropriate vagal maneuver for an infant involves:

    A) Blowing into an occluded straw.
    B) Applying a heat stimulus to the body.
    C) Firmly massaging the carotid artery.
    D) Holding ice packs firmly to the face
    D) Holding ice packs firmly to the face
    (this multiple choice question has been scrambled)
  13. Which of the following statements regarding croup is correct?

    A) Hallmark signs of croup include high fever and a sore throat
    B) Most cases of croup result in severe hypoxia and hypercarbia
    C) Group is a viral upper airway infections that may cause stridor
    D) Croup is also reffered to as acute bacterial subglottic stenosis.
    C) Group is a viral upper airway infections that may cause stridor
    (this multiple choice question has been scrambled)
  14. If a woman is gravida 3 and para 2:

    A) She has delivered two babies
    B) She has been pregnant 5 times.
    C) She has been pregnant two times.
    D) She has delivered three babies.
    A) She has delivered two babies
    (this multiple choice question has been scrambled)
  15. You are caring for a young woman with constant, diffused abdominal pain, referred to both shoulders, and vaginal bleeding. She states that her last menstrual period was 2 months ago but adamantly denies being pregnant. 
    B/P: 86/50
    Pulse 120 and weak
    RR: 24 Breaths per minute/ regular

    What of the following interventions are NOT appropriate for this patient?

    A) Cardiac Monitoring
    B) Thermal Management
    C) Narcotic Analgesia
    D) IV Fluid Boluses 
    C) Narcotic Analgesia
    (this multiple choice question has been scrambled)
  16. The dome-shaped top of the uterus is called the 
    A) fundus
    B) os
    C) body
    D) cervix
    A) Fundus
    (this multiple choice question has been scrambled)
  17. Which of the following statements regarding the umbilical cord is correct? 
    A) The fetus receives the majority of its oxygen supply from the umbilical arteries
    B) The umbilical vein carries oxygenated blood from the placenta to the fetus.
    C) The placenta receives arteriovenous blood from the umbilical arteries.
    D) The umbilical cord is composed of two large veins and one small artery. 
    B) The umbilical vein carries oxygenated blood from the placenta to the fetus
    (this multiple choice question has been scrambled)
  18. Gestational diabetes is caused by?
    A) Increased insulin production and decreased cellular sensitivity to insulin
    B) A decreased production of insulin secondary to excess estrogen levels.
    C) Ketones that are excreted in the urine during the course of the pregnancy.
    D) Decreased cellular utilization of insulin secondary to increased estrogen.
    A) increased insulin production and decreased cellular sensitivity to insulin.
    (this multiple choice question has been scrambled)
  19. Common signs of gestational diabetes include:
    A) Confusion 
    B) Polydipsia
    C) Diaphoresis 
    D) Tachycardia
    B) Polydipsia
    (this multiple choice question has been scrambled)
  20. The onset of eclampsia is marked by the presence of:
    A) Generalized seizure
    B) Protein in the urine
    C) Hypertension
    D) Thrombocytopenia 
    A) Generalized Seizures
    (this multiple choice question has been scrambled)
  21. Treatment for pediatric asystole includes 
    A) Epinephrine
    B) Atropine 
    C) Cardiac Pacing
    D) Hyperventilation
    A) Epinephrine
    (this multiple choice question has been scrambled)
  22. Prior to administering pharmacologic therapy to an infant or child with pulseless ventricular tachycardia, the paramedic should administer 
    A) Intubation
    B) Defibrillation 
    C) Cardioversion 
    D) CPR for 5 minutes
    B) Defibrillation
    (this multiple choice question has been scrambled)
  23. Which of the following is the MOST easily correctable problem in a child with an altered mental status?
    A) Dehydration associated with hypokalemia
    B) Blood glucose reading of 40 mg/dL
    C) Ingestion of aspirin 2 hours ago
    D) High fever with a widespread rash 
    B) Blood Glucose reading of 40 mg/dL
    (this multiple choice question has been scrambled)
  24. Seizures during pregnancy should be treated with:
    A) Magnesium Sulfate
    B) Valproic Acid
    C) Phenobarbital 
    D) diazepam
    A) Magnesium Sulfate
    (this multiple choice question has been scrambled)
  25. A spontaneous abortion:
    A) Is most often the result of congenital abnormality of the placenta
    B) Occurs naturally and may or may not have an identifiable cause 
    C) Is generally performed by a physician to prevent maternal death 
    D) affects one out of every three pregnancies and is typically idiopathic
    B) Occurs naturally and may or may not have an identifiable cause
    (this multiple choice question has been scrambled)
  26. What forms a child maltreatment are often difficult to identify and may go unreported?
    A) Neglect and physical abuse
    B) Physical and emotional abuse
    C) Sexual and emotional abuse
    D) Emotional abuse and neglect
    D) Emotional abuse and neglect
    (this multiple choice question has been scrambled)
  27. When caring for a woman with an inevitable or incomplete abortion, you should be MOST concerned with 
    A) Maternal emotional trauma 
    B) The risk of airway compromise
    C) Severe maternal infection 
    D) Bleeding and shock
    D) Bleeding and shock
    (this multiple choice question has been scrambled)
  28. In contrast to an abruptio placenta, a placenta previa 
    A) Is usually caused by maternal abdominal trauma 
    B) Usually presents with painless vaginal bleeding
    C) Typically presents with tearing abdominal pain
    D) Is associated with an absence of fetal heart tones 
    B) Usually presents with painless vaginal bleeding
    (this multiple choice question has been scrambled)
  29. You are dispatched to a daycare center for a 5 year old girl with trouble breathing. Upon arrival at the scene, you assess the child and note that she is responsive to pain only, has weak intercostal retractions, and is breathing at a slow rate with shallow depth. You should:
    A) Administer high-flow oxygen, assess her cardiac rhythm, and establish IO access
    B) Apply oxygen via pediatric NRB mask and attach a pulse oximeter 
    C) Begin assisting her ventilation with a bag-mask device and assess her pulse rate
    D) Deliver two effective rescue breaths and assess her pulse for at least 5 seconds
    C) Begin assisting her ventilation with a bag-mask device and assess her pulse rate
    (this multiple choice question has been scrambled)
  30. Which of the following clinical presentations is MOST consistent with cocaine ingestion in a child?
    A) Mydriasis, diarrhea, hypothermia, and hallucinations
    B) Miosis, bradycardia, hypoventilation, and hypotension 
    C) Hypertension, tachycardia, diaphoresis, and mydriasis
    D) Diaphoresis, miosis, tachycardia, and bronchospasm 
    C) Hypertension, tachycardia, diaphoresis, and mydriasis
    (this multiple choice question has been scrambled)
  31. First-degree heart block in children 
    A) Is typically asymptomatic and does not require special treatment
    B) Does not respond to atropine and should be treated with dopamine
    C) Should be treated with cardiac pacing, even if the child is stable 
    D) Should be suspected when a randomly dropped QRS is observed 
    A) Is typically asymptomatic and does not require special treatment
    (this multiple choice question has been scrambled)
  32. The incidence of sudden infant death syndrome peaks between the ages of :
    A) 8 and 12 months
    B) 4 and 8 months
    C) 2 and 4 months
    D) 3 and 6 months
    C) 2-4 months
    (this multiple choice question has been scrambled)
  33. While assessing the airway of a 3 year old girl who is unresponsive, you hear a snoring sound during each of her slow, shallow breaths. You should: 
    A) Provide free-flow O2 as you nasotracheally intubate her 
    B) Beging bag-mask ventilation to improve her low tidal volume 
    C) Insert an OPA and administer high flow O2
    D) Manually maneuver her head and reassess her breathing status
    D) Manually maneuver her head and reassess her breathing status
    (this multiple choice question has been scrambled)
  34. With respect to CPR and foreign body airway obstruction procedures, the child should be treated as an adult once: 
    A) He or she reaches the age of 8-10 years 
    B) Resting vital signs are consistent with an adult
    C) His or her body weight is estimated at 55 pounds 
    D) Secondary sexual characteristics have developed
    D) Secondary sexual characteristics have developed 
  35. To ensure that an infants head is in a neutral position during spinal immobilization, you should 
    A) Use towel rolls for lateral head stabilization
    B) Place padding under the infants shoulders 
    C) Place a towel roll behind the infants neck 
    D) Provide sligh extension of his or her head
    B) Place padding under the infants shoulders
    (this multiple choice question has been scrambled)
  36. Abruptio Placenta is MOST accurately defined as:
    A) Separation of the placenta secondary to blunt maternal abdominal trauma 
    B) Premature separation of a normally implanted placenta from the uterine wall 
    C) A Condition in which the placenta progressively detaches from the uterine wall 
    D) A placenta that implants low in the uterus and partially or fully covers the cervix
    B) Premature separation of a normally implanted placenta from the uterine wall
    (this multiple choice question has been scrambled)
  37. Upon arriving at the scene of a 4 year old boy with respiratory distress, you enter the residence and see the child, who is conscious, sitting on his fathers lap. The father is aware of your presence, but the child is not. Your initial action should be to: 
    A) Allow the father to carry his son to the ambulance, where you can perform an initial assessment
    B) Visually assess the child from across the room for any signs of increased work of breathing
    C) Make physical contact with the child as soon as possible in order to identify any life threats 
    D) Quickly build good rapport with the child by picking him up and asking him what his name is 
    B) Visually assess the child from across the room for any signs of increased work of breathing
    (this multiple choice question has been scrambled)
  38. Crowning is MOST accurately defined as: 
    A) Passage of the baby through the fully dilated cervix 
    B) The presenting of the baby at the vaginal opening
    C) Bulging of the baby's head from the vaginal opening
    D) The thinning and shortening of the cervix during labor
    B) The presenting of the baby at the vaginal opening
    (this multiple choice question has been scrambled)
  39. A 9 year old, 55 lb girl presents with generalized hives, marked facial swelling, and loud inspiration stridor. She is conscious but appears sleepy. You can MOST rapidly improve this childs condition by: 
    A) Starting an infusion of EPI at 5 ug/min
    B) Administering up to 50mg of diphendydramine 
    C) Administering 0.25mg of EPI IM
    D) Intubating her and administering albuterol via the ET tube
    C) Administering 0.25mg of EPI IM
    (this multiple choice question has been scrambled)
  40. Law enforcement request that you respond to a local apartment complex for a young woman who was sexually assaulted. When you arrive at the scene, you find the patient sitting on her couch, clearly upset. You see a small amount of blood on her shorts, near the groin area. What is your initial priority in the care of this patient? 
    A) Identifying and treating immediate life threats
    B) Not allowing her to shower or use the restroom
    C) Quickly assessing her blood pressure and pulse
    D) Asking her if she recognized the perpetrator
    A) Identifying and treating immediate life threats
    (this multiple choice question has been scrambled)
  41. Ventricular shunts are typically placed in children who:
    A) Are born with an abnormally small brain, which results in relative increase in the amount of circulating cerebrospinal fluid 
    B) Have impaired circulation and absorption of cerebrospinal fluid, leading to increased size of the ventricles of the brain and increased intracranial pressure
    C) Have experienced a severe traumatic brain injury that results in chronic cerebral edema and increased intracranial pressure 
    D) Are born with a congenital condition in which the ventricles of the brain produce excessive amounts of cerebrospiinal fluid 
    B) Have impaired circulation and absorption of cerebrospinal fluid, leading to increased size of the ventricles of the brain and increased intracranial pressure
    (this multiple choice question has been scrambled)
  42. a 4 year old boy is found unresponsive by his mother. When you begin your assessment, the childs mother tells you that her son apparently ingested some of her antihypertensive medication. The child has poor perfusion and is breathing poorly. As you are assisting the childs ventilation's with high-flow oxygen, your partner informs you that the childs heart rate is 50 beats per minute and weak and that the cardiac monitor reveals sinus bradycardia. You should:
    A) Attempt immediate transcutaneous pacing while continuing ventrilation assistance
    B) Initiate one-rescuer CPR while your partner attempts to establish vascular access
    C) Ask your partner to insert an IO catheter and administer epinephrine 1:10,000 
    D) Establish immediate vascular access and administer 0.02 mg/kg of atropine sulfate
    B) Initiate one-rescuer CPR while your partner attempts to establish vascular access
    (this multiple choice question has been scrambled)
  43. When attempting resucitation of a child with PEA, you should:
    A) Give atropine if the heart rate is less than 60bpm
    B) Attempt to identify underlying cause of arrest 
    C) Administer EPI via ET if possible 
    D) Perform synchronized cardioversion if the rate is fast
    B) Attempt to identify underlying cause of arrest
    (this multiple choice question has been scrambled)
  44. Which of the following statements regarding a breech presentation is correct? 
    A) Breech presentations are frequently accompanied by a nuchal cord 
    B) Breech presentations are more common with premature births
    C) A breech birth is characterized by a vertex position of the baby 
    D) Most breech presentations are associated with a legs-first delivery
    B) Breech presentations are more common with premature births
    (this multiple choice question has been scrambled)
  45. The length-based resuscitation tape:
    A) Is only reliable in children who weigh less than 20kg
    B) Should not be relied upon for determining pediatric drug doses
    C) Is generally more accurate than the weight given by a caregiver
    D) Is used to estimate a childs weight based on his or her height
    D) Is used to estimate a childs weight based on his or her height
    (this multiple choice question has been scrambled)
  46. You are transporting an unresponsive intubated 4 year old child. An IO catheter is in place, you are ventilating the child at an age appropriate rate. Suddenly the child becomes cyanotic and experiences a significant drop in her heart rate an oxygen saturation, and loss of capnographic waveform. You attempt to auscultate her lung sounds but are unable to hear over the drove of the engine. You should 
    A) Administer 0.02mg/kg of atropine via rapid IO push and reassess
    B) Increase your ventilation rate and reassess the childs condition
    C) Look for vapor mist in the ET tube and attach a colorimetric device
    D) Extubate immediately and ventilate with a BVM
    C) Look for vapor mist in the ET tube and attach a colorimetric device
    (this multiple choice question has been scrambled)
  47. You are providing high flow oxygen to a 3 year old boy with severe respiratory distress. When you reassess him you note that he is pale and his respiratory rate has decreased from 30 breaths/min to 12 breaths/min. You should:
    A) Begin treatment with a beta-2 agonist medication
    B) auscultate his lung sounds and reassess his SpO2
    C) Secure his airway with an ET tube
    D) Assist his ventilation's with a bag-mask device 
    D) Assist his ventilation's with a bag-mask device
    (this multiple choice question has been scrambled)
  48. You should be MOST suspicious for child abuse when caring for an injured 4 year old child if 
    A) The caregiver demands that you treat the child 
    B) There was an unusual delay in call 911
    C) You can smell alcohol on the caregivers breath
    D) Secure his airway with an ET tube
    B) There was an unusual delay in call 911
    (this multiple choice question has been scrambled)
  49. The MOST appropriate airway management for an actively seizing child whose airway is not maintainable with positioning involves 
    A) Immediate ET
    B) NPA and suctioning as needed 
    C) Insertion of OPA
    D) 100% oxygen and left lateral recumbent position
    B) NPA and suctioning as needed
    (this multiple choice question has been scrambled)

Card Set Information

Author:
Anonymous
ID:
319116
Filename:
Paramedic Pediatric Unit
Updated:
2016-04-19 04:09:40
Tags:
Paramedic pediatric unit
Folders:

Description:
Card set is based on tests previously taken on the pediatric units
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