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Module 7
Test
| Question | Answer |
|---|---|
| Which of the following should be done when the infant's head has been delivered: | Check to see if the umbilical cord is around the neck. Suction the mouth. Suction the nose. All answers correct |
| You are transporting an intoxicated patient. When you attempt to insert a nasal airway he slaps your hand away, curses at you, and sits up. When you stop, he lays down on the stretcher. What Glasgow Coma Score would you assign to him: | 11 |
| While listening to an otherwise healthy elderly patients lungs, you note decreased breath sounds. Which of the following may explain this finding: | Decreased lung capacity. |
| Which of the following is not a factor that affects the development of osteoporosis: | hypertension |
| Your patient is a 6-month-old male who began choking while his babysitter was feeding him some sliced peaches. The child has retractions of his intercostal muscles, is drowsy, and is grayish in color. Which of the following is the BEST intervention for th | Back slaps and chest thrusts. |
| How many arteries does an umbilical cord have? | 2 |
| A 3-year-old child has a sudden onset of respiratory distress. The mother denies any recent illnesses or fever. You should suspect: | foreign body airway obstruction |
| You are assessing a 2-year-old child whose mother states she has had a fever for several hours. Which of the following signs is cause for concern: | Grunting at the end of expiration. |
| You are called to a young female in labor. She is lying on the floor in distress from the labor pains. While you are assessing her for crowning, you get a set of vitals. She tells you that she is getting dizzy and nauseated. Vital signs are pulse rate 120 | supine hypotensive syndrome. |
| What is the GCS score for a patient who is pulse-less and apneic: | 3 |
| Which of the following is NOT a sign of meningitis: | A loud "seal bark" cough |
| Which of the following is the correct technique to check for crowning in the assessment of a woman in labor: | Cover her with a sheet, have her remove her underwear, wait for a contraction and then visualize the vaginal opening. |
| You are called for a sick 2-year-old boy. When you arrive, you see the boy sitting quietly on his mothers lap. You not that he is not crying and has his head tucked against his mothers chest. However, he does lift his head and look at you when you enter. | he is alert and probably acting appropriately. |
| Which of the following is an indication of shock in an infant or small child: | Not producing wet diapers. Capillary refill greater than 2 seconds. Absence of tears when crying. all of the answers are correct. |
| A patient with leg pain who complains of sudden shortness of breath, tachycardia, fever, chest pain, and a feeling of impending doom is likely experiencing: | pulmonary embolism |
| You are called for a child that has had a fever for a couple of days. The parents tell you that two of the other children have been with a stomach virus and fever. As you attempt to assess the child, he pulls away from you and grabs onto his mother. Which | He begins to cry when you try to palpate his abdomen. |
| A bulging fontanelle a quietly resting child may be an indication of which of the following: | increased intracranial pressure. |
| While preforming a visual inspection of a 30-year-old woman in active labor, you can see the umbilical cord at the vaginal opening. After providing high concentration oxygen, you should next: | relieve the pressure from the cord with your gloved fingers. |
| Which of the following statement about dementia is false: | due to memory loss, they are able to adapt easily to changes in their daily routine. |
| Which of the following is true concerning a stillborn baby: | The death may occur weeks before the delivery. |
| Which of the following is important to remember when communicating with a patient with a hearing impairment: | Make sure the patient can see you when you are speaking to him. |
| You are trying to ventilate an 18-month-old baby who has stopped breathing. You have laid him down on a flat surface to ventilation him, but you are unable to get his chest to rise. You should: | place a folded towel under his shoulders |
| For the EMT who has cared for a pediatric patient in tragic circumstances, which of the following would be an appropriate way of dealing with stress accompanying the experience: | Talk to a compassionate coworker who has had similar experiences in the past. |
| A 4-year-old child is generally categorized as a(n): | preschooler |
| The greatest danger to the pregnant woman and her fetus involved in which of the following: | Hemorrhagic shock. |
| You should clamp and cut the umbilical cord: | after the baby is breathing on her own. |
| An 82-year-old woman has slurred speech, weakness on the left side of her body, visual disturbances, and a headache. This patient is likely suffering from a: | stroke |
| A 73 year old patient looks at you when you speak to her. When you you ask her the date, she says "blue." You note left-sided weakness when she grips your fingers. What is her Glasgow Coma Score: | 13 |
| After assisting in the delivery of a newborn the infant is pale and limp, has a slow heartbeat but shows some respiratory effort. What APGAR score would you give this patient: | 3 |
| You are assessing the one minute APGAR score for a newborn. She is pink all over and has a pulse of 130. As you dry her off she begins to cry vigorously and kicks her legs. Her APGAR score is: | 10 |
| Which of the following is NOT a common cause of chest pain in the elderly: | Asthma |
| When delivering a baby, you should do all of the following EXCEPT: | place your fingers in the armpit to assist with delivery of the shoulders. |
| Restraining a patient with autism: | should be last resort. |
| You have been called for a 2-year-old female who has fallen and is bleeding from a head laceration. Her mother states that she was toddling down the hallway when she fell, striking her head on a side table. You suspect that part of the reason she fell is | her head is proportionately larger and heavier than an adults and she is still new to walking and may be unstable on her feet. |
| A patient experiencing weight gain, fatigue, cold intolerance, drier skin and hair, and a slower heart rate could be suffering from: | hypothyroidism |
| If you have any doubts about whether a home ventilator is working you should immediately: | begin bag-valve-mask ventilations while you have the patients caregiver try to troubleshoot the ventilator. |
| Which of the following is NOT apart of the Pediatric Assessment Triangle: | Airway |
| Veins in the umbilical cord carry deoxygenated blood from the baby to the placenta. | False |
| When transporting a patient who is morbidly obese to the hospital, it is important to monitor which of the following vital signs: | Oxygen saturation. |
| A condition that interferes significantly with a person's ability to engage in activities of daily living is referred to as a: | disability |
| Which of the following is true with regards to touching a patient who is being shocked with an automatic implanted cardiac defibrillator (AICD): | The EMT cannot feel the shock of an AICD when delivered to the patient. |
| Which of the following is NOT a component of the Pediatric Assessment Triangle: | Abdomen |
| How many veins does an umbilical cord have? | 1 |
| You are called for a woman with severe abdominal pain. During your assessment and interview, she tells you that she is sexually active and there is a chance she could be pregnant. Her vital signs are pulse 122, respiration's 22, blood pressure 96/62, and | ectopic pregnancy. |
| Your patient is an 80-year-old male complaining of lower back pain that radiates through to the abdomen. He describes the pain as "ripping" in nature. He is pale, diapheretic, and anxious, and has a blood pressure of 210/100 mmHg, a pulse of 112 beats per | An abdominal aortic aneurysm. |
| Which of the following is NOT a common cause of shock in infants and children: | Heart failure. |
| A neonatal patient has a pink color, a pulse rate of 102, and a respiration rate of 27. She grimaces in response to stimuli, has limited muscle movement. The patient has an APGAR score of: | 7 |
| A 34-year-old woman, who is 36 weeks pregnant, is having a seizure. After you protect her airway and ensure adequate ventilation, you should transport her: | on her left side. |
| The most common cause of seizures in pediatric patients is: | fever |
| The range of breaths per minute for providing artificial ventilation for children age 1 to puberty is: | 12-20 |
| A patient with an abdominal aortic aneurysm most commonly complains of abdominal pain that radiates to the: | back |
| A 4-year-old fell from a third story window and landed on her head. She is semiconscious with slow, irregular breathing and bleeding from her mouth. After performing a jaw-thrust maneuver with simultaneous stabilization of her head, you should: | suction the oropharynx. |
| Care for an alert 4-year-old child with a mild airway obstruction, who has respiratory distress, a strong cough, and normal skin color includes: | oxygen, avoiding agitation, transport. |
| Which of the following is true of premature infants: | They are more susceptible to infection. They can easily develop hypothermia. They are at risk for respiratory difficulty. All of these answers are correct. |
| The proper method of inserting a oropharyngeal airway in a pediatric patient is: | in the position of function (as it will sit in the mouth). |
| You are dispatched to a 1-year-old child with respiratory distress. En route, you review how to assess and treat infants with respiratory problems. Which of the following would indicate an infant with respiratory distress: | Wheezing upon inspiration. |
| A patient uses a home ventilator connected to his tracheostomy tube to breathe, Which of the following is the correct procedure to use when moving this patient to the ambulance: | Ventilate the patients tracheostomy tube via a connected bag-valve mask at a normal rate and volume while the patient is disconnected from the ventilator. |
| Which of the following is NOT a cause of altered mental status in the pediatric patient: | Dementia |
| The term for a baby developing inside the mothers womb after week 8 is: | fetus |
| Upon assessing a newborn immediately after delivery, you note that the infant is breathing spontaneously and has a heart rate of 90 beats/min. What is the most appropriate initial management for this newborn: | Begin positive pressure ventilations. |
Created by:
logandodge1