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A comprehensive exam covering various pediatric and obstetric emergency scenarios, with detailed correct answers provided. It covers a wide range of topics, including assessment and management of pediatric patients with respiratory distress, shock, seizures, and other conditions, as well as obstetric emergencies such as placental abruption, preeclampsia, and ectopic pregnancy. The exam questions and answers provide valuable insights into the critical decision-making and interventions required in these time-sensitive situations, making this document potentially useful as study notes, lecture materials, or exam preparation resources for healthcare professionals, particularly those in emergency medicine, pediatrics, and obstetrics.
Typology: Exams
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A 2 year old female is lethargic to respond. She has dry mucous membranes and a tearless cry. What should you suspect? - Correct Answer-hypovolemia You have just delivered a baby girl who remains cyanotic and is not responding to stimulation and oxygen therapy. Heart rate is 90. You should - Correct Answer-Begin positive pressure ventilations A 6 month old is febrile, cyanotic, and grunting with labored breathing. You should? - Correct Answer-apply blow by 02 and trans Before assessing the respiratory adequacy of an unconscious infant or child, you should
Which of the following indicates decompensated shock in a pediatric patient? - Correct Answer-loss of consciousness A 3 year old is unresponsive and apneic on the floor of a restaurant. He was choking, turned blue, and collapsed. What should you do? - Correct Answer-Begin chest compressions In centimeters what is the correct depth of chest compressions for a 7 year old child? - Correct Answer- What is the proper method for suctioning a newborn's airway with a bulb syringe? - Correct Answer-Squeeze before placing the bulb syringe in the mouth A 3 year old drank some drain cleaner. It would be most helpful to? - Correct Answer- transport immediately A cord is wrapped around a baby's neck during childbirth. This is called - Correct Answer-Nuchal cord Scald injuries to a child's lower extremity can be indicative of? - Correct Answer-Abuse You have assisted a mother in delivering a premature newborn. Assessment after 5 minutes shows newborn has central cyanosis and heart rate of 90. What should you do? - Correct Answer-Provide ventilatory assistance You are treating a 3 month old, apneic patient with a pulse of 110. In preparing to ventilate this infant, you should? - Correct Answer-place a small towel under their shoulders Normal response for a healthy 9 month old infant. - Correct Answer-Gaze follows parents 2 year old is restless, irritable, and febrile with a distinct cough. The parent states that the child is calmer in a steam shower. You should suspect? - Correct Answer-croup 13 month old lying supine in crib, crying. Fever of 104.5, rash on body and some spots are purple. You should? - Correct Answer-put on surgical mask 20 year old female is pregnant for the first time with twins. What is she considered? - Correct Answer-primigravida Initiate CPR on infant if heart rate is less than? - Correct Answer- Neonatal 2 week old female is dyspneic and lethargic to respond. Vitals are P 58, R 4 and irregular. What should you be concerned about? - Correct Answer-cardiac arrest
During assessment of a crying infant, you discover a sunken fontanelle. Your next question should be? - Correct Answer-how many wet diapers has the baby produced When assessing distal circulatory function in a 3 year old, a reliable indicator is? - Correct Answer-Cap refill Your neighbor has asked you to check on her 2 month old baby. The baby is sleeping and vitals are P 130, R 40, and he continues to sleep even when you try to wake him up. What should you do? - Correct Answer-Call for EMS 4 year old is having trouble breathing. He is drooling and sitting forward in a chair with his mouth wide open. He has a 103.2 temp. you should suspect? - Correct Answer- Epiglottitis 3 year old child involved in a motor vehicle collision needs to be secured on an adult backboard. You should? - Correct Answer-place padding under the child's torso When inserting an OPA in a child you should? - Correct Answer-Hold the tongue in position Pediatric airways differ from adult airways in that - Correct Answer-all structures are smaller and can be more easily obstructed 10 year old patient was injured while skating, upon assessment you note a visible deformity of the forearm. The fingers are pale and cool without a palpable pulse. You should apply? - Correct Answer-gentle manual traction 7 year old presents with a pencil in his left cheek, you should? - Correct Answer-check for airway patency 37 week pregnant woman with tearing abdominal pain and weak, vitals are 90/60, 140, and 26 with pale, cool, diaphoretic skin, you should suspect? - Correct Answer-abruptio placentae Which may indicate that a fetus was in distress before delivery? Presence of a greenish material in the amniotic fluid meconium - Correct Answer-meconium A 2 year old child presents with a fever, lethargy, and screaming upon neck flexion. You should suspect? - Correct Answer-Meningitis A conscious child has a significant airway obstruction due to an illness. You should? - Correct Answer-give o2 and transport immediately With pediatric patient, your assessment should begin? - Correct Answer-At first sight
A child is postictal. You should? - Correct Answer-ensure open airway Shortly after delivery, a mother experiences dyspnea and becomes hypotensive. No excessive bleeding is noted and the uterus seems firm. You should suspect? - Correct Answer-pulmonary embolism Compared to adults in shock, pediatric patients? - Correct Answer-Stay in compensated shock longer Pre- eclampsia becomes eclampsia when - Correct Answer-A seizure occurs 38 year old female reports left sided abdominal pain that radiates to the back. Vitals are 90/64, 118, 20. You should suspect? - Correct Answer-a ruptured ectopic emergency 33 year old female was in a motor vehicle collision. She is 36 weeks pregnant. First responders have removed the patient from the vehicle and immobilized her and they cannot obtain a blood pressure. You should? - Correct Answer-tilt the backboard to the left immediately 5 year old is actively seizing, his respirations are slow and skin is pale. His parents say he had seized several times in the last 15 minutes without waking up. You should suspect that the? - Correct Answer-child is in status epilepticus and medication is required Nausea, vomiting, vaginal discharge, irregular periods and abdominal pain are signs and symptoms of? - Correct Answer-Pelvic inflammatory disease What effect can excessive traction have on the umbilical cord during placental delivery?
A 4 year old male is sitting upright and drooling. He has swallowed a marble that is completely blocking his airway. What should you do? - Correct Answer-perform abdominal thrusts To relieve pressure on the vena cava when transporting a pregnant patient, you should?
A patient is in labor and has a strong urge to push. The baby's head is not yet visible, but the umbilical cord is protruding, you should? - Correct Answer-place her in knee- chest position and transport A pale 2 year old male turns his face away and hides when you approach. Vital signs are P 150 R 32 with audible wheezing what should you be most concerned about? - Correct Answer-skin color Which signs and symptoms most suggest pre eclampsia? - Correct Answer- Hypertension and excessive water retention The period of time during which intrauterine fetal development occurs is called? - Correct Answer-gestation You are assisting a vaginal delivery and the mom is crowning. The infant's head suddenly disappears and the mother begins to complain of sharp, intense, constant abdominal pain. You should suspect? - Correct Answer-uterine rupture 2 year old patient has a respiratory rate of 30 breaths per minute. This is considered? - Correct Answer-normal