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Pediatric Acute Care Exam Questions & Answers (Grade A+)
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Which laboratory values directly impact physical therapy practice for exercise and activity level in acute care? - correct answer ✅hemoglobin and platelet What is normal hemoglobin levels for a child? - correct answer ✅11-13 g/100 mm For children whose baseline falls within the normal ranges, intervention is typically deferred when their hemoglobin level falls below... - correct answer ✅8 g/100 mm What is the recommended activity level when a child's platelet count is >50,000 mm? - correct answer ✅Resistive exercises (e.g., weights and exercise bands) What is the recommended activity level when a child's platelet count is 10,000 - 50,000 mm? - correct answer ✅Active exercise (e.g., riding a stationary bike, walking, and performing squats while playing)
What is the recommended activity level when a child's platelet count is <10,000 mm? - correct answer ✅Active and passive range of motion, gentle stretching, and light exercise Although CT scans and MRI are often the choice of diagnostic imaging for certain things, what might be a potential issue with use for pediatric patients and what is the usual solution? - correct answer ✅The child will not sit still during imaging They will have to be sedated for an MRI.. good luck with the CT scan tho What are some considerations for PT when a child has an arterial line? - correct answer ✅Reading will depend on position/movement of the extremity Joints surrounding arterial line placement in children are frequently stabilized using an IV board What are some considerations for PT when working with a child on CPAP or BiPAP? -
What is the standard guideline to measure pain established by the Joint Commission? - correct answer ✅pain is assessed and documented on every individual, on every encounter For children, there are several reliable and valid pain scales to quantify and track a child's pain. Reliable and valid pain scales appropriate for neonates include the: - correct answer ✅CRIES (cry, requires O2, increased vital signs, expression, sleeplessness) CHIPPS (children's and infants' postoperative pain scale) NIPS (neonatal infant pain scale) For a child who is nonverbal, or not of an age to participate in a self-reporting scale, a behavioral pain scale is needed. Two such scales are the: - correct answer ✅Face, Legs, Activity, Cry and Consolability (FLACC) behavioral pain scale Children's Hospital of Eastern Ontario Pain Scale (CHEOPS)
Children who develop a DVT are at risk for what? - correct answer ✅pulmonary embolism and death What implications do DVTs have for PT? - correct answer ✅During diagnosis, providing therapy to the unaffected limbs should be continued. Ambulation or out-of-bed activities should be suspended until the child is determined to be anticoagulated What is a commonly used anticoagulant to rapidly resume physical therapy and minimize the time required for bedrest? - correct answer ✅Lovenox What are signs and sxs of Respiratory syncytial virus (RSV)? - correct answer ✅lethargy, irritability, poor feeding, apnea, nasal discharge, fever, wheezing, rapid breathing, cough, and nasal flaring