Which of the following parameters is the LEAST reliable when assessing the perfusion status of a 2-year-old child?
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Question 2 of 50
Which of the following signs or symptoms is more common in children than adults following an isolated head injury?
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Question 3 of 50
You are called to a local park for a 7-year-old boy with respiratory distress. During your assessment, you find that the patient is wheezing and has widespread hives and facial edema. What should you suspect has occurred?
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Question 4 of 50
You are dispatched to a residence for a 4-year-old female who is sick. Your assessment reveals that she has increased work of breathing and is making a high-pitched sound during inhalation. Her mother tells you that she has been running a high fever for the past 24 hours. Your MOST immediate concern should be:
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Question 5 of 50
A 7-year-old child has an altered mental status, high fever, and a generalized rash. You perform your assessment and administer supplemental oxygen. En route to the hospital, you should be MOST alert for:
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Question 6 of 50
After the baby's head delivers, how is it usually tilted?
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Question 7 of 50
During transport of a woman in labor, the patient tells you that she feels the urge to push. You assess her and see the top of the baby's head bulging from the vagina. What should you do?
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Question 8 of 50
What is the MOST common cause of shock in infants and children?
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Question 9 of 50
Upon assessing a newborn immediately after delivery, you note that the infant is breathing spontaneously and has a heart rate of 80 beats/min. What is the MOST appropriate initial management for this newborn?
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Question 10 of 50
In which of the following situations would the EMT MOST likely deliver a baby at the scene?
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Question 11 of 50
When is it MOST appropriate to clamp and cut the umbilical cord?
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Question 12 of 50
Which of the following is the MOST detrimental effect of gastric distention in infants and children?
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Question 13 of 50
Which position is MOST appropriate for a mother in labor with a prolapsed umbilical cord?
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Question 14 of 50
What percentage of total body surface area has been burned in a 5-year-old child who experienced partial-thickness burns to his head, anterior chest, and both upper extremities?
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Question 15 of 50
What is the appropriate technique for performing two-rescuer CPR on a 4-year-old child?
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Question 16 of 50
Why should small children ride in the backseat of a vehicle?
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Question 17 of 50
You arrive at a residence shortly after a 4-year-old boy experienced an apparent febrile seizure. The child is alert and crying. His skin is flushed, hot, and moist. His mother tells you that the seizure lasted about 2 minutes. You should:
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Question 18 of 50
Which of the following techniques represents the MOST appropriate method of opening the airway of an infant with no suspected neck injury?
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Question 19 of 50
When you attempt to assess a 22-year-old woman who has been sexually assaulted, she orders you not to touch her. Your MOST appropriate initial action should be to:
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Question 20 of 50
A 3-year-old child has a sudden onset of respiratory distress. The mother denies any recent illnesses or fever. You should suspect:
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Question 21 of 50
When inserting an oropharyngeal airway in a small child, what is the preferred method?
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Question 22 of 50
After an advanced airway device has been inserted in a 6-month-old infant in cardiopulmonary arrest, you should deliver ventilations at a rate of:
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Question 23 of 50
A 5-year-old boy was struck by a car when he ran out into the street. When you arrive at the scene and approach the child, you see him lying supine approximately 15 feet from the car. Based on the child's age and mechanism of injury, which of the following should you suspect to be his PRIMARY injury?
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Question 24 of 50
Why is a prolapsed umbilical cord dangerous?
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Question 25 of 50
During the 5-minute Apgar assessment of a newborn, you note a heart rate of 130 beats/min, cyanosis in the hands and feet, and rapid respirations. The baby cries when you flick the soles of its feet and resists leg straightening. These findings correspond to an Apgar score of:
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Question 26 of 50
A 3-year-old female presents with respiratory distress. She is conscious, crying, and clinging to her mother. She has mild intercostal retractions and an oxygen saturation of 93%. The MOST effective way of delivering oxygen to her involves:
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Question 27 of 50
You have just delivered a baby girl. Your assessment of the newborn reveals that she has a patent airway, is breathing adequately, and has a heart rate of 130 beats/min. Her face and trunk are pink, but her hands and feet are cyanotic. You have clamped and cut the umbilical cord, but the placenta has not yet delivered. You should:
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Question 28 of 50
Which of the following statements regarding the length-based resuscitation tape measure is correct?
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Question 29 of 50
You are treating a 5-year-old child who has had severe diarrhea and vomiting for 3 days and is now showing signs of shock. Supplemental oxygen has been given, and you have elevated his lower extremities. En route to the hospital, you note that his work of breathing has increased. You should:
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Question 30 of 50
When assessing a 6-year-old boy with pain in the right lower quadrant of his abdomen, which action should be performed first?
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Question 31 of 50
A 4-year-old boy with a tracheostomy tube is experiencing respiratory distress. He has intercostal retractions, a heart rate of 80 beats/min, and an oxygen saturation of 85%. During his attempts to breathe, a gurgling sound is heard in the tracheostomy tube. You should:
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Question 32 of 50
What is the most likely cause of a sudden onset of respiratory distress in a 5-year-old child with no fever?
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Question 33 of 50
When performing CPR on an infant with suspected sudden infant death syndrome (SIDS), an important aspect to consider is:
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Question 34 of 50
Following delivery of a newborn, the 21-year-old mother is experiencing mild vaginal bleeding. You note that her heart rate has increased from 90 to 120 beats/min and she is diaphoretic. In addition to administering high-flow oxygen, treatment should include:
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Question 35 of 50
What is the purpose of the pediatric assessment triangle?
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Question 36 of 50
Which of the following signs is MOST indicative of inadequate breathing in an infant?
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Question 37 of 50
A 30-year-old woman is 22 weeks pregnant with her first child. She tells you that her rings are not fitting as loosely as they usually do and that her ankles are swollen. Her blood pressure is 150/86 mm Hg. She is MOST likely experiencing:
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Question 38 of 50
A 4-year-old boy ingested an unknown quantity of drain cleaner. He is alert, has a patent airway, and has adequate breathing. You should:
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Question 39 of 50
Which artery should you palpate when assessing for a pulse in an unresponsive 6-month-old patient?
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Question 40 of 50
Which of the following statements regarding pediatric anatomy is correct?
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Question 41 of 50
Which of the following is NOT an appropriate treatment for an 18-year-old woman with severe vaginal bleeding?
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Question 42 of 50
You are dispatched to a residence where an 8-year-old boy was pulled from a swimming pool. When you arrive, a neighbor is performing rescue breathing on the child. After confirming that the child is not breathing, you should:
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Question 43 of 50
When preventing cardiac arrest in infants and small children, the primary focus should be on:
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Question 44 of 50
You are caring for a 6-year-old child with a possible fractured arm and have reason to believe that the child was abused. How should you manage this situation?
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Question 45 of 50
A 9-year-old girl was struck by a car while crossing the street. Your assessment reveals a large contusion over the left upper quadrant of her abdomen and signs of shock. Which of the following organs is MOST likely injured?
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Question 46 of 50
What is the appropriate treatment for a responsive 4-year-old child with a mild airway obstruction, respiratory distress, a strong cough, and normal skin color?
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Question 47 of 50
Which of the following statements regarding two-rescuer child CPR is correct?
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Question 48 of 50
Physical abuse of a 4-year-old child should be suspected if you observe:
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Question 49 of 50
What is the MOST effective way to prevent cardiopulmonary arrest in a newborn?
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Question 50 of 50
Which of the following is a sign of altered mental status in a small child?
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