LPN Pediatrics

LPN Pediatrics Related

Review LPN Pediatrics related questions and content

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:

  • A. Ventilate through the tracheostomy tube.
  • B. Place an oxygen mask over the tracheostomy tube.
  • C. Remove the tracheostomy tube and clean it.
  • D. Carefully suction the tracheostomy tube.
Correct Answer: D

Rationale: In this scenario, the 4-year-old boy with a tracheostomy tube is showing signs of respiratory distress, including intercostal retractions, a low heart rate, and decreased oxygen saturation. The gurgling sound indicates a possible airway obstruction. Correctly, the immediate action should be to carefully suction the tracheostomy tube. Suctioning can help clear any secretions or obstructions, thus improving the child's ability to breathe effectively. Ventilating through the tube, placing an oxygen mask over it, or removing and cleaning the tube would not address the potential obstruction and could worsen the respiratory distress.

You may also like to solve these questions

Which of the following signs or symptoms is more common in children than adults following an isolated head injury?

  • A. Changes in pupillary reaction
  • B. Tachycardia and diaphoresis
  • C. Nausea and vomiting
  • D. Altered mental status
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

When performing CPR on an infant with suspected sudden infant death syndrome (SIDS), an important aspect to consider is:

  • A. Focusing all of your attention on the infant, with minimal parental interaction.
  • B. Carefully inspecting the environment in which the infant was found.
  • C. Understanding that most infants with SIDS can be successfully resuscitated.
  • D. Encouraging the presence of the parents during your resuscitation attempt.
Correct Answer: B

Rationale: When dealing with a suspected case of SIDS, it is crucial to carefully inspect the environment in which the infant was found. This inspection can provide valuable information that may help determine the cause and support further investigation into the incident. By examining the surroundings, potential hazards or clues related to the sudden event may be identified, aiding in understanding the circumstances and potentially preventing similar incidents in the future.

Which of the following statements regarding pediatric anatomy is correct?

  • A. The child's trachea is more rigid and less prone to collapse.
  • B. The occiput is proportionately larger when compared to an adult.
  • C. Airway obstruction is common in children due to their large uvula.
  • D. Relative to the overall size of the airway, a child's epiglottis is smaller.
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

What is the appropriate technique for performing two-rescuer CPR on a 4-year-old child?

  • A. 15 compressions to 2 ventilations, compressing the sternum with your thumbs, and delivering at least 100 compressions per minute.
  • B. 30 compressions to 2 ventilations, compressing the chest one third the depth of the chest, and delivering each breath over 1 second.
  • C. 15 compressions to 2 ventilations, compressing the sternum with the heel of your hand, and ventilating until visible chest rise occurs.
  • D. 30 compressions to 2 ventilations, compressing the sternum with the heel of both hands, and delivering each breath over 1 to 2 seconds.
Correct Answer: C

Rationale: When performing two-rescuer CPR on a 4-year-old child, the appropriate technique involves 15 compressions to 2 ventilations. Compressions should be done by pressing the child's sternum with the heel of your hand. Ventilations should be given until visible chest rise occurs. This technique ensures effective CPR delivery for a child in need of resuscitation.

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:

  • A. 9
  • B. 7
  • C. 8
  • D. 10
Correct Answer: A

Rationale: The Apgar score is a rapid assessment tool to evaluate the newborn's transition to life outside the womb. The Apgar score is based on five components: heart rate (>100 bpm), respiratory effort (rapid breathing), muscle tone (resisting leg straightening), reflex irritability (crying when feet are flicked), and color (cyanosis to extremities). The described findings match a score of 9, indicating good overall condition and adaptation to extrauterine life.

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