Nokea
When assessing a 6-year-old boy with pain in the right lower quadrant of his abdomen, which action should be performed first?
- A. Avoiding palpation of the abdomen.
- B. Palpating the right lower quadrant first.
- C. Auscultating bowel sounds for 2 minutes.
- D. Palpating the left upper quadrant first.
Correct Answer: D
Rationale: Palpating the left upper quadrant first is the correct approach when assessing abdominal pain in a child. This method helps to minimize causing additional discomfort to the child and allows for a more accurate assessment of their reaction to palpation. By starting on the left upper quadrant, you can gauge the child's pain response before moving to the area of complaint, which may be more sensitive. This approach is essential for a thorough and less distressing abdominal assessment in pediatric patients.
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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.
Which of the following techniques represents the MOST appropriate method of opening the airway of an infant with no suspected neck injury?
- A. Perform the technique as you would for an older child or adult.
- B. Lift up the chin and hyperextend the neck.
- C. Gently lift the chin while maintaining slight flexion of the neck.
- D. Tilt the head back without hyperextending the neck.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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:
- A. gently restraining her and assisting with ventilations.
- B. ventilations with a flow-restricted, oxygen-powered device.
- C. a non-rebreathing mask with the flow rate set at 6 to 8 L/min.
- D. asking the mother to hold an oxygen mask near her face.
Correct Answer: C
Rationale: In a pediatric patient with respiratory distress, a non-rebreathing mask with a flow rate set at 6 to 8 L/min is the most effective way to deliver oxygen. This method ensures a high concentration of oxygen is delivered to the child, aiding in improving oxygen saturation levels. In this scenario, the mother can assist in holding the mask to maintain comfort and cooperation in the child while ensuring proper oxygen delivery.
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?
- A. Oxygen, back slaps, and transport.
- B. Subdiaphragmatic thrusts until the object is expelled.
- C. Assisted ventilations, back slaps, and transport.
- D. Supplemental oxygen and transport.
Correct Answer: D
Rationale: For a responsive 4-year-old child with a mild airway obstruction, respiratory distress, a strong cough, and normal skin color, the appropriate treatment includes providing supplemental oxygen and arranging for transport to a healthcare facility. Oxygen helps alleviate the respiratory distress, and transport ensures the child receives further evaluation and care by healthcare professionals. Back slaps and subdiaphragmatic thrusts are not recommended for a child with a mild airway obstruction and normal skin color, as these interventions are typically reserved for more severe cases of airway obstruction.
Which of the following statements regarding two-rescuer child CPR is correct?
- A. The chest should be compressed with one hand, and a compression-to-ventilation ratio of 30:2 should be delivered.
- B. A compression-to-ventilation ratio of 15:2 should be delivered with pauses in compressions to give ventilations.
- C. The chest should be allowed to fully recoil between compressions to optimize venous return.
- D. Compress the chest with one or two hands to a depth equal to one third the diameter of the chest.
Correct Answer: D
Rationale: In two-rescuer child CPR, the correct compression depth is one third the diameter of the chest. This depth can be achieved by compressing the chest with one or two hands. It is crucial to follow the correct compression depth guideline to ensure effective chest compressions and circulation during CPR for a child.