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When is it MOST appropriate to clamp and cut the umbilical cord?
- A. Before the newborn has taken its first breath
- B. After the placenta has completely delivered
- C. As soon as the cord has stopped pulsating
- D. Immediately following delivery of the newborn
Correct Answer: C
Rationale: The ideal time to clamp and cut the umbilical cord is when it has stopped pulsating. This allows for the transfer of remaining blood from the placenta to the newborn, which can be beneficial for the baby's health and iron stores. Clamping the cord too early can deprive the newborn of this essential blood volume. Waiting for the pulsations to cease ensures that the baby receives the maximum benefits from delayed cord clamping.
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What is the most likely cause of a sudden onset of respiratory distress in a 5-year-old child with no fever?
- A. Infection of the lower airways.
- B. A progressive upper airway infection.
- C. Inflammation of the upper airway.
- D. A foreign body airway obstruction.
Correct Answer: D
Rationale: A sudden onset of respiratory distress in a child without fever is most likely due to a foreign body airway obstruction. This obstruction can rapidly lead to difficulty breathing, stridor, and other signs of respiratory distress without necessarily causing a fever. Prompt recognition and intervention are crucial in such cases to prevent further complications and ensure the child's airway remains clear.
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.
Which artery should you palpate when assessing for a pulse in an unresponsive 6-month-old patient?
- A. Radial
- B. Brachial
- C. Femoral
- D. Carotid
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the purpose of the pediatric assessment triangle?
- A. Detect immediate life threats through a quick hands-on assessment.
- B. Identify if the child has a medical condition or a traumatic injury.
- C. Determine if the child's problem is respiratory or circulatory in nature.
- D. Form a general impression of the child without touching them.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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.