Nokea
Which of the following is NOT an appropriate treatment for an 18-year-old woman with severe vaginal bleeding?
- A. Covering the vagina with a trauma dressing.
- B. Administering high concentrations of oxygen.
- C. Placing sterile dressings into the vagina.
- D. Keeping her warm with blankets.
Correct Answer: C
Rationale: Placing sterile dressings into the vagina is not an appropriate treatment for severe vaginal bleeding. The correct approach involves applying pressure to the external vaginal area to control bleeding, covering the vagina with a trauma dressing to help with compression, administering high concentrations of oxygen to support oxygenation, and keeping the patient warm with blankets to prevent hypothermia. Placing sterile dressings into the vagina can introduce foreign material, increase the risk of infection, and obstruct proper wound management, making it an incorrect treatment option in this scenario.
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Why should small children ride in the backseat of a vehicle?
- A. They are much less likely to be ejected from the vehicle.
- B. The back of the front seat will provide a cushion during a crash.
- C. They can experience severe injury or death if the airbag deploys.
- D. Their legs are highly prone to injury from striking the dashboard.
Correct Answer: C
Rationale: Small children should ride in the backseat of a vehicle primarily to avoid severe injury or death that may occur if the airbag deploys. In the event of a crash, the force of an airbag deployment can be dangerous for a child seated in the front seat. Placing them in the backseat reduces the risk of serious harm from airbag impact and is a safer seating position for young passengers.
Which position is MOST appropriate for a mother in labor with a prolapsed umbilical cord?
- A. Supine with legs elevated
- B. Supine with hips elevated
- C. Left lateral recumbent
- D. Left side with legs elevated
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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.
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.
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:
- A. treating for shock and uterine massage during transport.
- B. uterine massage and transport.
- C. placing her on her left side and transport.
- D. internal vaginal pads and treating for shock during transport.
Correct Answer: A
Rationale: In this scenario, the mother is showing signs of postpartum hemorrhage with increased heart rate, diaphoresis, and mild vaginal bleeding. The correct approach involves treating for shock by addressing hypovolemia and providing uterine massage to help control bleeding. Administering high-flow oxygen is essential. Therefore, the most appropriate option is to treat for shock and perform uterine massage during transport to manage the postpartum hemorrhage effectively.