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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.
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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.
Which of the following signs is MOST indicative of inadequate breathing in an infant?
- A. Sunken fontanelles
- B. Heart rate of 130 beats/min
- C. Expiratory grunting
- D. Abdominal breathing
Correct Answer: C
Rationale: Expiratory grunting is a significant sign of inadequate breathing and respiratory distress in infants. It indicates that the infant is struggling to exhale properly, which can be a sign of various respiratory issues, including lung problems or airway obstruction. Monitoring and recognizing this sign promptly can help in providing timely interventions to support the infant's breathing and prevent further complications.
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.
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.
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?
- A. Lower leg injury
- B. Head injury
- C. Upper thorax injury
- D. Pelvic injury
Correct Answer: D
Rationale: Given the mechanism of injury and the distance the child was thrown, a primary pelvic injury should be suspected due to the high impact and force. The pelvis is a common site for significant injury in such cases, and the distance the child was thrown indicates a high-energy impact that could lead to pelvic fractures or injuries.