MRU Final - FSU (JAGS81)

You notice that your elderly patient has multiple bruises and minor skin tears on her arm after striking it on a doorway as she walked through it. You determine her injuries are likely due​ to:

loss of elasticity and thickness of the skin

Which of the following is commonly seen as a result of​ aging?

Decrease in the overall brain weight

The​ progressive, degenerative disease that causes memory loss and behavior changes is​ called:

​Alzheimer's.

You are caring for an elderly patient who has a large bruise on her face. Two caregivers have given conflicting stories about how the patient was​ injured, and the patient appears unkempt and malnourished. You​ should:

care for the patient and report elder abuse to the authorities.

You suspect your elderly patient may be the victim of neglect. You​ should:

notify the proper authorities

All of the following should be done at any emergency scene​ EXCEPT:

do whatever it takes to rescue the patient.

In most​ states, EMS providers are legally required to report​ suspected:

elder abuse

Emergency Medical Responders are legally required to report which of the following​ situations?

Abuse or​ neglect, including​ self-neglect, of an elderly person

You notice that your elderly patient seems to be having trouble hearing you. You should position yourself in front of the patient​ and:

speak clearly and slowly

Your elderly patient shows you his list of medications and tells you what he takes them for. You should also​ ask:

"Are you taking all of them as​ prescribed?"

Which of the following is NOT an appropriate technique to use during the physical exam of an elderly​ patient?

​Don't waste time explaining what you are doing

You are called for a​ 72-year-old widower who lives with his grandson in a nice​ middle-class neighborhood. He is bleeding from a head​ wound, and he tells you that he fell in the shower. You notice multiple bruises of various colors on his arms and that the room where he stays is messy and has a foul smell. His grandson tells you that he does not need to go to the hospital. You should suspect​ he:

may be being abused.

Which of the following is a common​ age-related change in the respiratory system of geriatric​ patients?

Reduced strength and endurance of respiratory muscles

Which of the following would indicate emotional abuse of the​ elderly?

threats of harm or humiliation.

Which of the following is commonly seen as a result of the aging​ process?

Enlargement of the left ventricle

Unintentional medication errors are common among elderly patients​ because:

they often have multiple prescriptions.

One of the general characteristics commonly associated with geriatric patients​ is:

multiple illnesses.

Changes that commonly occur as a result of aging​ include:

loss of skin elasticity.,

increase in blood pressure.,

decrease in vision.,

all of the above.

Which of the following is an appropriate technique to use during the physical exam of an elderly​ patient?

Handle her gently and carefully

Your patient is unable to tell you what day it is or the last time he ate. You are unsure if he is always like this or if this is a new onset of altered mental status. You should​ first:

interview family members and caregivers about his normal mental status.

Which of the following is typically true regarding the​ elderly?

They take an assortment of medications on a daily basis.

Which of the following is an appropriate strategy to use when interviewing an older patient with poor​ vision?

Position yourself in front of the patient so you can be seen easily.

In addition to your regular scene​ size-up, with an elderly patient you should check​ for:

conditions that suggest abuse or neglect.

The leading cause of injury and death among the elderly​ is:

trauma from falls.

Obtaining a medical history may be challenging when treating an elderly patient. Which of the following techniques is helpful when interviewing an elderly​ patient?

Ask simple​ questions, and provide ample time for answers.

Your infant patient has died suddenly and unexplainably during sleep. You​ should:

start resuscitation if indicated and provide support for the parents.

The birth canal is best identified as​ the:

vagina

The umbilical cord is best defined as a special​ organ:

that connects the fetus to the placenta.

Meconium​ is:

the product of the​ baby's first bowel​ movement, often a sign of a complicated delivery.

The placenta is best defined​ as:

a special organ where oxygen and nourishment pass between the mother and fetus.

Choose the correct steps for caring for a healthy newborn baby following delivery.

Clear the​ airway, ensure the baby is​ breathing, clamp the umbilical​ cord, keep the baby warm

Cardiac arrest in children is most likely caused​ by:

respiratory compromise.

An acute respiratory condition found in infants and children is characterized by a barking type of cough is known​ as:

croup

Emergency Medical Responders are legally required to​ report:

child abuse or neglect.

Emergency care for a child who had a seizure includes all of the following​ EXCEPT:

A. giving supplemental oxygen if indicated.

B. monitoring breathing and mental status.

C. placing the child in a comfortable position.

D. placing a bite block in the​ child's mouth to protect the tongue.

D. placing a bite block in the​ child's mouth to protect the tongue.

Why is it important to allow the mother to nurse after a normal​ delivery?

Nursing stimulates contraction of the uterus and helps control bleeding.

Which of the following is the appropriate sequence of steps to take in the emergency medical care of the​ mother's postdelivery?

Deliver the​ afterbirth, control vaginal​ bleeding, and provide emotional support

Which of the following techniques would be MOST helpful when assessing a​ 10-year-old child?

Allow the child to answer questions for himself.

Care for a child who has a high fever​ includes:

removing clothing.

A bloody show is best defined​ as:

a slight staining of blood or​ blood-tinged mucus seen as the cervix expands.

Which of the following is NOT a special characteristic of the pediatric​ patient's anatomy and​ physiology?

The airway is proportionally the same as an​ adult's.

For nonbreathing​ newborns, provide ventilations​ at:

40 to 60 breaths per minute.

Emergency care for a pregnant patient with vaginal bleeding includes all of the following​ EXCEPT:

A. ensuring an ambulance is on the way.

B. monitoring and reassuring the patient.

C. placing the patient on her left side.

D. packing the vaginal canal with sterile gauze.

packing the vaginal canal with sterile gauze.

When you suspect abuse or neglect in the presence of​ caregivers, you​ should:

be​ calm, professional, and discreet.

When assessing a young child without any​ life-threatening issues, perform your physical​ exam:

from the toes to the​ head, to calm the child.

You may have a legal obligation to report any suspicions of abuse or neglect to all of the following​ EXCEPT:

A. the parents.

B. child welfare agencies.

C. the hospital staff.

D. the police

A. the parents.

What is the purpose of the red biohazard bag that is part of the OB​ kit?

For disposal of soiled linens and dressings

Your primary concern when caring for a newborn baby​ is:

clearing the airway and ensuring that the baby is breathing.

The fetus grows inside a special sac called​ the:

amniotic sac.

Which of the following is NOT a common cause of seizures in infants and​ children?

A. Fever

B. Head trauma

C. Too much oxygen in the blood

D. Inadequate oxygen in the blood

Too much oxygen in the blood

When a pregnant woman lies on her​ back, causing an abnormally low blood​ pressure, it is​ called:

supine hypotensive syndrome.

When managing the airway of an​ infant, it is important to ensure that the head is in this position.

Neutral

When approaching a child you​ should:

speak to her directly.

Which of the following sets of personal protective equipment is most appropriate when assisting with a field​ delivery?

​Gloves, gown, face​ shield, and mask

After delivering a healthy​ baby, you notice there is a significant amount of vaginal bleeding. You​ should:

place a sanitary pad over the vaginal opening.

You are attempting to provide oxygen to a​ 2-year-old in respiratory distress. The child repeatedly pulls the oxygen mask off his face. You​ should:

have a parent provide​ blow-by oxygen.

When a fertilized egg implants outside the uterus it is​ considered:

an ectopic pregnancy.

An infant who has been vomiting and having diarrhea for days may exhibit which of the following​ signs?

Delayed capillary refill

Sunken fontanelles

Dehydration

A woman who has significant vaginal bleeding during the first trimester may be​ experiencing:

a miscarriage.

Any respiratory difficulty or airway problem in a pediatric patient should be​ considered:

a​ life-threatening emergency.

When placing the clamps on the umbilical​ cord, how far apart should they​ be?

Two to three inches

Once a baby has been​ delivered, it is appropriate to​ tie, clamp, and cut the umbilical cord in all of the following situations​ EXCEPT:

A. if your local protocols allow.

B. if the baby is breathing on its own.

C. if CPR is needed.

D. if you do not have sterile cutting equipment.

if you do not have sterile cutting equipment.

How do oxygen and nutrition transfer from the mother to the​ fetus?

Through the placenta

When assisting with a breech​ birth, you​ should:

Insert a gloved hand into the vagina to create an airway for the baby.

You respond to a home and find a child who appears to have a fractured arm. The mother and father give differing explanations of how the injury occurred. You notice that the house is​ dirty, and there appears to be little to no food in the kitchen. You​ should:

care for the child without judgment and report your suspicions to the proper authorities.

Your patient is a​ 3-year-old male with an altered level of consciousness. The father reports that the child has been sick with a fever and​ "started shaking" about 15 minutes ago before becoming unresponsive. You​ suspect:

febrile seizures.

After the placenta is​ delivered, you​ should:

place all pieces of the afterbirth into a bag.

Throughout the birth​ process, all of the following are appropriate actions​ EXCEPT:

A. giving oxygen.

B. reassessing the mother and baby.

C. taking a break between labor contractions.

taking a break between labor contractions.

What is the most common cause of cardiac arrest in​ children?

Respiratory arrest

Which of the following is NOT a step in assisting with a​ delivery?

Inserting a gloved hand into the vaginal opening to check for crowning

As you walk into a​ residence, you see a​ 3-year-old male who looks at you and smiles. He is leaning forward and has visible retractions and accessory muscle use. His skin appears normal. Which component of the Pediatric Assessment Triangle is affected in this​ patient?

Work of breathing

Expect a multiple birth if​ the:

contractions continue with the same intensity after the first baby.

Because the tongue is larger in an infant and​ child, it can​ cause:

airway obstruction.

Swelling of the epiglottis that may be caused by a bacterial infection is best defined​ as:

epiglottitis

Why must you wear personal protective equipment if assisting in​ childbirth?

There is a potential for contact with blood and body fluids.

A potentially dangerous condition of an abnormally high blood pressure in a pregnant woman is​ called:

preeclampsia

A patient in her third trimester complains of dizziness and nausea when lying on her back to sleep. You​ suspect:

supine hypotensive syndrome.

During labor and​ delivery, the greatest danger to both mother and baby​ is:

bleeding and shock.

A​ 2-month-old infant has a​ three-day history of diarrhea and vomiting. This should cause a high suspicion​ for:

shock

The three stages of labor​ are:

contractions​ begin, the baby is​ born, and delivery of the afterbirth.

When does the second stage of labor​ end?

When the baby delivers

After ventilating for 30​ seconds, check the heart rate. If the heart rate is less than 60 beats per​ minute, you​ should:

continue ventilations and begin chest compressions.

The components of the Pediatric Assessment Triangle​ are:

appearance, work of​ breathing, circulation.

The second stage of labor​ begins:

when the baby enters the birth canal.

Which of the following best defines​ croup?

A respiratory infection that presents with a barklike cough

If the amniotic sac has NOT​ ruptured, you should​ immediately:

puncture the​ sac, and pull it away from the​ baby's mouth and nose.

Providing an airway with your fingers is indicated in which of the following​ cases?

Breech birth

You respond to a home and find a​ 9-month-old infant who is not breathing and has no pulse. The mother reports that she found the child unresponsive in the crib and called 911. The child has no signs of injury and has not been ill. This child has likely died​ from:

sudden infant death syndrome​ (SIDS).

Which of the following is NOT an item typically found in a field OB​ kit?

Infant AED pads

The sudden death during sleep of an infant under 1 year of age that cannot be explained is​ called:

SIDS

What are the components of the pediatric assessment​ triangle?

​Appearance, work of​ breathing, and circulation

All of the following are acceptable methods of stimulating a baby who is not breathing​ EXCEPT:

A. rubbing his back.

B. slapping his buttocks.

C. snapping your index fingers on the soles of the feet.

D. drying and warming him.

slapping his buttocks.

You are at the home assessing a​ 2-month-old infant who has no pulse and is not breathing. The mother reports finding the child unresponsive in his crib. You​ should:

begin CPR.

To help keep an infant or child​ calm, the order of the physical assessment should​ be:

toe to head.

Babies from birth to 28 days old are referred to​ as:

neonates

Crowning is best defined​ as:

the bulging out of the vagina and exposure of the​ baby's head.

When obtaining a history from the expectant​ mother, you would ask all of the following​ EXCEPT:

A. ​"Have you been receiving prenatal​ care?"

B. "Were your previous deliveries really ​painful?​"

C. "Are there any complications I should know ​about?​"

D. D. ​"How many previous pregnancies​ and/or births have you​ had?"

B. "Were your previous deliveries really ​painful?​"

Child neglect occurs when parents or​ caregivers:

do not provide basic needs such as​ food, water, and shelter.

Care for respiratory distress in infants and children should​ be:

immediate

The delivery of the​ placenta:

may take place while en route to the hospital.