Chapter 11



Handout 23-1 Student’s Name _________________________Chapter 23: Caring for Infants and Children--QuizCircle the letter of the best answer to each multiple-choice question. 1.A child’s head is ________ in proportion to the body than is an adult’s head.a.largerb.smallerc.no largerd.no smaller 2.Drawing back between the ribs or around the shoulders of a pediatric patient who is having difficulty breathing is called: a.retractions.b.withdrawing.c.stress breathing.d.intercostal extension.3.A normal pulse rate for an infant 6–12 months old is ________ beats per minute.a.12 to 30 b.20 to 30c.60 to 75d.80 to 140 4.A normal respiratory rate for an infant 6–12 months old is _________ breaths per minute. a.12 to 20b.20 to 30c.60 to 75d.80 to 1405.Monitor an infant’s airway continually: infants have proportionally ______________ tongues—which, if relaxed, can easily ______________ the airway. a.smaller, openb.smaller, blockc.larger, blockd.larger, open6.Because a child’s body surface area is ______________ an adult’s, a child is more likely to suffer from hypothermia.a.equivalent tob.larger thanc.the same asd.smaller than7.An infant’s head must maintain a(n) ________________ position during airway assessment so that her airway remains open. a.extendedb.flexedc.neutrald.lateral8.Because of immature accessory muscles, infants and children use their __________________ to breathe. a.diaphragmb.intestines c.extremities d.liver and spleen 9.The most common type of seizure in pediatric patients is the ________________ seizure. a.meningitisb.traumaticc.epilepticd.febrile10.A tip for the physical exam of a young pediatric patient is, if possible, to assess the child while she is:a.separated from the parent.b.in the prone position. c.in the supine position.d.on the parent’s lap.?2012 by Pearson Education, Inc.EMR 9Handout 23-2 Student’s Name _________________________The Call: A Pediatric EmergencyRead the scenario. Then, in the space provided, answer the questions that follow.Today you are the first to respond to a frantic call from the mother of a 10-month-old baby. She tells you that her son has been ill for several days and has been running a slight fever. She put the baby to bed a few hours ago; but when she went in to check on him, she found him shaking violently, and his eyes were rolled back. You enter the baby’s room and observe that he appears to be very lethargic in the crib. He is wearing a blanket sleeper and is covered by a baby comforter and several blankets.1. What should you suspect as the cause of the emergency?2. How should you manage this situation??2012 by Pearson Education, Inc.EMR 9Handout 23-3 Student’s Name _________________________Chapter 23 ReviewIn the space provided, write the word or words that best complete each sentence. 1.Regardless of how the parent of a pediatric patient behaves, treat him/her with _____________________.2. One way to keep the head of a pediatric patient from __________________ ____________________ is to place a folded towel under the patient’s shoulders.3. If an infant’s respirations are fewer than ________ per minute or a child’s respirations are fewer than ________ per minute, assist ventilations.4. _______________, a common viral infection of the upper airway, can cause a child to make a “seal bark” sound.5. A pediatric patient has the ability to compensate for blood loss for a(n) _____________________ time than an adult can.6. In an acute asthma attack, air is _____________ in the lungs and the chest becomes ________________.7. Continually monitor pediatric patients, including taking ____________________ vital signs.8. If a child’s pulse is too rapid or too slow, check for other signs of problems, such as ____________________ ____________________ or shock.9. A(n) _____________________ blood pressure in a pediatric patient can be a late indicator of shock.10. If capillary refill in an infant takes more than ________ seconds, suspect shock.?2012 by Pearson Education, Inc.EMR 9Handout 23-4 Student’s Name _________________________ListingComplete each listing activity on the lines provided.1.Label the three sides of the Pediatric Assessment Triangle (PAT).13754103619500A. B.467360450850021437604508500C.121983538735002.List five common signs of respiratory distress in the pediatric patient.3.List six tips for conducting a physical exam.?2012 by Pearson Education, Inc.EMR 9Answer Key Handout 23-1: Chapter 23 Quiz1.a2.a3.d4.b5.c6.b7.c8.a9.d10.dHandout 23-2: The Call: A Pediatric Emergency1.From the mother’s description of the emergency, you should suspect that the baby has had a seizure.2.Emergency care in this situation includes the following: Maintain an open airway. Loosen any clothing that is tight and make sure that the child is not overly bundled.Place the patient in the recovery position. Administer high-concentration oxygen. Assess for injuries occurring during the seizure.Obtain a baseline set of vital signs. Obtain a SAMPLE history form the mother, including these specific questions: Has the child had a seizure before?How many seizures has the child had in the past 24 hours? What was done for them?Has the child had a head injury, stiff neck, or recent headache? Does he have diabetes?Is the child taking seizure medication? What has the doctor told you about the seizure disorder?Could the child have ingested any other medications?What did the seizures look like? Provide an update report to the ambulance crew that arrives to transport the patient. (Specifically, notify about seizures lasting longer than a few minutes and reoccurring without a recovery period.)Handout 23-3: Chapter 23 Reviewcourtesy (respect, understanding)flexing forward 20, 10 Croup longertrapped, inflated frequentrespiratory distress (or head injury)falling (low)two (2)Handout 23-4: Listing1.A. Appearance B. Breathing C. Circulation2.Any five of the following:Noisy breathing (wheezing, stridor, crowing, grunting)CyanosisFlaring nostrilsRetractionsUse of accessory muscles to breatheBreathing with obvious effortExtreme respiratory rate that is either too slow or too fastAltered mental status3.Any six of the following:If possible and appropriate, assess the child while she is on the parent’s lap.Be calm, reassuring, friendly, and confident.Try to get on the child’s eye level (but do not stare).Describe what you are doing and why.Remember that young children take statements literally.Talk to the child directly.Be gentle (Keep painful procedures to end of assessment or treatment.)Do not lie to the patient.If the patient is uncooperative, ask her permission before examining or treating her.Do not separate the child from the parent unless required for emergency care.Restrain the child only when there is no other alternative and doing so is essential for treatment. A stuffed animal may help win the child’s confidence. ?2012 by Pearson Education, Inc.EMR 9 ................
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