Pediatric Assessment Flashcards
7 cards from real FISDAP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pediatric Assessment flashcards as text
A neonate (4 days old) presents with cyanosis and poor feeding. The cyanosis does not improve with supplemental oxygen. This presentation is MOST consistent with:
Answer: Cyanotic congenital heart disease
Cyanosis unresponsive to oxygen in a neonate strongly suggests cyanotic congenital heart disease with right-to-left shunting.
When assessing a pediatric patient using the SAMPLE history, the 'E' stands for:
Answer: Events prior to illness or injury
In SAMPLE, 'E' stands for Events leading up to the current illness or injury, providing context for the chief complaint.
A 3-year-old presents with a barky, seal-like cough and inspiratory stridor that worsens with agitation. The child is maintaining SpO2 of 96% and appears frightened. Management priority should be:
Answer: Keep child calm, allow position of comfort, administer humidified O2
Croup management focuses on minimizing agitation and delivering humidified oxygen; the child's SpO2 and appearance indicate compensation.
During assessment of a 16-month-old, you observe that the child does not make eye contact, does not reach for a toy, and does not babble. The parent states this is the child's baseline. This information is MOST important for:
Answer: Establishing the child's neurological baseline for comparison
Knowing the child's baseline behavior allows EMS providers to accurately assess whether the current presentation represents a change.
A 7-year-old is brought in after a seizure lasting approximately 5 minutes. The child is now postictal, breathing adequately, and SpO2 is 98%. Your priority assessment should focus on:
Answer: Identifying and treating potential underlying causes
After a seizure in a postictal child with adequate breathing, identifying underlying causes (glucose, fever, trauma, toxins) guides further management.
Which pediatric age group is at HIGHEST risk for epiglottitis, and what is the classic positional finding?
Answer: Toddlers to school-age; tripod position
Children aged 2-7 are at highest risk for epiglottitis and classically sit in the tripod position (leaning forward, chin thrust out) to maintain airway patency.
When assessing burns in a pediatric patient, the adult 'rule of nines' is modified because children have:
Answer: Proportionally larger heads and smaller lower extremities
In children, the head accounts for a larger BSA percentage and the lower extremities a smaller percentage compared to adults, requiring the Lund-Browder chart.