PEARS Stabilization Skills 3

Question 1

Which chest compression depth is correct for a school-age child (approximately 8 years old)?

Accepted Answer

At least 2 inches (5 cm)

Answer

For children (not infants), chest compressions should be at least 2 inches (5 cm) but no more than 2.4 inches (6 cm).

Question 2

A 6-month-old infant presents with tachypnea, grunting, and nasal flaring. What PEARS category best describes this presentation?

Accepted Answer

Respiratory distress

Answer

Grunting, nasal flaring, and tachypnea with adequate oxygenation represent respiratory distress, not yet respiratory failure.

Question 3

During two-rescuer infant CPR, what compression-to-ventilation ratio is used?

Accepted Answer

15:2

Answer

With two rescuers performing infant CPR, the ratio is 15 compressions to 2 breaths, allowing more frequent ventilations for infants.

Question 4

A child receiving assisted ventilation via bag-mask shows gastric distension. What corrective action should be taken?

Accepted Answer

Insert a nasogastric tube to decompress the stomach

Answer

Gastric distension during bag-mask ventilation can cause aspiration and restrict diaphragm movement; a nasogastric tube decompresses the stomach.

Question 5

In a child with suspected tension pneumothorax, which physical finding is MOST specific?

Accepted Answer

Tracheal deviation away from the affected side

Answer

Tracheal deviation away from the affected side occurs as mediastinal structures are pushed by the trapped air in tension pneumothorax.

(PEARS) Pediatric Emergency Assessment, Recognition, and Stabilization Practice Test