Pediatrics - SEMT '23

The three parts of the pediatric assessment triangle are:

• Earth, Wind, and Fire

• Airway, Breathing, Circulation

• Appearance, Work of Breathing, Circulation

• This isn't geometry class!

When we use the pediatric assessment triangle, we want to quickly determine if the child is _____________ or ______ _______________.

• sick; not sick

• okay; not okay

• awake; kinda sleepy

• going; refusing transport

Which of these patients would have the most concerning appearance?

• A 2-year-old who doesn't track you when you walk in the room

• A 6-year-old who wants to play with your stethoscope

• A 1-month-old who is crying

• A 15-year-old who doesn't want to talk to you

Which of the following findings would concern you when assessing a pediatric patient's work of breathing?

• Retractions

• Strong, clear crying

• Coughing

• Sneezing

A high-pitched sound primarily heard on inspiration that indicates an upper airway obstruction:

• Stridor

• Wheezing

• Rales

• Rhonchi

You're treating a 2-month-old for respiratory distress. Which finding would be the most concerning?

• Nasal passages blocked by mucous

• Coughing

• Yawning

• Crying

Which vital sign change is typically the first sign of respiratory distress in a pediatric patient? Pick 2.

• Tachycardia

• Bradycardia

• Hypotension

• Tachypnea

Tags

NGSS.HS-LS1-3

You're treating a 4-year-old female who is extremely lethargic, is breathing 40 times/minute, and her head bobs with each breath. She is floppy and cannot hold herself up. Which stage of respiratory compromise is she in?

• Respiratory Distress

• Respiratory Failure

• Respiratory Arrest

• "Get to the truck" time

Which patient has compromised circulation?

• A 2-month-old with an absent radial pulse

• A 6-year-old with a small laceration to the hand

• A 3-year-old with a capillary refill time of 5 seconds

• A 1-year-old with a heart rate of 120 bpm

Which of the following is a symptom of croup?

• Seal bark cough

• Vomiting

• Excessive drooling

• Hypoglycemia