ATI Obstetrics/Pediatrics Proctor Exam 2023 Update Questions with Correct solutions

ATI Obstetrics/Pediatrics Proctor Exam 2023 Update Questions with Correct solutions A 3yr old boy is found to be in cardiopulmonary arrest. As you begin one-rescuer CPR, your partner prepares the AED. The appropriate compression to ventilation ratio for this child is: 30:2 Immediately upon delivery of a newborn's head, you should: suction the mouth When you begin to assess a woman in labor, she states that her contractions are occurring every 4 to 5 minutes and lasting approximately 30 seconds each. Which of the following questions would be MOST appropriate to ask next? at how many weeks' gestation are you? You are assessing a 5-year-old boy with major trauma. His blood pressure is 70/40 mm Hg and his pulse rate is 140 beats/min. and weak. The child's blood pressure: indicates decompensated shock. The 5-minute Apgar assessment of a newborn reveals a heart rate of 130 beats/min, cyanosis of the hands and feet, and rapid respirations. The infant cries when you flick the soles of its feet and resists attempts to straighten its legs. These findings equate to an Apgar score of: 9 Of the following, the MOST detrimental effect of gastric distention in infants and children is: decreased ventilatory volume. The function of the uterus is to: house the fetus as it grows for 40 weeks A 4-year-old girl fell from a third-story window and landed on her head. She is semiconscious with slow, irregular breathing and is bleeding from her mouth and nose. You should: open her airway with the jaw-thrust maneuver while manually stabilizing her head, suction her oropharynx, and assist her ventilations. If a woman is having her first child, the first stage of labor: is usually the longest and lasts an average of 16 hours. When is it MOST appropriate to clamp and cut the umbilical cord? As soon as the cord has stopped pulsating A 30-year-old woman is 22 weeks pregnant with her first child. She tells you that her rings are not fitting as loosely as they usually do and that her ankles are swollen. Her blood pressure is 150/86 mm Hg. She is MOST likely experiencing: preeclampsia To maintain neutral alignment of an 18-month-old child's airway, you should: place padding in between the shoulder blades. Which of the following statements regarding crowning is correct? gentle pressure should be applied to the baby's head during crowning A 4-year-old boy with a tracheostomy tube is experiencing respiratory distress. He has intercostal retractions, a heart rate of 80 beats/min, and an oxygen saturation of 85%. During his attempts to breathe, a gurgling sound is heard in the tracheostomy tube. You should: carefully suction the tracheostomy tube Following delivery of a newborn and placenta, you note that the mother has moderate vaginal bleeding. The mother is conscious and alert, and her vital signs are stable. Treatment for her should include: administering oxygen and massaging the uterus A 29-year-old woman, who is 38 weeks pregnant, presents with heavy vaginal bleeding, a blood pressure of 70/50 mm Hg, and a heart rate of 130 beats/min. She is pale and diaphoretic, and denies abdominal cramping or pain. Her signs and symptoms are MOST consistent with a/an: placenta previa Which artery should you palpate when assessing for a pulse in an unresponsive 6-month-old patient? brachial A 30-year-old woman has severe lower abdominal pain and light vaginal bleeding. She tells you that her last menstrual period was 2 months ago. On the basis of these findings, you should suspect: an ectopic pregnancy Treatment for a responsive 4-year-old child with a mild airway obstruction, who has respiratory distress, a strong cough, and normal skin color, includes: supplemental oxygen and transport You are caring for a 6-year-old child with a possible fractured arm and have reason to believe that the child was abused. How should you manage this situation? advise the parents that the child needs to be transported Following an apparent febrile seizure, a 4-year-old boy is alert and crying. His skin is hot and moist. Appropriate treatment this child includes: offering oxygen and providing transport A 3-year-old female presents with respiratory distress. She is conscious, crying, and clinging to her mother. She has mild intercostal retractions and an oxygen saturation of 92%. The MOST effective way of delivering oxygen to her involves: asking the mother to hold an oxygen mask near her face A 6-year-old boy presents with a high fever, a headache, and a stiff neck. He is conscious, but is not acting as a normal 6-year-old boy should. His mother told you that he vomited once before your arrival. You should be MOST concerned with: the risk of permanent neurologic damage Which of the following statements regarding the length-based resuscitation tape measure is correct? the tape measure can be used in children who weigh up to 75lbs Your assessment of a newborn reveals cyanosis to the chest and face and a heart rate of 90 beats/min. What should you do first? begin artificial ventilations A 6-year-old boy complains of pain to the right lower quadrant of his abdomen. Assessment of this child's abdomen should include: palpating the left upper quadrant first Your assessment of a mother in labor reveals that a fetal limb is protruding from the vagina. Management of this situation should include: positioning the mother with her hips elevated, administering high-flow oxygen, and providing transport Which of the following injuries is MOST indicative of child abuse? bruising to the upper back You are dispatched to a residence for a child having a seizure. When you arrive at the scene, the 4-year-old child's grandfather tells you that he has had several full body seizures over the past 20 minutes, but never woke up in between the seizures. The child's skin is hot and flushed. This is MOST indicative of: status epilepticus You have just delivered a baby girl. Your assessment of the newborn reveals that she has a patent airway, is breathing adequately, and has a heart rate of 130 beats/min. Her face and trunk are pink, but her hands and feet are cyanotic. You have clamped and cut the umbilical cord, but the placenta has not yet delivered. You should: keep the newborn warm, give oxygen to the mother if needed, and transport A 5-year-old boy was struck by a car when he ran out into the street. When you arrive at the scene and approach the child, you see him lying supine approximately 15 feet from the car. Based on the child's age and mechanism of injury, which of the following should you suspect to be his PRIMARY injury? pelvic injury You should assist with the delivery of the baby's head by: placing your fingers on the bony part of the skull and applying gentle pressure General guidelines when assessing a 2-year-old child with abdominal pain and adequate perfusion include: examining the child in the parent's arms While performing a visual inspection of a 30-year-old woman in labor, you can see the umbilical cord at the vaginal opening. After providing high-flow oxygen, you should: relieve pressure from the cord with your gloved fingers Which of the following would MOST likely occur in conjunction with a breech presentation? prolapsed umbilical cord A 5-year-old child in compensated shock secondary to severe vomiting and diarrhea would be expected to have: a slow capillary refill time You arrive at the scene shortly after a 3-year-old female experienced a seizure. The child, who is being held by her mother, is conscious and crying. The mother tells you that her daughter has been ill recently and has a temperature of 102.5°F. What is the MOST appropriate treatment for this child? oxygen via the blow-by technique, remove clothing to help reduce her fever, and transport with continuous monitoring Which of the following parameters is the LEAST reliable when assessing the perfusion status of a 2-year-old child? systolic blood pressure You receive a call for a 3-year-old girl with respiratory distress. When you enter her residence, you see the mother holding the child, who does not acknowledge your presence. This finding indicates that the child: has severe hypoxia You are called to a local park for a 7-year-old boy with respiratory distress. During your assessment, you find that the patient is wheezing and has widespread hives and facial edema. What should you suspect has occurred? allergic reaction A prolapsed umbilical cord is dangerous because the: baby's head may compress the cord, cutting off its supply of oxygen Oxygen and other nutrients are transferred to the developing fetus via the: umbilical vein A 7-year-old child has an altered mental status, high fever, and a generalized rash. You perform your assessment and administer supplemental oxygen. En route to the hospital, you should be MOST alert for: convulsions When assessing a 30-year-old female who was sexually assaulted, it is MOST important for you to: ensure that all life-threatening injuries are treated After clearing the airway of a newborn who is not in distress, it is MOST important for you to: keep the newborn warm A newborn is considered to be premature if it: is born before 37 weeks' gestation After drying, warming, and suctioning a newborn's mouth and nose, assessment reveals central cyanosis, a weak cry, and a heart rate of 60 beats/min. The EMT should: ventilate with a bag-valve-mask at 40-60 breaths/min During your assessment of a woman in labor, you see the baby's arm protruding from the vagina. The mother tells you that she needs to push. You should: cover the arm with a sterile towel and transport immediately Which of the following signs is MOST indicative of inadequate breathing in an infant? expiratory grunting Which of the following is the MOST common cause of seizures in children?