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Exam (elaborations)

ENPC Questions and Correct Answers/ Latest Update / Already Graded

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Pediatric triangle Ans: appearance work of breathing circulation to skin General appearance considerations Ans: Tone Interactiveness: drawn to sounds or people. Wants to play Consolability Look/Gaze Speech/cry Work of breathing: 2 | Page Ans: Increased work of breathing evidenced by tachypnea, stridor, grunting, retractions, accessory musles, nasal flaring, head bobbing, abnormal positioning Circulation to Skin Ans: Observe palor mottling cyanosis Sick, Sicker, Sickest Ans: Sick: no disruption of any component of PAT but caregivers are concerned Sicker: one component of PAT is a concern Sickest 2+ concerns of PA

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ENPC Questions and Correct Answers/
Latest Update / Already Graded
Pediatric triangle


Ans: appearance


work of breathing


circulation to skin




General appearance considerations


Ans: Tone


Interactiveness: drawn to sounds or people. Wants to play


Consolability


Look/Gaze


Speech/cry




Work of breathing:

,2 | Page

Ans: Increased work of breathing evidenced by tachypnea, stridor,

grunting, retractions, accessory musles, nasal flaring, head bobbing,

abnormal positioning




Circulation to Skin


Ans: Observe palor


mottling


cyanosis




Sick, Sicker, Sickest


Ans: Sick: no disruption of any component of PAT but caregivers are

concerned




Sicker: one component of PAT is a concern




Sickest 2+ concerns of PAT

,3 | Page

2 leading causes of altered mental status in kids


Ans: hypoxia


hypoglycemia




Blood pressure norms


Ans: Hypotension: Less than 70 + (2 x age in years)




Widening pulse pressure = increased ICP




Narrowing pulse pressure = hypovolemic shock




Crying child

, 4 | Page

Ans: Vigorous = good


weak = sick


high-pitched = increased ICP


"Fussiness" = red flag




Respiratory distress indicated by:


Ans: increased heart rate


skin color changes


incrased work of breathing


wheezing


diaphoresis


abnormal airwa sounds




Respiratory failure signs
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