Deck 39: Special Considerations in Trauma

Question 1

What is the most important factor to consider when determining how trauma will impact a fetus?

A) The gender of the fetus
B) The age of the fetus
C) The age of the mother
D) The mother's physical fitness

Answer 1

The age of the fetus

Question 2

The second most common cause of fetal death is

A) when the fetus is traumatized after the mother falls on her stomach.
B) when the mother dies and the fetus is too young to survive on its own.
C) when a normally implanted placenta separates prematurely from the uterus wall.
D) when a fetus is compressed by the steering wheel in a motor vehicle accident.

Answer 2

when a normally implanted placenta separates prematurely from the uterus wall.

Question 3

An unbelted pregnant woman in a motor vehicle crash is at a higher risk for

A) birth deformities, premature birth, and fetal death.
B) uterine rupture, vaginal bleeding, and low birth weight.
C) low birth weight, premature birth, and vaginal bleeding.
D) vaginal bleeding, premature birth, and fetal death.

Answer 3

vaginal bleeding, premature birth, and fetal death.

Question 4

Which is challenging when treating cardiac arrest in a pregnant trauma patient?

A) Chest compressions should be performed lower on the sternum near the xyphoid process.
B) Pregnant women require more ventilation due to their lower diaphragm.
C) The uterine wall must be massaged to increase blood flow to the fetus.
D) Chest compressions should be performed while the patient is on a tilted backboard.

Question 5

If a spinal injury is suspected for a pregnant patient in her third trimester, you should

A) refrain from using a backboard and incline the torso by 20 degrees.
B) immobilize the patient to a long backboard and tilt her to the right.
C) immobilize the patient to a long backboard and tilt her to the left.
D) refrain from using a backboard and do not move the patient at all.

Question 6

Why are injury patterns often different in children than in adults?

A) Children react differently to impending trauma than adults do.
B) Children have a quicker healing ability than adults do.
C) Children often run from impending trauma more than adults do.
D) Children have more flexible bones and joints than adults do.

Question 7

What are the three injuries involved in Waddell's triad?

A) Abdominal injury, chest injury, skull injury
B) Arm injury, abdominal injury, chest injury
C) Ankle injury, shin injury, femur injury
D) Femur injury, abdominal injury, skull injury

Question 8

Why is the abdomen of a pediatric patient a common source of unrecognized trauma?

A) Because children are more prone to blunt trauma mechanisms of injury.
B) Because a child's venous system is undeveloped and vulnerable.
C) Because pediatric musculoskeletal injuries are often gruesome and distracting.
D) Because the organs are large and unprotected, and the abdominal wall is thin.

Question 9

What is the most important step in managing a pediatric trauma patient?

A) Assessing a child's mental status using the AVPU scale.
B) Ensuring the child's airway is open and clear of secretions.
C) Controlling obvious bleeding and checking for signs of shock.
D) Determining the location, number, and severity of fractures.

Question 10

When suctioning an infant or a child's airway, you should

A) use the smallest suction equipment available.
B) do so for only 5 seconds at a time for no more than 10 seconds.
C) use the longest suction equipment available.
D) continue until all secretions are gone.

Question 11

What is the most common cause of injury in older adults?

A) Burns
B) Falls
C) Assaults
D) Traffic accidents

Question 12

Which is a common change caused by aging?

A) An increased blood flow to the organs.
B) A thinning of the blood vessels.
C) A lowered risk of cerebral bleeding.
D) An increase in overall blood pressure.

Question 13

Why is it helpful to have a cognitively impaired patient's family or caregiver present during a physical exam?

A) The family might be better trained than you at caring for the patient.
B) The patient's medication is usually held by the family members.
C) The patient may be an unreliable historian of past medical problems.
D) The family can help you in quickly administering the AVPU test.

Question 14

Which best describes a cognitively impaired patient?

A) A young male with alcoholism
B) A middle-aged male with Down's Syndrome
C) An older male with a drug addiction
D) An adult male with Attention Deficit Disorder

Question 15

Which object might block an older patient's airway?

A) Dentures
B) Necklaces
C) Necktie
D) Army tags

Question 16

Which is the most common cause of blunt trauma in pregnancy?

A) Motor vehicle crashes
B) Unbalanced falls
C) Intimate-partner violence
D) Household accidents

Question 17

Around the 12th week of pregnancy, the uterus

A) is protected by the pelvis.
B) reaches the costal margin.
C) rises up within the pelvis.
D) reaches the umbilicus.

Question 18

How much blood volume can a healthy pregnant patient lose before a change in vital signs?

A) 30-35%
B) 40-45%
C) 45-50%
D) 35-40%

Question 19

This patient has most likely been placed in this position

A) to prevent choking in case she vomits.
B) to relieve pressure on her abdominal blood vessels.
C) to support her uterus after a blunt force trauma.
D) so an emergency worker can palpate a back injury.

Question 20

Which is the correct positioning of a seat belt on a pregnant woman?

A) The lap belt should be underneath the abdomen, and the shoulder strap should be to the side of the breasts and crossing the abdomen.
B) The lap belt should be directly across the abdomen, and the shoulder strap should be to the side of the breasts and crossing the abdomen.
C) The lap belt should be directly across the abdomen, and the shoulder strap should be between the breasts and to the side of the abdomen.
D) The lap belt should be underneath the abdomen, and the shoulder strap should be between the breasts and to the side of the abdomen.

Question 21

Which of these is an appropriate question to ask a pregnant trauma patient?

A) Did you eat a meal before the trauma?
B) When is the baby due?
C) When was the baby conceived?
D) How hard does the baby usually kick?

Question 22

What is the most common mechanism of injury in pediatric patients?

A) Crushing trauma
B) Puncturing trauma
C) Blunt trauma
D) Cutting trauma

Question 23

Waddell's triad refers to

A) the three primary procedures performed on an emergency trauma with a pediatric patient.
B) the three locations of injury common to pedestrian children struck by motor vehicle accidents.
C) the three points of support needed to properly splint a pediatric femur fracture.
D) the three most common kinds of mechanisms of injury for pediatric trauma.

Question 24

What is usually the first sign of head injury in children?

A) Nausea and vomiting
B) Seizures
C) Altered mental status
D) Headache

Question 25

In a pediatric trauma, which is the most serious finding?

A) An abdominal hematoma.
B) A tender abdomen.
C) A swollen ankle.
D) A broken radius.

Question 26

In an older adult, what should you notice as you form your general impression?

A) The patient's appearance, work of breathing, and skin color.
B) The patient's awareness, skin color, and appearance.
C) The patient's attention, appearance, and work of breathing.
D) The patient's appearance, attention, and skin color.

Question 27

Which is an appropriate medical history question to ask the family of a mentally impaired male patient?

A) How many friends does the patient have?
B) How is the patient related to you?
C) Does the patient have problems with his sense of taste?
D) Is the patient aware of his environment?