FP-C - Flight Paramedic-Certification Pediatric and Neonatal Care Questions and Answers

Question 1

A 2-year-old is being transported for severe croup.
The child has significant inspiratory stridor at rest, marked subcostal retractions, and is becoming agitated.
Which of the following interventions is the most appropriate initial treatment?

Accepted Answer

Administer nebulized epinephrine and corticosteroids.

Answer

Administer nebulized albuterol to address bronchoconstriction.

Answer

Prepare for immediate rapid sequence intubation with a smaller ETT.

Answer

Administer high-flow oxygen via a non-rebreather mask and monitor.

Question 2

A term neonate is delivered through thick, particulate meconium-stained amniotic fluid. The infant is limp, has a heart rate of 80 bpm, and is making no respiratory effort. According to the most recent Neonatal Resuscitation Program (NRP) guidelines, what is the appropriate first step AFTER initial warming, drying, and stimulation?

Accepted Answer

Initiate positive-pressure ventilation (PPV) with a bag-mask device.

Answer

Immediately intubate and perform tracheal suction to remove meconium.

Answer

Provide free-flow oxygen and reassess in 30 seconds.

Answer

Insert an orogastric tube to decompress the stomach.

Question 3

When performing endotracheal intubation on a 1-year-old child, the flight paramedic should be aware that the narrowest portion of the pediatric airway is at the level of the:

Accepted Answer

Cricoid cartilage

Answer

Vocal cords

Answer

Epiglottis

Answer

Tracheal rings

Question 4

You are treating a 15 kg pediatric patient in hypovolemic shock secondary to gastroenteritis. According to Pediatric Advanced Life Support (PALS) guidelines, what is the appropriate initial isotonic crystalloid fluid bolus?

Accepted Answer

300 mL (20 mL/kg)

Answer

150 mL (10 mL/kg)

Answer

500 mL (a standard bolus for all ages)

Answer

600 mL (40 mL/kg)

Question 5

A flight crew is transporting a neonate with a diagnosis of Persistent Pulmonary Hypertension of the Newborn (PPHN). A primary goal of management during transport is to avoid which of the following triggers that can worsen pulmonary vasoconstriction?

Accepted Answer

Hypothermia

Answer

Hyperoxia

Answer

Alkalosis

Answer

Normotension

Question 6

Which component of the Pediatric Assessment Triangle (PAT) is the most reliable single indicator of the adequacy of ventilation and oxygenation?

Accepted Answer

Work of Breathing

Answer

Appearance

Answer

Circulation to Skin

Answer

Capillary Refill

A 2-year-old is being transported for severe croup.The child has significant inspiratory stridor at rest, marked subcostal retractions, and is becoming agitated.Which of the following interventions is the most appropriate initial treatment?

A 2-year-old is being transported for severe croup.
The child has significant inspiratory stridor at rest, marked subcostal retractions, and is becoming agitated.
Which of the following interventions is the most appropriate initial treatment?