NORCET 5 mains: If any foreign body stuck in a child's airway. Which of the following maneuver can be done to remove the obje…

NORCET 5 mains

Child Health Nursing (Pediatrics)

Easy

Appeared in: NORCET 5 mains

Explanation

The Abdominal thrust (Heimlich) maneuver is the recommended procedure for relieving a foreign body airway obstruction in conscious children older than 1 year.
The maneuver works by creating a forceful artificial cough. Quick, upward thrusts to the abdomen increase pressure below the diaphragm.
This increased intrathoracic pressure expels air from the lungs, which can dislodge and eject the obstructing object.

Option A: The Sellick maneuver (cricoid pressure) is used to close off the esophagus to prevent regurgitation and aspiration of stomach contents during endotracheal intubation.
Option B: The Valsalva maneuver involves forced exhalation against a closed glottis. It is used for diagnostic purposes in cardiology or to equalize pressure in the middle ear.
Option C: Phalen's maneuver is a provocative test used in physical examination to diagnose carpal tunnel syndrome by causing symptoms (tingling, numbness) in the median nerve distribution.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Emergency management of foreign body airway obstruction (FBAO) in children as background academic context rather than a clinical decision trigger.
Knowing the correct age-specific technique for FBAO is a critical life-saving skill for any nurse. Using abdominal thrusts on an infant can cause serious internal injury.
For infants (less than 1 year old), the correct procedure is a combination of 5 back blows and 5 chest thrusts.
Immediate intervention is necessary in a choking emergency, as brain damage can occur in minutes without oxygen.

How to Approach the Question

First, identify the core of the question: it asks for the correct emergency procedure for a foreign body in a child's airway.
Recall or look up the different maneuvers listed in the options.
Analyze each option's purpose. The Sellick maneuver is for intubation, Valsalva for pressure changes, and Phalen's for carpal tunnel syndrome.
Recognize that the Abdominal thrust (Heimlich) maneuver is specifically designed to expel objects from the airway.
Confirm the age appropriateness. The Heimlich maneuver is for children over 1 year, which fits the general term 'child' in an emergency context unless 'infant' is specified.
Select the option that directly addresses the emergency described in the question stem.

Concept Tested & Keywords

Concept Tested: Emergency management of foreign body airway obstruction (FBAO) in children.
Stem keywords: foreign body, child's airway, remove object, maneuver
Lead-in keywords: Which of the following
Clinical cues: The question specifies a child, which is a critical factor in determining the correct emergency procedure.

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