NORCET 2 -2021 (Shift…: If any foreign object is stuck in a child's airway. Which maneuver can be done to remove the object?

NORCET 2 -2021 (Shift-2)

Child Health Nursing (Pediatrics)

Easy

Appeared in: NORCET 2 -2021 (Shift-2)

Explanation

The abdominal thrust maneuver, also known as the Heimlich maneuver, is the standard first-aid procedure for clearing a foreign body airway obstruction in a conscious child over one year of age.
The maneuver works by creating a rapid increase in intrathoracic pressure, which generates an artificial cough to forcefully expel the lodged object from the airway.
It is a life-saving technique specifically designed for choking emergencies.

Option B: The Valsalva maneuver involves forced exhalation against a closed glottis, which increases intrathoracic pressure but is not designed to expel a foreign object. It can be dangerous in a choking situation.
Option C: The Sellick maneuver (cricoid pressure) is used to prevent aspiration of gastric contents during intubation, not to remove a foreign body from the airway.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain First aid for foreign body airway obstruction (FBAO) in children as background academic context rather than a clinical decision trigger.
Knowing the correct age-appropriate choking rescue technique is a critical life-saving skill for nurses and the general public. Using the wrong technique can be ineffective or cause harm.
For infants under 1 year, abdominal thrusts are contraindicated due to the risk of liver laceration or other internal organ damage. The correct procedure is a sequence of 5 back blows followed by 5 chest thrusts.
What if the child becomes unconscious? If a choking child loses consciousness, the rescuer should immediately lower them to the ground, call for emergency medical services, and begin CPR, starting with chest compressions. Before giving rescue breaths, the mouth should be checked for the foreign object.

How to Approach the Question

Identify the core clinical problem presented in the question: a foreign object is obstructing a child's airway, which is a choking emergency.
Recall the standard first-aid procedures for choking. The primary technique taught for conscious children is the Heimlich maneuver.
Evaluate each option based on its medical purpose. The 'Abdominal thrust maneuver' is another name for the Heimlich maneuver.
Systematically eliminate the other options by identifying their correct, and unrelated, applications: Valsalva (pressure equalization/cardiac), Sellick (intubation), and Phalen's (carpal tunnel diagnosis).
Confirm that the abdominal thrust maneuver is the only option designed to physically expel an object from the airway.

Concept Tested & Keywords

Concept Tested: First aid for foreign body airway obstruction (FBAO) in children.
Stem keywords: foreign object, child's airway, maneuver, remove
Lead-in keywords: Which
Clinical cues: child's airway
Clinical cues: stuck foreign object

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