NORCET 2 - 2021 (shift-1)
Child Health Nursing (Pediatrics)
Easy
The Heimlich maneuver used in infants usually consists of?
Appeared in: NORCET 2 - 2021 (shift-1)
Explanation
- For a conscious infant (under 1 year of age) with a severe foreign body airway obstruction, the recommended emergency procedure is a sequence of 5 back blows followed by 5 chest thrusts.
- The term 'Heimlich maneuver' refers to abdominal thrusts, which are contraindicated in infants due to the high risk of injury to their liver, spleen, and other internal organs.
- The combination of back blows and chest thrusts creates pressure and vibrations that are effective in dislodging an object from an infant's small airway.
- This 5-and-5 approach is the standard guideline taught by major health organizations like the American Heart Association (AHA) and the American Red Cross.
Why Other Options Were Wrong
- Option B: This option presents an incorrect number and sequence of actions. The standard protocol specifies 5 back blows and 5 chest thrusts.
- Option C: This option reverses the order and uses an incorrect count for one of the actions. The correct sequence starts with back blows, and both actions are performed 5 times.
- Option D: This option is incorrect because a standard, effective procedure exists and is described in option A.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Foreign body airway obstruction (FBAO) management in infants as background academic context rather than a clinical decision trigger.
- Knowing the correct choking rescue procedure for infants is a critical life-saving skill for any healthcare provider. Using the wrong technique (like abdominal thrusts) can cause severe internal injuries.
- Patient safety is paramount. The distinction in technique between infants, children, and adults is based on anatomical and physiological differences that must be respected to avoid harm.
- What if the infant becomes unresponsive? If the infant loses consciousness, the rescuer must immediately stop the back blows/chest thrusts and start cardiopulmonary resuscitation (CPR), beginning with chest compressions. Before giving breaths, the rescuer should look in the mouth for the object and remove it only if it is visible.
How to Approach the Question
- First, identify the key patient demographic in the question: 'infants'. This is a critical piece of information as emergency procedures often vary by age.
- Recall that the term 'Heimlich maneuver' is commonly used but technically refers to abdominal thrusts, which are not safe for infants.
- Access your knowledge of pediatric basic life support. Remember the specific protocol for a conscious, choking infant.
- Evaluate the options based on the correct sequence and number of actions. The standard is a cycle of 5 back blows and 5 chest thrusts.
- Eliminate options with incorrect numbers or sequences, confirming the correct choice.
Concept Tested & Keywords
- Concept Tested: Foreign body airway obstruction (FBAO) management in infants.
- Stem keywords: Heimlich maneuver, infants
- Lead-in keywords: consists of
Question ID
QfyvVyNaL8s71oWhefv8ce
Reference Book
E6 Nelson Textbook of Pediatrics(2024) — Volume 1 p. 602-604
E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 763-765
Practise the full NORCET 2 - 2021 (shift-1)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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