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
- The standard and evidence-based guideline for a conscious choking infant (under 1 year) is a repeated cycle of 5 back blows and 5 chest thrusts.
- This combination creates a series of pressures and vibrations designed to dislodge a foreign object from the small airway of an infant.
- Abdominal thrusts (the classic Heimlich maneuver) are contraindicated in infants due to the high risk of causing serious internal injury to abdominal organs like the liver and spleen.
- The sequence begins with back blows, delivered with the infant's head lower than the chest to use gravity to help expel the object.
Why Other Options Were Wrong
- Option B: The combination of 3 chest thrusts and 5 back blows is not the recommended protocol. The standard guideline specifies a 5-and-5 sequence.
- Option C: The combination of 5 chest thrusts and 3 back blows is incorrect. The established protocol requires an equal number of each, specifically 5 back blows followed by 5 chest thrusts.
- Option D: This option is incorrect because there is a clearly defined and effective procedure for managing choking in infants, which is 5 back blows and 5 chest thrusts.
Related Visual
- Visual 1: Image - The provided image correctly demonstrates the two key positions for infant choking relief: the prone position on the forearm for back blows and the supine position for chest thrusts.
- Visual 2: Flowchart - A flowchart comparing the steps for a conscious choking infant (back blows/chest thrusts) versus a conscious choking child/adult (abdominal thrusts) would be beneficial.
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.
- Nurses must be able to differentiate choking management techniques based on age due to significant anatomical differences. Applying adult techniques to an infant can be fatal.
- The primary nursing action is to act quickly and correctly. Hesitation or performing the wrong maneuver wastes critical time when the brain is deprived of oxygen.
- Patient education is key. Nurses should teach parents and caregivers the correct infant choking relief technique as part of routine pediatric care and safety counseling.
How to Approach the Question
- First, identify the key patient demographic in the question: 'infants'. This is the most critical piece of information.
- Recall that basic life support (BLS) and choking relief procedures are different for infants, children, and adults.
- Recognize that the term 'Heimlich maneuver' is often used colloquially but technically refers to abdominal thrusts, which are unsafe for infants.
- Access your knowledge of the specific infant choking algorithm, which involves back blows and chest thrusts.
- Evaluate the options to find the one that matches the correct number and sequence: 5 back blows and 5 chest thrusts.
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
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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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