First Response Emergency Care – Component 3

Paediatric assessment triangle

QA Level 4 Certificate in First Response Emergency Care (RQF)

Workbook: Component 3

Question 1: Describe (400-500 words) the physical and psychosocial development of a child, including:
• Brain and nervous system
• Heart
• Head
• Chest and lungs
• Abdomen
• Neck and airway

• Communication
• Comprehension
• Musculoskeletal system
• Emotions

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 Question 2: Complete the table below by providing the ranges for normal respiratory rates and normal heart rates for children.

Age Respiratory Range Age Heart rate range (from deep sleep to awake)
<1   0-3 months  
1-2   3 months -2 years  
2-5   2-10 years  
5-12   >10 years  

Question 3: (a) Describe your assessment of a child showing signs of respiratory failure (b) Describe your assessment of a child showing signs of circulatory failure (c)Describe how you can differentiate between the two. (200-300 words)

Question 4: Choose three common childhood illnesses (from the list below), summarise the illnesses and describe their recognition features.

 • Bronchiolitis
• Croup
• Epiglottitis
• Sepsis
• Meningococcal septicaemia
• Viral wheeze


Description of Illness

Recognition features (min of 3)

 Question 5: Describe how to manage the 3 childhood illnesses not used in question 4.

Question 6: Explain each component of the paediatric assessment triangle: Appearance, Work of Breathing & Circulation







Question 7: You are called to a 5-year-old child alone at home. Describe your safeguarding considerations and your actions. (250-300 words)

 Question 8: Identify the key signs of a potential mental health crisis in a patient or colleague and your management of the crisis within national or local guidelines. (200-300 words)

Question 9: Describe the pathophysiology, recognition and management of the disorders listed below:

Respiratory disorder/infection


Recognition features (differentiate between adult and child where appropriate)

Patient assessment/management



a. Emphysema
b. Bronchitis




Question 10: Use the diagram below to label the key components of the digestive system then briefly summarise their function in the table below. Function of the Liver, Stomach, Gall bladder, Oesophagus, colon, small intestines

Question 11: Describe (250-300 words) 3 common digestive system conditions from the list below:
• Crohn’s disease
• Appendicitis
• Gall stones
• Ulcer
• Cirrhosis of the liver
• Hepatitis C

 Question 12: Describe the recognition features and pathophysiology of sepsis, septic shock and Multiple Organ

Dysfunction Syndrome (MODS).
You are called to a patient displaying signs of sepsis explain: –
• Your assessment of the patient
• Your management of the patient

Question 13: You are called to a heavily pregnant patient who states they are having contractions. Using the table below identify the stages of labour and the care that you would offer at each stage. Conclude by briefly explaining the management of mother and baby following delivery. Stage 1, Stage 2, Stage 3.

Question 14: Listed below are four complications of childbirth. Define them using a paragraph for each: Shoulder dystocia, Multiple births, Prolapsed cord, Post-partum haemorrhage.

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