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OB/PEDS FISDAP QUESTIONS WITH
CORRECT ANSWERS
1. which of the following are classic signs of preeclampsia?: hypertension,
proteinuria, and visions changes
2.Braxton-hicks contractions: occur in the second trimester and are false labor.
3. a 4 year old male slammed his right hand in a door. His index finger is completely
severed, and his middle finger is hanging by flap of skin. What should you do?: apply a dressing over the partially amputated finger
4. what size endotracheal tubes is generally used when orally intubating a full term
newborn?: 3:0-3.5 mm tube
5. A restrained 23 years old pregnant female in her third semester, was in- volved in a
head-on motor vehicle collision. She is complaining of abdominal pain. Initials vitals sign B\P 110/70, P90, and R20. After rapid extrication and spinal immobilization via long spine board. Her vital signs B/P 90/40, P110, and R28. What is the most likely explanation for her changes in vital signs?: supine hypotension syndrome
6. A ten year old patient stops talking and stares straight ahead. He is un- responsive
for about 15 seconds. Which of the following conditions is most likely?: petit mal seizure absent Seizure
7. a newborn has just delivered. He is limp and apneic. What should you do?: dry
him and suction the airway as needed
8. a 22 year old female, primigravida, with no prenatal care, has just delivered a healthy
baby, now she begins to have forceful contractions and to push. Additional amniotic fluid expelled. You should: rapid transport to the patient and neonate
9. A 23 year old pregnant female is in her third trimester. She complains of
painless, bright red vaginal bleeding. What should you do?: prepare for transport
and obtain IV access
10.a mother tells you her four year old boy has had cold-like symptoms for several
days and now has developed trouble breathing and a barking cough. You should: administer nebulized epinephrine
11.how many and what types of blood vessels are in the umbilical cord?: two arteries
and one vein
12.a unresponsive two months old infant has had a runny nose, slight fever, diarrhea,
and decreased appetite for the past three days. The child whimpers to painful stimuli, is breathing 50R, has a weak brachial P180, and his fontanelle is sunken. You should suspect.: dehydration
13.an unresponsive 4 month female has had diarrhea for 3 days. She has sunken
anterior fontanelle and skin tenting. Vitals signs are P188, R46, capil- lary refill 5 seconds. What should you do?: Administer 20 mL/kg saline bolus
14.A 24 year old female in her second trimester is complaining of bright red vaginal
bleeding without pain. What should you suspect?: placenta previa
15.a 6 year old states that he tripped and hurt his arm. He has marked edema of the
right upper extremity and bruises in various stages of healing on his child's cheek and neck. what should you do?: report detail findings to the hospital
16.a 27 year old female in her 8th month pregnancy complains of ankle swelling. Vitals
signs are BP 100/70, P90, R20. At this stage of pregnancy, what do these vitals signs indicate?: natural changes
17.a pregnant patient is experiencing contractions. Upon examination, you notice the
infant head's bulging from the perineum and the patient has an urge to push. What stage of labor is: second
18.a 31 year old female complains of heavy vaginal bleeding and generalized
weakness. She is conscious and alert. Visit signs 85/P and P120 weak. After applying 100% oxygen, you should: place absorbent dressings over the vaginal and
irritability increases with movement, and she had a 30 second seizure prior to EMS arrival. What should you suspect?: febrile seizure
29.the second stage of lab\or concludes when: the baby is delivered
30.five minutes after delivery, a baby has strong cry, peripheral mottling, active
movement of arms and legs, and pulse of 140. The APGAR score is: 9
31.A toddler pulled a pot of boiling water from the stove on herself, sustaining partial
thickness burns to her chest, abdomen and the anterior surfaces of both legs. What percentage of body surface area is involved?: 32
32.a 6 year old fell out of a tree. He is now lethargic and complaining of abdominal
pain. His belly is rigid and distended.You should suspect: lacerated liver
33.a 25 year old female is 32 weeks pregnant with profound facial edema. She fell and
complained of left hip pain with an externally rotated and shortened left leg. Vitals signs are BP 162/104, P129, R20. What should you do?: place the patient on her right side and monitor vital signs
34.a 29-year-old female in her third trimester is bleeding vaginally. She is G3P1 and has
lost approximately 750 mL of blood prior to your arrival. She denies any pain. You suspect: placenta previa
35.a four-year-old male complains of rapid onset sore throat and muffled speech.
Respirations are rapid and non-labored. You should: place the child in a position of comfort and provide humidified oxygen
36.when evaluating a woman in labor, who is gravies 5 and para 4, you should:
expect a relatively short second stage of labor
37.A 6-month-old male was found lying face down in the crib. He is cyanotic and
apneic; a weak brachial pulse is present. You are unable to see a chest rise with your second attempt at rescue breathing after repositioning the head. What should you do?: start CPR
38.a 40 year old full-term multipara pregnant is in labor with crowning. You should:
deliver the baby on scene and transport before the delivery of the placenta
39.A 33 LB child is experiencing fever, malaise, poor appetite, and vomiting. Capillary
refill is 4 seconds and he has tachycardia. You should administer: - 300 mL of crystalloid
40.a six year old female is lethargic to respond and presents with dyspnea, respiration
34, palpable peripheral pulses. She has a history of upper respira- tory infection(URI). You should: transport her as high priority patient
41.because of anatomical differences, which laryngoscope blade is preferred for
intubating infants and children?: straight
42.a five year old child ingested an undetermined amount of amitriptyline sometime in
the last hour. Your treatment should include: ECG monitoring with rapid transport
43.an APGAR calculation at the 1-minute post delivery mark is an 8. What does this
indicate?: active and vigorous newborn
44.over vigorous massaging of the fundus post-delivery can result in: inverted uterus
45.you are working during inclement weather in a remote location. The nearest hospital
is more than two hours away. Your patient just delivered a healthy baby boy but has inverted her uterus. What order should you expect from an online physician?: replace the inverted uterus with a gloved hand
46.a 29 year old female in her third trimester is bleeding vaginally. She is G3P1 and has
lost approximately 750mL of blood prior to your arrival. She denies any pain. You suspect: placenta previa
47.a five year old has a sudden onset of high fever and now complains of a sore
throat and pain on swallowing. His voice is muffled and he is drooling. You should suspect.: epiglottis
48.A 40 year old multipara pregnant female is in labor with crowning. You should:
deliver the baby on scene and transport before the delivery of the placenta
49.a six year old female is lethargic to respond and presents with dyspnea,
respiration 34, rapid palpable peripheral pulses. She has a history of upper respiratory infection (URI). You should: transport her as high priority patient
59.a 38 year old female is 34 weeks pregnant, experience a sudden sharp tearing pain
in her abdomen and develops a rigid abdomen. What should you suspect?: Abruptio placentae
60.you are assisting with a vaginal delivery. The infant's head has been deliv- ered, the
mouth and nose suctioned to deliver the anterior shoulder: gently guide on the infant's head downward
61.you are dispatched to a playground for a patient with difficulty breathing. Upon
arrival you find a 5 years old who appears anxious with noted circumoral cyanosis and intercostal retraction. Vitals signs are BP86/P, P150, and R46. You should suspect?: anaphylaxis
62.A six years old female has suffered blunt trauma to her right open quad- rant. She
respond to painful stimuli. Vital signs are BP 50/30 pulse 132 and respiratioun 32. She is most likely suffering from: hypovolemic shock
63.a restrained 23 year old pregnant female in her third trimester was involved in a
head-on motor vehicle collision. She complains of abdominal pain. Initial vitals signs are BP 110/70, P90, R20. After rapid extrication and spinal immo- bilization via long spine, board, her vitals signs are BP 90/40, P110, R28. What is the most likely explanation for her change in vitals?: supine hypotension syndrome
64.a seven year old is having difficulty breathing. He is lethargic with central cyanosis
and poor muscle tone. Vital signs are P70, and R10. You should suspect respiratory: arrest
65.Braxton-Hicks contractions: occur in the second trimester and are False labor
66.a one year old child has been ill with multiple episodes of emesis and diarrhea.
Assessment shows a lethargic 35 pounds child who has mottled skin, dry mucous membranes, capillary refill >2 seconds and P220. After securing the airway, providing high concentration oxygen and establishing an IV, you should: give a 320cc fluid
bolus
67.a seven month old is breathing at a rate of 60 breaths/min, has nasal flaring, and
intercostal retractions. You hear stridorous noises on inspiration. This is most likely caused by a/an: bronchospasms associated with asthma
68.a three year old female has suffered burns to both her hands after grabbing a hot
exhaust pipe. The injured areas show charred, dark brown and white patches of skin with little pain. Those burns should be considered: critical
69.a seven year old is having difficulty breathing. He is lethargic with central cyanosis
and poor muscle tone. Vitals signs are P70 and R10, you should suspect respiratory: failure
70.an 11 year old male has been skateboarding in 100 degree temperatures and has
been drinking caffeinated soft drinks. He complains of palpitations. The cardiac monitor displays a narrow-QRS tachycardia at a rate of 160 beats/minute. Vitals signs are BP110/60, P160, R20. What should you do?: - transport the patient by ambulance, monitor closely, and administer fluids en route
71.a 50 pound child is unresponsive, pulseless l, and apneic. The cardiac mon- itor
displays ventricular fibrillation. CPR is in process. The initial defibrillation should be at,: 50 joules
72.a 3 month old infant who weight 6kg has an history of congenital of heart disease.
Vitals sign are R60, the ECG show a narrow complex tachycardia at a rate of 240 beats/minute, cyanotic, nailbeds and SPO2 88%. What should you administer?: 30 mg amiodorine, IV push
73.the terminal of pregnancy for maternal health reasons is called a/an: ther- apeutic
abortion
74.a 22 year old female, who is 36 weeks pregnant, is experiencing abdominal
discomfort. During evaluation, you note the umbilical cord is presenting from the virginal canal. How should the patient be positioned: knee chest position
75.a 19 year old female is 25 weeks pregnant. She has severe headaches, blurred
