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OB PEDIATRIC EMT FISDAP ACTUAL EXAMINATION TEST
2026 QUESTIONS WITH SOLUTIONS GRADED A+
Part 1: Obstetrics (OB)
Normal Pregnancy & Physiology
1. A newborn infant will usually begin breathing spontaneously within __________ seconds following
birth.
A) 5-10
B) 15-30
C) 15 to 30
D) 45-60
Correct Answer✅ C) 15 to 30
Rationale: The first breath is typically initiated within the first 15-30 seconds after delivery. If breathing
has not begun by 30 seconds, the infant requires stimulation and likely positive pressure ventilation.
2. By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:
A) Xiphoid process
B) Pelvis
C) Belly button (umbilicus)
D) Belly button (umbilicus)
Correct Answer✅ D) Belly button (umbilicus)
Rationale: At about 20 weeks of gestation, the fundus of the uterus reaches the level of the umbilicus
(belly button), which is a key landmark for assessing gestational age during physical exam.
3. The amniotic fluid serves to:
A) Provide nutrients to the fetus
B) Insulate and protect the fetus
C) Facilitate gas exchange
D) Insulate and protect the fetus
Correct Answer✅ D) Insulate and protect the fetus
Rationale: Amniotic fluid provides a protective cushion for the fetus, helps regulate temperature, allows
for fetal movement, and prevents the umbilical cord from being compressed.
4. The term primigravida refers to a woman who:
A) Has given birth multiple times
B) Is pregnant for the first time
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C) Has had a miscarriage
D) Is pregnant for the first time
Correct Answer✅ D) Is pregnant for the first time
Rationale: "Primi" means first, and "gravida" refers to pregnancy. A primigravida is a woman pregnant
for the first time, regardless of the outcome of the pregnancy.
5. A pregnant woman is advised to take iron supplements because:
A) Pregnancy decreases red blood cell production
B) Pregnancy causes an increased number of red blood cells, predisposing the mother to anemia
C) The fetus needs iron for bone development
D) Pregnancy causes an increased number of red blood cells, predisposing the mother to anemia
Correct Answer✅ D) Pregnancy causes an increased number of red blood cells, predisposing the
mother to anemia
Rationale: Pregnancy leads to an increase in blood volume, including red blood cells, which increases the
demand for iron. Without supplementation, this can lead to iron-deficiency anemia.
6. The umbilical cord:
A) Carries oxygen to the baby via the umbilical arteries
B) Carries oxygen to the baby via the umbilical vein
C) Carries waste products away via the umbilical vein
D) Carries oxygen to the baby via the umbilical vein
Correct Answer✅ D) Carries oxygen to the baby via the umbilical vein
Rationale: The umbilical cord contains two arteries (carrying deoxygenated blood and waste from the
fetus to the placenta) and one vein (carrying oxygenated blood from the placenta to the fetus).
Complications of Pregnancy
7. Which of the following are classic signs of preeclampsia?
A) Hypotension, glycosuria, blurred vision
B) Hypertension, proteinuria, vision changes
C) Bradycardia, hyperglycemia, edema
D) Hypertension, proteinuria, vision changes
Correct Answer✅ D) Hypertension, proteinuria, vision changes
Rationale: Preeclampsia is defined by new-onset hypertension (BP ≥ 140/90) and proteinuria after 20
weeks of gestation. Visual disturbances (blurred vision, seeing spots) are a sign of severe features and
require immediate intervention.
8. Eclampsia is MOST accurately defined as:
A) Hypertension and proteinuria
B) Severe hypertension and edema
C) Seizures that result from severe hypertension
D) Seizures that result from severe hypertension
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Correct Answer✅ D) Seizures that result from severe hypertension
Rationale: Eclampsia is the occurrence of grand mal seizures in a woman with preeclampsia that cannot
be attributed to another cause. It is a life-threatening obstetric emergency requiring immediate seizure
management and delivery.
9. A 29 year old female is 32 weeks pregnant. She complains of excessive vaginal bleeding but no pain.
What should you suspect?
A) Abruptio placentae
B) Ectopic pregnancy
C) Placenta previa
D) Placenta previa
Correct Answer✅ D) Placenta previa
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding in the second or third
trimester. It occurs when the placenta implants low in the uterus, covering part or all of the cervical
opening.
10. In contrast to abruptio placentae, placenta previa:
A) Usually presents with severe abdominal pain
B) Might present without significant abdominal pain
C) Always occurs before 20 weeks
D) Might present without significant abdominal pain
Correct Answer✅ D) Might present without significant abdominal pain
Rationale: Abruptio placentae typically presents with painful, dark red bleeding and a rigid, tender
uterus. Placenta previa is characterized by painless, bright red bleeding, making the absence of pain a
key differentiating feature.
11. A 20 year old female is pregnant for the first time with twins. What is she considered?
A) Gravida II
B) Multigravida
C) Primigravida
D) Primigravida
Correct Answer✅ D) Primigravida
Rationale: A primigravida is a woman who is pregnant for the first time, regardless of the number of
fetuses. The term "gravida" refers to the number of pregnancies, not the number of infants.
Labor & Delivery
12. Which of the following women is most likely in the first stage of labor?
A) A woman whose contractions occur five minutes apart and last sixty seconds
B) A woman who feels a strong pressure and an urge to bear down
C) A woman whose contractions began approximately thirty minutes ago
D) A woman whose contractions occur five minutes apart and last sixty seconds
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Correct Answer✅ D) A woman whose contractions occur five minutes apart and last sixty seconds
Rationale: The first stage of labor is from the onset of true labor to full cervical dilation (10 cm). Regular
contractions every 3-5 minutes lasting 45-60 seconds are characteristic of active first-stage labor.
13. Precipitous labor and delivery is MOST common in women who:
A) Are pregnant for the first time
B) Have delivered a baby before (multiparous)
C) Are over 40 years old
D) Have delivered a baby before (multiparous)
Correct Answer✅ D) Have delivered a baby before (multiparous)
Rationale: Precipitous labor, defined as delivery within 3 hours of the onset of contractions, is much
more common in multiparous women because the birth canal and cervix have already been stretched by
a previous delivery, allowing for rapid dilation.
14. What event marks the onset of true labor?
A) Rupture of the amniotic sac
B) Onset of regular, progressive contractions with cervical change
C) The urge to push
D) Onset of regular, progressive contractions with cervical change
Correct Answer✅ D) Onset of regular, progressive contractions with cervical change
Rationale: True labor is defined by regular, painful uterine contractions that cause progressive cervical
effacement (thinning) and dilation (opening). Rupture of membranes can occur before or during labor
and is not the definitive marker.
15. As you are delivering the head during birth, you observe the umbilical cord is wrapped once
around the neck. What should you do?
A) Clamp and cut the cord immediately
B) Try to slip the cord gently over the head
C) Push the head back in and transport emergently
D) Try to slip the cord gently over the head
Correct Answer✅ D) Try to slip the cord gently over the head
Rationale: A nuchal cord (cord around the neck) is common. If it is loose, it should be gently slipped over
the baby's head. If it is too tight, it should be clamped and cut before delivering the shoulders to avoid
tearing the cord or causing hemorrhage.
16. In which stage of labor does the urge to push generally appear?
A) First stage
B) Second stage
C) Third stage
D) Second stage
Correct Answer✅ D) Second stage
Rationale: The second stage of labor begins when the cervix is fully dilated (10 cm) and ends with the
OB PEDIATRIC EMT FISDAP ACTUAL EXAMINATION TEST
2026 QUESTIONS WITH SOLUTIONS GRADED A+
Part 1: Obstetrics (OB)
Normal Pregnancy & Physiology
1. A newborn infant will usually begin breathing spontaneously within __________ seconds following
birth.
A) 5-10
B) 15-30
C) 15 to 30
D) 45-60
Correct Answer✅ C) 15 to 30
Rationale: The first breath is typically initiated within the first 15-30 seconds after delivery. If breathing
has not begun by 30 seconds, the infant requires stimulation and likely positive pressure ventilation.
2. By the 20th week of pregnancy, the uterus is typically at or above the level of the mother's:
A) Xiphoid process
B) Pelvis
C) Belly button (umbilicus)
D) Belly button (umbilicus)
Correct Answer✅ D) Belly button (umbilicus)
Rationale: At about 20 weeks of gestation, the fundus of the uterus reaches the level of the umbilicus
(belly button), which is a key landmark for assessing gestational age during physical exam.
3. The amniotic fluid serves to:
A) Provide nutrients to the fetus
B) Insulate and protect the fetus
C) Facilitate gas exchange
D) Insulate and protect the fetus
Correct Answer✅ D) Insulate and protect the fetus
Rationale: Amniotic fluid provides a protective cushion for the fetus, helps regulate temperature, allows
for fetal movement, and prevents the umbilical cord from being compressed.
4. The term primigravida refers to a woman who:
A) Has given birth multiple times
B) Is pregnant for the first time
,2
C) Has had a miscarriage
D) Is pregnant for the first time
Correct Answer✅ D) Is pregnant for the first time
Rationale: "Primi" means first, and "gravida" refers to pregnancy. A primigravida is a woman pregnant
for the first time, regardless of the outcome of the pregnancy.
5. A pregnant woman is advised to take iron supplements because:
A) Pregnancy decreases red blood cell production
B) Pregnancy causes an increased number of red blood cells, predisposing the mother to anemia
C) The fetus needs iron for bone development
D) Pregnancy causes an increased number of red blood cells, predisposing the mother to anemia
Correct Answer✅ D) Pregnancy causes an increased number of red blood cells, predisposing the
mother to anemia
Rationale: Pregnancy leads to an increase in blood volume, including red blood cells, which increases the
demand for iron. Without supplementation, this can lead to iron-deficiency anemia.
6. The umbilical cord:
A) Carries oxygen to the baby via the umbilical arteries
B) Carries oxygen to the baby via the umbilical vein
C) Carries waste products away via the umbilical vein
D) Carries oxygen to the baby via the umbilical vein
Correct Answer✅ D) Carries oxygen to the baby via the umbilical vein
Rationale: The umbilical cord contains two arteries (carrying deoxygenated blood and waste from the
fetus to the placenta) and one vein (carrying oxygenated blood from the placenta to the fetus).
Complications of Pregnancy
7. Which of the following are classic signs of preeclampsia?
A) Hypotension, glycosuria, blurred vision
B) Hypertension, proteinuria, vision changes
C) Bradycardia, hyperglycemia, edema
D) Hypertension, proteinuria, vision changes
Correct Answer✅ D) Hypertension, proteinuria, vision changes
Rationale: Preeclampsia is defined by new-onset hypertension (BP ≥ 140/90) and proteinuria after 20
weeks of gestation. Visual disturbances (blurred vision, seeing spots) are a sign of severe features and
require immediate intervention.
8. Eclampsia is MOST accurately defined as:
A) Hypertension and proteinuria
B) Severe hypertension and edema
C) Seizures that result from severe hypertension
D) Seizures that result from severe hypertension
,3
Correct Answer✅ D) Seizures that result from severe hypertension
Rationale: Eclampsia is the occurrence of grand mal seizures in a woman with preeclampsia that cannot
be attributed to another cause. It is a life-threatening obstetric emergency requiring immediate seizure
management and delivery.
9. A 29 year old female is 32 weeks pregnant. She complains of excessive vaginal bleeding but no pain.
What should you suspect?
A) Abruptio placentae
B) Ectopic pregnancy
C) Placenta previa
D) Placenta previa
Correct Answer✅ D) Placenta previa
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding in the second or third
trimester. It occurs when the placenta implants low in the uterus, covering part or all of the cervical
opening.
10. In contrast to abruptio placentae, placenta previa:
A) Usually presents with severe abdominal pain
B) Might present without significant abdominal pain
C) Always occurs before 20 weeks
D) Might present without significant abdominal pain
Correct Answer✅ D) Might present without significant abdominal pain
Rationale: Abruptio placentae typically presents with painful, dark red bleeding and a rigid, tender
uterus. Placenta previa is characterized by painless, bright red bleeding, making the absence of pain a
key differentiating feature.
11. A 20 year old female is pregnant for the first time with twins. What is she considered?
A) Gravida II
B) Multigravida
C) Primigravida
D) Primigravida
Correct Answer✅ D) Primigravida
Rationale: A primigravida is a woman who is pregnant for the first time, regardless of the number of
fetuses. The term "gravida" refers to the number of pregnancies, not the number of infants.
Labor & Delivery
12. Which of the following women is most likely in the first stage of labor?
A) A woman whose contractions occur five minutes apart and last sixty seconds
B) A woman who feels a strong pressure and an urge to bear down
C) A woman whose contractions began approximately thirty minutes ago
D) A woman whose contractions occur five minutes apart and last sixty seconds
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Correct Answer✅ D) A woman whose contractions occur five minutes apart and last sixty seconds
Rationale: The first stage of labor is from the onset of true labor to full cervical dilation (10 cm). Regular
contractions every 3-5 minutes lasting 45-60 seconds are characteristic of active first-stage labor.
13. Precipitous labor and delivery is MOST common in women who:
A) Are pregnant for the first time
B) Have delivered a baby before (multiparous)
C) Are over 40 years old
D) Have delivered a baby before (multiparous)
Correct Answer✅ D) Have delivered a baby before (multiparous)
Rationale: Precipitous labor, defined as delivery within 3 hours of the onset of contractions, is much
more common in multiparous women because the birth canal and cervix have already been stretched by
a previous delivery, allowing for rapid dilation.
14. What event marks the onset of true labor?
A) Rupture of the amniotic sac
B) Onset of regular, progressive contractions with cervical change
C) The urge to push
D) Onset of regular, progressive contractions with cervical change
Correct Answer✅ D) Onset of regular, progressive contractions with cervical change
Rationale: True labor is defined by regular, painful uterine contractions that cause progressive cervical
effacement (thinning) and dilation (opening). Rupture of membranes can occur before or during labor
and is not the definitive marker.
15. As you are delivering the head during birth, you observe the umbilical cord is wrapped once
around the neck. What should you do?
A) Clamp and cut the cord immediately
B) Try to slip the cord gently over the head
C) Push the head back in and transport emergently
D) Try to slip the cord gently over the head
Correct Answer✅ D) Try to slip the cord gently over the head
Rationale: A nuchal cord (cord around the neck) is common. If it is loose, it should be gently slipped over
the baby's head. If it is too tight, it should be clamped and cut before delivering the shoulders to avoid
tearing the cord or causing hemorrhage.
16. In which stage of labor does the urge to push generally appear?
A) First stage
B) Second stage
C) Third stage
D) Second stage
Correct Answer✅ D) Second stage
Rationale: The second stage of labor begins when the cervix is fully dilated (10 cm) and ends with the
