OB/Pediatric EMT FISDAP Certification Practice Exam – 100 MCQs
with Bold Italic Answer Key and Italicized Evidence-Based
Rationales for Every Question (Updated for Current NREMT
Guidelines) instant pdf download
INTRO:
*This exam is designed to prepare EMT students for the OB and Pediatric sections of the
FISDAP and NREMT exams. Questions cover obstetrical emergencies, neonatal
resuscitation, pediatric assessment, airway management, shock, seizures, fever, trauma,
child abuse, medication dosing, and developmental considerations. Each question has four
options (A, B, C, D). Select the best answer. Answers are provided in bold italic * at the
end of each question, followed by an italicized explanation.
1. A 28-year-old pregnant patient at 36 weeks gestation is lying supine and reports
dizziness, nausea, and shortness of breath. Her blood pressure is 80/50 mmHg and
pulse is 120 bpm. What is the priority action?
A) Administer oxygen at 4 L/min via nasal cannula
B) Place her in the left lateral recumbent position
C) Start an IV of normal saline wide open
D) Prepare for immediate delivery
Answer: B
Supine hypotensive syndrome occurs when the gravid uterus compresses the inferior vena
cava. Left lateral recumbent position relieves compression and restores cardiac output.
2. A newborn is born crying, with a heart rate of 140 bpm, pink body with blue
extremities, and active movement. What is the APGAR score at 1 minute?
A) 7
,B) 8
C) 9
D) 10
Answer: C
*Heart rate 140 (>100 = 2), crying (2), pink body/blue extremities (1 for acrocyanosis), active
movement (2). Total = 2+2+1+2+2 = 9.*
3. A 6-year-old child is unresponsive after a febrile seizure that lasted 4 minutes. The
seizure has stopped. What is the priority?
A) Start an IV
B) Check blood glucose
C) Open the airway and assess breathing
D) Administer rectal diazepam
Answer: C
After a seizure stops, the priority is airway, breathing, and circulation (ABC). Postictal
patients may have airway obstruction or hypoventilation.
4. A 34-week pregnant patient has bright red, painless vaginal bleeding. What is the
most likely cause?
A) Abruptio placentae
B) Placenta previa
C) Ruptured ectopic pregnancy
D) Labor contractions
Answer: B
Painless bright red bleeding in the third trimester is classic for placenta previa. Abruptio
placentae typically presents with painful, dark bleeding.
5. A 2-year-old child has stridor, drooling, and a fever of 103°F. He refuses to lie
down and is sitting upright leaning forward. What is the most appropriate action?
A) Lay the child supine and inspect the throat
B) Administer oral antibiotics
C) Keep the child calm, provide humidified oxygen, and transport
D) Attempt oral airway insertion
Answer: C
These symptoms suggest epiglottitis. Any agitation or throat manipulation can cause
complete airway obstruction. Keep child calm and transport.
, 6. A 16-year-old pregnant patient has a seizure lasting 3 minutes. Her blood pressure
is 170/110 mmHg and urine dipstick shows 3+ protein. What is the most likely
diagnosis?
A) Tonic-clonic epilepsy
B) Eclampsia
C) Hypoglycemic seizure
D) Syncopal episode
Answer: B
Preeclampsia (HTN + proteinuria) progressing to seizures defines eclampsia. Treatment
includes seizure precautions, left lateral positioning, and transport.
7. A 4-month-old infant has a fever of 102°F, is crying inconsolably, and has a
bulging fontanelle. What should the EMT suspect?
A) Dehydration
B) Meningitis
C) Otitis media
D) Teething
Answer: B
Bulging fontanelle in an infant with fever and irritability is a red flag for meningitis or
increased intracranial pressure.
8. A newborn is born limp, not breathing, with a heart rate of 60 bpm. What is the first
action?
A) Begin chest compressions
B) Provide positive pressure ventilation with a BVM and 100% oxygen
C) Administer epinephrine
D) Suction the mouth then nose
Answer: B
With a heart rate <100 bpm and apnea, positive pressure ventilation is the priority. Chest
compressions start only if HR remains <60 after 30 seconds of effective ventilation.
9. A 10-year-old child has a right midshaft femur fracture after being hit by a car. The
distal extremity is pale, cool, and pulseless. What is the priority?
A) Apply a traction splint
B) Perform a distal neurovascular check again in 15 minutes
C) Gently realign the limb to anatomic position and splint
D) Apply a tourniquet above the fracture
with Bold Italic Answer Key and Italicized Evidence-Based
Rationales for Every Question (Updated for Current NREMT
Guidelines) instant pdf download
INTRO:
*This exam is designed to prepare EMT students for the OB and Pediatric sections of the
FISDAP and NREMT exams. Questions cover obstetrical emergencies, neonatal
resuscitation, pediatric assessment, airway management, shock, seizures, fever, trauma,
child abuse, medication dosing, and developmental considerations. Each question has four
options (A, B, C, D). Select the best answer. Answers are provided in bold italic * at the
end of each question, followed by an italicized explanation.
1. A 28-year-old pregnant patient at 36 weeks gestation is lying supine and reports
dizziness, nausea, and shortness of breath. Her blood pressure is 80/50 mmHg and
pulse is 120 bpm. What is the priority action?
A) Administer oxygen at 4 L/min via nasal cannula
B) Place her in the left lateral recumbent position
C) Start an IV of normal saline wide open
D) Prepare for immediate delivery
Answer: B
Supine hypotensive syndrome occurs when the gravid uterus compresses the inferior vena
cava. Left lateral recumbent position relieves compression and restores cardiac output.
2. A newborn is born crying, with a heart rate of 140 bpm, pink body with blue
extremities, and active movement. What is the APGAR score at 1 minute?
A) 7
,B) 8
C) 9
D) 10
Answer: C
*Heart rate 140 (>100 = 2), crying (2), pink body/blue extremities (1 for acrocyanosis), active
movement (2). Total = 2+2+1+2+2 = 9.*
3. A 6-year-old child is unresponsive after a febrile seizure that lasted 4 minutes. The
seizure has stopped. What is the priority?
A) Start an IV
B) Check blood glucose
C) Open the airway and assess breathing
D) Administer rectal diazepam
Answer: C
After a seizure stops, the priority is airway, breathing, and circulation (ABC). Postictal
patients may have airway obstruction or hypoventilation.
4. A 34-week pregnant patient has bright red, painless vaginal bleeding. What is the
most likely cause?
A) Abruptio placentae
B) Placenta previa
C) Ruptured ectopic pregnancy
D) Labor contractions
Answer: B
Painless bright red bleeding in the third trimester is classic for placenta previa. Abruptio
placentae typically presents with painful, dark bleeding.
5. A 2-year-old child has stridor, drooling, and a fever of 103°F. He refuses to lie
down and is sitting upright leaning forward. What is the most appropriate action?
A) Lay the child supine and inspect the throat
B) Administer oral antibiotics
C) Keep the child calm, provide humidified oxygen, and transport
D) Attempt oral airway insertion
Answer: C
These symptoms suggest epiglottitis. Any agitation or throat manipulation can cause
complete airway obstruction. Keep child calm and transport.
, 6. A 16-year-old pregnant patient has a seizure lasting 3 minutes. Her blood pressure
is 170/110 mmHg and urine dipstick shows 3+ protein. What is the most likely
diagnosis?
A) Tonic-clonic epilepsy
B) Eclampsia
C) Hypoglycemic seizure
D) Syncopal episode
Answer: B
Preeclampsia (HTN + proteinuria) progressing to seizures defines eclampsia. Treatment
includes seizure precautions, left lateral positioning, and transport.
7. A 4-month-old infant has a fever of 102°F, is crying inconsolably, and has a
bulging fontanelle. What should the EMT suspect?
A) Dehydration
B) Meningitis
C) Otitis media
D) Teething
Answer: B
Bulging fontanelle in an infant with fever and irritability is a red flag for meningitis or
increased intracranial pressure.
8. A newborn is born limp, not breathing, with a heart rate of 60 bpm. What is the first
action?
A) Begin chest compressions
B) Provide positive pressure ventilation with a BVM and 100% oxygen
C) Administer epinephrine
D) Suction the mouth then nose
Answer: B
With a heart rate <100 bpm and apnea, positive pressure ventilation is the priority. Chest
compressions start only if HR remains <60 after 30 seconds of effective ventilation.
9. A 10-year-old child has a right midshaft femur fracture after being hit by a car. The
distal extremity is pale, cool, and pulseless. What is the priority?
A) Apply a traction splint
B) Perform a distal neurovascular check again in 15 minutes
C) Gently realign the limb to anatomic position and splint
D) Apply a tourniquet above the fracture
