100 Realistic OB, Pediatric, and EMT Fisdap
Practice Questions with Answers and
Rationales – Ultimate Study Guide for
Prehospital and Pediatric Emergencies |
Instant Pdf Download
Introduction
This comprehensive study guide features 100 long-scenario OB, pediatric, and emergency
medical technician (EMT) questions, designed to mirror the Fisdap, NCLEX, and real-world
EMS exams. Each question includes detailed rationales and bold italic correct answers to help
students:
Master pediatric airway emergencies, anaphylaxis, and asthma management
Recognize and respond to pregnancy complications such as preeclampsia, placenta
previa, and cord prolapse
Understand labor progression, neonatal care, and obstetric emergencies
Prepare efficiently for Fisdap, EMT certification exams, or clinical rotations
Boost confidence with long, real-world scenarios that reflect on-the-job decision-making
Whether you’re a student EMT, paramedic, or nursing student, this guide ensures you practice
critical thinking under exam conditions and reinforce knowledge with evidence-based
rationales.
1. An EMT is called to a home for a 32-week pregnant patient who reports sudden,
painless vaginal bleeding. She is pale and diaphoretic. What is the EMT’s most
appropriate initial action?
A. Perform a vaginal exam immediately
B. Assess vital signs and prepare for rapid transport
C. Administer oral fluids
D. Monitor fetal heart rate on scene
,Rationale: Painless vaginal bleeding in the third trimester may indicate placenta
previa. Immediate assessment and rapid transport to a hospital are priorities; vaginal
exams are contraindicated.
2. A pediatric patient presents with fever, drooling, and tripod positioning. What is
the EMT’s priority action?
A. Administer oral fluids
B. Ensure airway patency and prepare for rapid transport
C. Take temperature
D. Listen to lung sounds
Rationale: These are signs of epiglottitis. Airway obstruction can occur quickly, so
airway management and rapid transport are critical.
3. A woman in labor calls EMS reporting regular contractions every 3–4 minutes. She
is 39 weeks gestation. On arrival, the EMT notes crowning. What should the EMT do
first?
A. Prepare transport to hospital immediately
B. Place the patient in a supine position
C. Administer oxygen
D. Prepare to deliver the baby on scene
Rationale: Crowning indicates imminent delivery. The EMT should be ready to
deliver safely before transport if needed.
4. A pediatric patient with a history of asthma is experiencing wheezing and labored
breathing. Which intervention is most appropriate for the EMT?
A. Administer oral antibiotics
B. Assist with prescribed inhaler or nebulizer therapy
C. Encourage deep breathing exercises
D. Monitor only
,Rationale: Bronchospasm requires bronchodilator therapy to improve airflow;
monitoring alone is insufficient.
5. A 28-year-old woman presents with severe abdominal pain and hypotension at 20
weeks gestation. EMT suspects ectopic pregnancy. What is the priority?
A. Perform abdominal palpation
B. Rapid transport and IV access if allowed
C. Administer pain medication
D. Place patient in Trendelenburg
Rationale: Ectopic pregnancy can cause life-threatening hemorrhage; rapid
transport is critical.
6. A 4-year-old child has a sudden onset of choking after eating grapes. He is
coughing forcefully and able to speak. What is the EMT’s next step?
A. Perform abdominal thrusts immediately
B. Encourage the child to continue coughing
C. Begin CPR
D. Attempt blind finger sweep
Rationale: If the child is coughing and speaking, airway is partially patent;
encourage coughing. Abdominal thrusts are for complete obstruction.
7. During labor, a pregnant patient’s membranes rupture with greenish fluid. What
does this indicate and how should the EMT respond?
A. Normal labor progression
B. Possible meconium-stained amniotic fluid; prepare for neonatal resuscitation
C. Placenta previa
D. Maternal infection
Rationale: Meconium-stained fluid can lead to neonatal aspiration; the EMT must be
ready for immediate newborn care.
, 8. A pediatric patient presents with lethargy, poor perfusion, and tachycardia. EMT
suspects dehydration. Which is the priority intervention?
A. Administer oral fluids
B. Assess airway, breathing, and circulation; start IV or IO fluids if allowed
C. Place in supine position
D. Give antipyretic
Rationale: Severe dehydration in children can lead to shock. Rapid fluid
replacement and ABCs are the priority.
9. A woman in labor complains of sudden severe headache, visual disturbances, and
upper abdominal pain at 38 weeks gestation. What is the EMT’s priority concern?
A. Normal labor pain
B. Preeclampsia/eclampsia; ensure rapid transport and monitor for seizures
C. Labor progression
D. Infection
Rationale: Severe headache, visual changes, and epigastric pain may indicate
preeclampsia, a life-threatening condition requiring urgent care.
10. A 6-year-old presents with bradycardia and hypotension after near-drowning.
What is the priority EMT intervention?
A. Begin CPR
B. Ensure airway, provide high-flow oxygen, and support ventilation
C. Give fluids
D. Place in prone position
Rationale: Respiratory compromise causes pediatric bradycardia. Oxygenation and
ventilation are the first priority.
Practice Questions with Answers and
Rationales – Ultimate Study Guide for
Prehospital and Pediatric Emergencies |
Instant Pdf Download
Introduction
This comprehensive study guide features 100 long-scenario OB, pediatric, and emergency
medical technician (EMT) questions, designed to mirror the Fisdap, NCLEX, and real-world
EMS exams. Each question includes detailed rationales and bold italic correct answers to help
students:
Master pediatric airway emergencies, anaphylaxis, and asthma management
Recognize and respond to pregnancy complications such as preeclampsia, placenta
previa, and cord prolapse
Understand labor progression, neonatal care, and obstetric emergencies
Prepare efficiently for Fisdap, EMT certification exams, or clinical rotations
Boost confidence with long, real-world scenarios that reflect on-the-job decision-making
Whether you’re a student EMT, paramedic, or nursing student, this guide ensures you practice
critical thinking under exam conditions and reinforce knowledge with evidence-based
rationales.
1. An EMT is called to a home for a 32-week pregnant patient who reports sudden,
painless vaginal bleeding. She is pale and diaphoretic. What is the EMT’s most
appropriate initial action?
A. Perform a vaginal exam immediately
B. Assess vital signs and prepare for rapid transport
C. Administer oral fluids
D. Monitor fetal heart rate on scene
,Rationale: Painless vaginal bleeding in the third trimester may indicate placenta
previa. Immediate assessment and rapid transport to a hospital are priorities; vaginal
exams are contraindicated.
2. A pediatric patient presents with fever, drooling, and tripod positioning. What is
the EMT’s priority action?
A. Administer oral fluids
B. Ensure airway patency and prepare for rapid transport
C. Take temperature
D. Listen to lung sounds
Rationale: These are signs of epiglottitis. Airway obstruction can occur quickly, so
airway management and rapid transport are critical.
3. A woman in labor calls EMS reporting regular contractions every 3–4 minutes. She
is 39 weeks gestation. On arrival, the EMT notes crowning. What should the EMT do
first?
A. Prepare transport to hospital immediately
B. Place the patient in a supine position
C. Administer oxygen
D. Prepare to deliver the baby on scene
Rationale: Crowning indicates imminent delivery. The EMT should be ready to
deliver safely before transport if needed.
4. A pediatric patient with a history of asthma is experiencing wheezing and labored
breathing. Which intervention is most appropriate for the EMT?
A. Administer oral antibiotics
B. Assist with prescribed inhaler or nebulizer therapy
C. Encourage deep breathing exercises
D. Monitor only
,Rationale: Bronchospasm requires bronchodilator therapy to improve airflow;
monitoring alone is insufficient.
5. A 28-year-old woman presents with severe abdominal pain and hypotension at 20
weeks gestation. EMT suspects ectopic pregnancy. What is the priority?
A. Perform abdominal palpation
B. Rapid transport and IV access if allowed
C. Administer pain medication
D. Place patient in Trendelenburg
Rationale: Ectopic pregnancy can cause life-threatening hemorrhage; rapid
transport is critical.
6. A 4-year-old child has a sudden onset of choking after eating grapes. He is
coughing forcefully and able to speak. What is the EMT’s next step?
A. Perform abdominal thrusts immediately
B. Encourage the child to continue coughing
C. Begin CPR
D. Attempt blind finger sweep
Rationale: If the child is coughing and speaking, airway is partially patent;
encourage coughing. Abdominal thrusts are for complete obstruction.
7. During labor, a pregnant patient’s membranes rupture with greenish fluid. What
does this indicate and how should the EMT respond?
A. Normal labor progression
B. Possible meconium-stained amniotic fluid; prepare for neonatal resuscitation
C. Placenta previa
D. Maternal infection
Rationale: Meconium-stained fluid can lead to neonatal aspiration; the EMT must be
ready for immediate newborn care.
, 8. A pediatric patient presents with lethargy, poor perfusion, and tachycardia. EMT
suspects dehydration. Which is the priority intervention?
A. Administer oral fluids
B. Assess airway, breathing, and circulation; start IV or IO fluids if allowed
C. Place in supine position
D. Give antipyretic
Rationale: Severe dehydration in children can lead to shock. Rapid fluid
replacement and ABCs are the priority.
9. A woman in labor complains of sudden severe headache, visual disturbances, and
upper abdominal pain at 38 weeks gestation. What is the EMT’s priority concern?
A. Normal labor pain
B. Preeclampsia/eclampsia; ensure rapid transport and monitor for seizures
C. Labor progression
D. Infection
Rationale: Severe headache, visual changes, and epigastric pain may indicate
preeclampsia, a life-threatening condition requiring urgent care.
10. A 6-year-old presents with bradycardia and hypotension after near-drowning.
What is the priority EMT intervention?
A. Begin CPR
B. Ensure airway, provide high-flow oxygen, and support ventilation
C. Give fluids
D. Place in prone position
Rationale: Respiratory compromise causes pediatric bradycardia. Oxygenation and
ventilation are the first priority.
