FISDAP EMT OB/Pediatrics Exam Prep 2024-2025: 250 Verified Practice Questions &
Detailed Rationales | Neonatal Resuscitation, Pregnancy Complications, & Pediatric
Assessment
Crush the FISDAP OB/Pediatrics exam with this comprehensive study bank featuring 250
high-yield practice questions and detailed, italicized rationales designed for the 2024-2025
testing cycle. This guide provides deep-dive coverage of critical emergency scenarios,
including APGAR scoring, placenta previa vs. abruptio placentae, and pediatric respiratory
emergencies like croup and epiglottitis. Master the "Pediatric Assessment Triangle" and
neonatal resuscitation algorithms with questions formatted to mimic the actual FISDAP and
NREMT style for maximum recall.
1. A 24-year-old female is 36 weeks pregnant and complaining of a severe headache and
blurry vision. Her BP is 170/94. What is the most likely condition?
A) Eclampsia
B) Preeclampsia
C) Placenta Previa
D) Supine Hypotensive Syndrome
Rationale: Preeclampsia is characterized by high blood pressure, headaches, and visual
disturbances in the third trimester. It becomes eclampsia once seizures occur.
2. You are assessing a newborn. The heart rate is 88 beats per minute. What is your
immediate next step?
A) Start chest compressions
B) Provide positive pressure ventilations (PPV)
C) Flick the soles of the feet for stimulation
D) Administer blow-by oxygen
Rationale: In neonatal resuscitation, if the heart rate is below 100 bpm, you must immediately
begin PPV with room air or oxygen.
3. A mother is in active labor. You see the umbilical cord protruding from the vagina
before the baby’s head. This is a:
A) Nuchal cord
B) Breech birth
C) Prolapsed cord
D) Precipitous delivery
, 2026 UPDATED QUESTIONS DOWNLOAD
Rationale: A prolapsed cord is a surgical emergency where the cord is compressed by the
head, cutting off oxygen to the baby.
4. What is the correct position for a patient with a prolapsed umbilical cord?
A) Left lateral recumbent
B) Supine with legs flat
C) Knee-chest position or Trendelenburg
D) Semi-Fowler’s
Rationale: Knee-chest or Trendelenburg uses gravity to keep the baby’s head off the cord to
maintain blood flow.
5. A pregnant patient at 38 weeks complains of dark red vaginal bleeding and tearing
abdominal pain. You should suspect:
A) Abruptio Placentae
B) Placenta Previa
C) Ectopic Pregnancy
D) Spontaneous Abortion
Rationale: Abruptio placentae is the premature separation of the placenta and is typically
painful with dark bleeding.
6. Which of the following is the most reliable indicator of perfusion in a 2-year-old child?
A) Systolic blood pressure
B) Capillary refill
C) Heart rate
D) Pupil dilation
Rationale: In children under 6, capillary refill is a faster and more reliable indicator of
circulatory status than blood pressure.
7. A 4-year-old has a high fever, is drooling, and is sitting in a "tripod" position. You
should suspect:
) Croup
B) Epiglottitis
C) Asthma
D) Bronchiolitis
Rationale: Epiglottitis is a bacterial infection characterized by a sudden high fever, drooling,
and respiratory distress.
8. When performing chest compressions on an infant, the correct depth is:
A) 1 inch
B) 1.5 inches (1/3 the depth of the chest)
C) 2 inches
D) 2.5 inches
Rationale: Infant compressions should be approximately 1.5 inches deep to ensure effective
circulation.
, 2026 UPDATED QUESTIONS DOWNLOAD
9. You have just delivered a baby. After 1 minute, the baby has a pink body with blue
extremities, a heart rate of 110, is crying lustily, and is moving all limbs. What is the
APGAR score?
A) 7
B) 8
C) 9
D) 10
Rationale: 1 for color (acrocyanosis), 2 for heart rate (>100), 2 for grimace (cry), 2 for activity
(moving), and 2 for respirations = 9.
10. What is the first stage of labor?
A) Delivery of the infant
B) Delivery of the placenta
C) Regular contractions to full dilation of the cervix
D) Crowning
Rationale: The first stage begins with the onset of regular contractions and ends when the
cervix is fully dilated (10cm).
11. A 3-year-old is experiencing a seizure. After it stops, the child is sleepy and
confused. This period is known as:
A) Tonic phase
B) Clonic phase
C) Postictal phase
D) Absence phase
Rationale: The postictal phase is the recovery period after a seizure where the brain is
resetting.
12. When suctioning a newborn, you should always suction the:
A) Nose then the mouth
B) Mouth then the nose
C) Only the nose
D) Only the mouth
Rationale: Suctioning the mouth first ensures the baby doesn't inhale fluids if they gasp when
the nose is suctioned.
13. "Supine Hypotensive Syndrome" is caused by the pregnant uterus compressing the:
A) Aorta
B) Inferior Vena Cava
C) Femoral Artery
D) Carotid Artery
Rationale: Compression of the Vena Cava when lying flat reduces blood return to the heart,
causing a drop in BP.
, 2026 UPDATED QUESTIONS DOWNLOAD
14. A pediatric patient is showing signs of "See-saw" breathing. This is an indicator of:
A) Normal breathing
B) Mild respiratory distress
C) Severe respiratory distress/failure
D) Upper airway obstruction
Rationale: See-saw breathing involves the chest and abdomen moving in opposite directions
and is a sign of impending failure.
15. At what heart rate do you begin chest compressions on a newborn?
A) Below 100 bpm
B) Below 80 bpm
C) Below 60 bpm
D) Below 40 bpm
Rationale: If the heart rate remains below 60 bpm after 30 seconds of effective PPV, chest
compressions must begin.
16. Which of the following is a sign of Placenta Previa?
A) Painful, dark red bleeding
B) Painless, bright red bleeding
C) Tearing abdominal pain
D) High blood pressure
Rationale: Placenta previa occurs when the placenta covers the cervix, causing painless,
bright red bleeding.
17. The narrowest part of a pediatric airway is the:
A) Vocal cords
B) Cricoid cartilage
C) Trachea
D) Oropharynx
Rationale: In children, the cricoid ring is the narrowest point, making them more susceptible to
obstructions.
18. What is the compression-to-ventilation ratio for two-rescuer infant CPR?
A) 30:2
B) 15:2
C) 3:1
D) 5:1
Rationale: For infants and children, the ratio drops from 30:2 to 15:2 when a second
professional rescuer is available.
19. Meconium staining in amniotic fluid indicates:
A) The baby is healthy
B) Fetal distress or hypoxia
C) A fast delivery