1
OB PEDIATRIC EMT FISDAP ACTUAL
EXAMINATION TEST 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
Exam Overview & Key Topics
The FISDAP OB/Pediatric exam is a critical component of EMT training. This comprehensive exam covers
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 followed by an evidence-based rationale.
Exam Sections:
• Section 1: Neonatal & Newborn Care
• Section 2: Obstetrical Emergencies & Pregnancy Complications
• Section 3: Pediatric Medical Emergencies
• Section 4: Pediatric Trauma & Special Considerations
• Section 5: Developmental Milestones & Assessment
SECTION 1: NEONATAL & NEWBORN CARE (Questions 1–40)
1. A newborn infant will usually begin breathing spontaneously within __________ seconds following
birth.
A) 5–10
B) 15–30
C) 45–60
D) 90–120
✅ Correct Answer: B) 15–30
Rationale: Healthy newborns typically initiate spontaneous respirations within 15 to 30 seconds
after delivery. The tactile stimulation of delivery and exposure to the extrauterine environment triggers
this response. If breathing has not begun by 30 seconds, the infant requires stimulation and likely
positive pressure ventilation.
,2
2. A mother has just delivered a newborn with central cyanosis. The newborn‘s vitals are P 82, R 30.
You should?
A) Initiate active warming
B) Begin positive pressure ventilations
C) Administer blow-by oxygen
D) Suction the airway and stimulate
✅ Correct Answer: B) Begin positive pressure ventilations
Rationale: Central cyanosis with a heart rate below 100 bpm indicates inadequate oxygenation.
Positive pressure ventilation is required immediately. Suctioning and stimulation are appropriate for a
heart rate above 100 with central cyanosis, but this infant has bradycardia and requires active
ventilation.
3. You are treating a 3-month-old, apneic patient with a pulse of 110. In preparing to ventilate this
infant, you should?
A) Institute 2 minutes of CPR and then ventilate
B) Place a small towel under their shoulders
C) Open the airway with an OPA and bag every 6 seconds
D) Attach the AED and wait for instructions
✅ Correct Answer: B) Place a small towel under their shoulders
Rationale: Infants have a large occiput that causes neck flexion when lying supine. Placing a small
towel roll under the shoulders helps maintain a neutral airway position for effective ventilation. This
maneuver opens the airway without hyperextension.
4. After a baby is born, it is important to:
A) Immediately cut the umbilical cord
B) Ensure that it is thoroughly dried and warmed
C) Place the baby in Trendelenburg position
D) Administer blow-by oxygen
✅ Correct Answer: B) Ensure that it is thoroughly dried and warmed
Rationale: Drying and warming the newborn is the first priority after birth to prevent hypothermia,
which can lead to hypoxia, metabolic acidosis, and increased oxygen consumption. Stimulation from
drying also helps initiate spontaneous respirations.
5. An infant is premature if it:
A) Weighs less than 5 pounds
B) Weighs less than 5 pounds or is born before 36 weeks‘ gestation
,3
C) Is born before 40 weeks’ gestation
D) Requires respiratory support at birth
✅ Correct Answer: B) Weighs less than 5 pounds or is born before 36 weeks‘ gestation
Rationale: Prematurity is defined by both birth weight (less than 2,500 grams or about 5.5 pounds)
and gestational age (less than 37 weeks). Low birth weight and preterm birth are associated with
increased risks of respiratory distress, hypothermia, and other complications.
6. By the 20th week of pregnancy, the uterus is typically at or above the level of the mother‘s:
A) Xiphoid process
B) Pubic symphysis
C) Belly button (umbilicus)
D) Rib cage
✅ Correct Answer: C) 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. By
36 weeks, the fundus reaches the xiphoid process.
7. The amniotic fluid serves to:
A) Provide nutrients to the fetus
B) Insulate and protect the fetus
C) Facilitate gas exchange
D) Remove fetal waste products
✅ Correct Answer: B) 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. It does not provide
nutrition or gas exchange — those functions are performed by the placenta.
8. The term primigravida refers to a woman who:
A) Has given birth multiple times
B) Is pregnant for the first time
C) Has had a miscarriage
D) Is in active labor
✅ Correct Answer: B) Is pregnant for the first time
Rationale: “Primigravida” (from Latin primus = first, gravidus = pregnant) describes a woman who is
pregnant for the first time. “Multigravida” refers to a woman who has been pregnant multiple times.
“Primipara” refers to a woman who has given birth once.
, 4
9. The umbilical cord:
A) Carries deoxygenated blood to the baby via two arteries
B) Carries oxygenated blood to the baby via the umbilical vein
C) Contains one artery and two veins
D) Is clamped and cut immediately after birth
✅ Correct Answer: B) Carries oxygenated blood 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 and nutrients from the placenta to
the fetus). The vein carries oxygenated blood toward the baby‘s heart.
10. Common interventions used to stimulate spontaneous respirations in the newborn include all of
the following, EXCEPT:
A) Drying the infant
B) Rubbing the back
C) Flicking the soles of the feet
D) Positive-pressure ventilation
✅ Correct Answer: D) Positive-pressure ventilation
Rationale: Positive-pressure ventilation is a life-saving intervention for apnea or inadequate
breathing, not a simple stimulation technique. Drying, rubbing the back, and flicking the soles of the feet
are standard tactile stimulation methods used to encourage spontaneous breathing in a newborn that is
not breathing adequately.
11. Eclampsia is MOST accurately defined as:
A) Hypertension during pregnancy
B) Seizures that result from severe hypertension
C) Proteinuria in a pregnant patient
D) Placental abruption with bleeding
✅ Correct Answer: B) Seizures that result from severe hypertension
Rationale: Eclampsia is the occurrence of seizures in a pregnant woman with preeclampsia
(hypertension and proteinuria). It is a life-threatening obstetrical emergency that requires immediate
airway management, seizure control, and transport to a facility capable of emergency delivery.
12. Fetal complications associated with drug- or alcohol-addicted mothers include all of the following,
EXCEPT:
A) Low birth weight
OB PEDIATRIC EMT FISDAP ACTUAL
EXAMINATION TEST 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
Exam Overview & Key Topics
The FISDAP OB/Pediatric exam is a critical component of EMT training. This comprehensive exam covers
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 followed by an evidence-based rationale.
Exam Sections:
• Section 1: Neonatal & Newborn Care
• Section 2: Obstetrical Emergencies & Pregnancy Complications
• Section 3: Pediatric Medical Emergencies
• Section 4: Pediatric Trauma & Special Considerations
• Section 5: Developmental Milestones & Assessment
SECTION 1: NEONATAL & NEWBORN CARE (Questions 1–40)
1. A newborn infant will usually begin breathing spontaneously within __________ seconds following
birth.
A) 5–10
B) 15–30
C) 45–60
D) 90–120
✅ Correct Answer: B) 15–30
Rationale: Healthy newborns typically initiate spontaneous respirations within 15 to 30 seconds
after delivery. The tactile stimulation of delivery and exposure to the extrauterine environment triggers
this response. If breathing has not begun by 30 seconds, the infant requires stimulation and likely
positive pressure ventilation.
,2
2. A mother has just delivered a newborn with central cyanosis. The newborn‘s vitals are P 82, R 30.
You should?
A) Initiate active warming
B) Begin positive pressure ventilations
C) Administer blow-by oxygen
D) Suction the airway and stimulate
✅ Correct Answer: B) Begin positive pressure ventilations
Rationale: Central cyanosis with a heart rate below 100 bpm indicates inadequate oxygenation.
Positive pressure ventilation is required immediately. Suctioning and stimulation are appropriate for a
heart rate above 100 with central cyanosis, but this infant has bradycardia and requires active
ventilation.
3. You are treating a 3-month-old, apneic patient with a pulse of 110. In preparing to ventilate this
infant, you should?
A) Institute 2 minutes of CPR and then ventilate
B) Place a small towel under their shoulders
C) Open the airway with an OPA and bag every 6 seconds
D) Attach the AED and wait for instructions
✅ Correct Answer: B) Place a small towel under their shoulders
Rationale: Infants have a large occiput that causes neck flexion when lying supine. Placing a small
towel roll under the shoulders helps maintain a neutral airway position for effective ventilation. This
maneuver opens the airway without hyperextension.
4. After a baby is born, it is important to:
A) Immediately cut the umbilical cord
B) Ensure that it is thoroughly dried and warmed
C) Place the baby in Trendelenburg position
D) Administer blow-by oxygen
✅ Correct Answer: B) Ensure that it is thoroughly dried and warmed
Rationale: Drying and warming the newborn is the first priority after birth to prevent hypothermia,
which can lead to hypoxia, metabolic acidosis, and increased oxygen consumption. Stimulation from
drying also helps initiate spontaneous respirations.
5. An infant is premature if it:
A) Weighs less than 5 pounds
B) Weighs less than 5 pounds or is born before 36 weeks‘ gestation
,3
C) Is born before 40 weeks’ gestation
D) Requires respiratory support at birth
✅ Correct Answer: B) Weighs less than 5 pounds or is born before 36 weeks‘ gestation
Rationale: Prematurity is defined by both birth weight (less than 2,500 grams or about 5.5 pounds)
and gestational age (less than 37 weeks). Low birth weight and preterm birth are associated with
increased risks of respiratory distress, hypothermia, and other complications.
6. By the 20th week of pregnancy, the uterus is typically at or above the level of the mother‘s:
A) Xiphoid process
B) Pubic symphysis
C) Belly button (umbilicus)
D) Rib cage
✅ Correct Answer: C) 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. By
36 weeks, the fundus reaches the xiphoid process.
7. The amniotic fluid serves to:
A) Provide nutrients to the fetus
B) Insulate and protect the fetus
C) Facilitate gas exchange
D) Remove fetal waste products
✅ Correct Answer: B) 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. It does not provide
nutrition or gas exchange — those functions are performed by the placenta.
8. The term primigravida refers to a woman who:
A) Has given birth multiple times
B) Is pregnant for the first time
C) Has had a miscarriage
D) Is in active labor
✅ Correct Answer: B) Is pregnant for the first time
Rationale: “Primigravida” (from Latin primus = first, gravidus = pregnant) describes a woman who is
pregnant for the first time. “Multigravida” refers to a woman who has been pregnant multiple times.
“Primipara” refers to a woman who has given birth once.
, 4
9. The umbilical cord:
A) Carries deoxygenated blood to the baby via two arteries
B) Carries oxygenated blood to the baby via the umbilical vein
C) Contains one artery and two veins
D) Is clamped and cut immediately after birth
✅ Correct Answer: B) Carries oxygenated blood 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 and nutrients from the placenta to
the fetus). The vein carries oxygenated blood toward the baby‘s heart.
10. Common interventions used to stimulate spontaneous respirations in the newborn include all of
the following, EXCEPT:
A) Drying the infant
B) Rubbing the back
C) Flicking the soles of the feet
D) Positive-pressure ventilation
✅ Correct Answer: D) Positive-pressure ventilation
Rationale: Positive-pressure ventilation is a life-saving intervention for apnea or inadequate
breathing, not a simple stimulation technique. Drying, rubbing the back, and flicking the soles of the feet
are standard tactile stimulation methods used to encourage spontaneous breathing in a newborn that is
not breathing adequately.
11. Eclampsia is MOST accurately defined as:
A) Hypertension during pregnancy
B) Seizures that result from severe hypertension
C) Proteinuria in a pregnant patient
D) Placental abruption with bleeding
✅ Correct Answer: B) Seizures that result from severe hypertension
Rationale: Eclampsia is the occurrence of seizures in a pregnant woman with preeclampsia
(hypertension and proteinuria). It is a life-threatening obstetrical emergency that requires immediate
airway management, seizure control, and transport to a facility capable of emergency delivery.
12. Fetal complications associated with drug- or alcohol-addicted mothers include all of the following,
EXCEPT:
A) Low birth weight
