[OB/PEDIATRICS FISDAP EXAM] – QUESTIONS AND ANSWERS |
VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES |
GUARANTEED PASS | LATEST EXAM UPDATE | EXAM PREP |
STUDY GUIDE | PRACTICE TEST
1. A 24-year-old woman who is 38 weeks pregnant reports a sudden gush of fluid followed by
contractions occurring every 3 minutes. During transport, she states she feels the urge to
push. What is the EMT’s priority action?
A. Encourage the patient to walk to the stretcher
B. Delay transport until contractions decrease
C. Prepare for imminent delivery
D. Administer oral fluids immediately
════════════════════
Correct Answer: C. Prepare for imminent delivery
Rationale:
The urge to push, frequent contractions, and ruptured membranes indicate imminent
childbirth. The EMT should immediately prepare for delivery and assess crowning. Walking or
delaying transport may endanger both mother and fetus. Oral fluids are not the priority
during active labor.
════════════════════
2. A newborn is delivered limp, cyanotic, and apneic. After drying and stimulation, the infant
remains apneic with a heart rate of 80 beats/min. What should be done next?
A. Begin chest compressions
B. Provide positive-pressure ventilations
C. Administer blow-by oxygen
D. Suction the airway for 60 seconds
════════════════════
Correct Answer: B. Provide positive-pressure ventilations
Rationale:
A newborn with apnea and a heart rate below 100 requires positive-pressure ventilations.
Chest compressions are indicated only if the heart rate remains below 60 after adequate
,ventilation. Blow-by oxygen is insufficient for apnea, and prolonged suctioning may worsen
hypoxia.
════════════════════
3. A 3-year-old child is found unresponsive after choking on a grape. The child has no chest
rise despite rescue breathing attempts. What is the most appropriate intervention?
A. Deliver abdominal thrusts
B. Perform blind finger sweeps
C. Begin cycles of CPR and airway checks
D. Transport immediately without intervention
════════════════════
Correct Answer: C. Begin cycles of CPR and airway checks
Rationale:
For an unresponsive child with suspected foreign body airway obstruction, CPR should be
initiated. Airway visualization should occur before ventilations. Blind finger sweeps are
contraindicated because they can push the object deeper.
════════════════════
4. A woman who delivered 20 minutes ago develops heavy vaginal bleeding and signs of
shock. Which intervention is most appropriate?
A. Place the mother in Trendelenburg position
B. Massage the uterine fundus firmly
C. Clamp the umbilical cord again
D. Encourage the mother to stand and walk
════════════════════
Correct Answer: B. Massage the uterine fundus firmly
Rationale:
Postpartum hemorrhage is commonly caused by uterine atony. Firm fundal massage
stimulates uterine contraction and helps reduce bleeding. Ambulation or delaying care can
worsen shock, and reclamping the cord does not address maternal hemorrhage.
════════════════════
5. A 6-year-old child presents with inspiratory stridor, drooling, and a high fever while sitting
upright and leaning forward. Which condition is most likely?
,A. Asthma
B. Bronchiolitis
C. Croup
D. Epiglottitis
════════════════════
Correct Answer: D. Epiglottitis
Rationale:
Drooling, tripod positioning, fever, and stridor strongly suggest epiglottitis, a life-threatening
upper airway emergency. Agitating the child may worsen airway obstruction. Croup usually
presents with a barking cough rather than drooling.
════════════════════
6. During delivery, the infant’s head delivers but retracts tightly against the perineum. What
complication does this finding indicate?
A. Breech birth
B. Placenta previa
C. Shoulder dystocia
D. Prolapsed cord
════════════════════
Correct Answer: C. Shoulder dystocia
Rationale:
Retraction of the infant’s head against the perineum, known as the “turtle sign,” indicates
shoulder dystocia. This occurs when the shoulders become lodged after head delivery.
Immediate maneuvers are needed to facilitate delivery safely.
════════════════════
7. A febrile 2-month-old infant is lethargic with poor feeding and decreased responsiveness.
What should the EMT recognize about this presentation?
A. Infants rarely become seriously ill from fever
B. The condition may represent a life-threatening infection
C. Lethargy is expected in young infants with fever
D. Oral fluids should be the primary treatment
════════════════════
, Correct Answer: B. The condition may represent a life-threatening infection
Rationale:
Young infants can deteriorate rapidly from sepsis or meningitis. Lethargy and poor feeding are
concerning findings requiring rapid transport and supportive care. Fever in infants should
never be dismissed as minor illness.
════════════════════
8. A pregnant trauma patient in her third trimester is hypotensive while supine on the
stretcher. Which intervention is most appropriate?
A. Place her in a left lateral tilt
B. Hyperventilate the patient
C. Apply pressure to the abdomen
D. Elevate both legs above the heart
════════════════════
Correct Answer: A. Place her in a left lateral tilt
Rationale:
Supine hypotensive syndrome occurs when the gravid uterus compresses the inferior vena
cava. Tilting the patient to the left relieves pressure and improves venous return. Elevating
the legs alone does not address the underlying cause.
════════════════════
9. A 5-year-old child with a history of asthma presents with severe wheezing and fatigue.
Breath sounds are now barely audible. What does this finding most likely indicate?
A. Clinical improvement
B. Mild bronchospasm
C. Respiratory fatigue and impending failure
D. Hyperventilation syndrome
════════════════════
Correct Answer: C. Respiratory fatigue and impending failure
Rationale:
A “silent chest” in a child with asthma indicates minimal air movement and severe airway
obstruction. This is a critical sign of impending respiratory failure and requires immediate
aggressive airway management and rapid transport.
VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES |
GUARANTEED PASS | LATEST EXAM UPDATE | EXAM PREP |
STUDY GUIDE | PRACTICE TEST
1. A 24-year-old woman who is 38 weeks pregnant reports a sudden gush of fluid followed by
contractions occurring every 3 minutes. During transport, she states she feels the urge to
push. What is the EMT’s priority action?
A. Encourage the patient to walk to the stretcher
B. Delay transport until contractions decrease
C. Prepare for imminent delivery
D. Administer oral fluids immediately
════════════════════
Correct Answer: C. Prepare for imminent delivery
Rationale:
The urge to push, frequent contractions, and ruptured membranes indicate imminent
childbirth. The EMT should immediately prepare for delivery and assess crowning. Walking or
delaying transport may endanger both mother and fetus. Oral fluids are not the priority
during active labor.
════════════════════
2. A newborn is delivered limp, cyanotic, and apneic. After drying and stimulation, the infant
remains apneic with a heart rate of 80 beats/min. What should be done next?
A. Begin chest compressions
B. Provide positive-pressure ventilations
C. Administer blow-by oxygen
D. Suction the airway for 60 seconds
════════════════════
Correct Answer: B. Provide positive-pressure ventilations
Rationale:
A newborn with apnea and a heart rate below 100 requires positive-pressure ventilations.
Chest compressions are indicated only if the heart rate remains below 60 after adequate
,ventilation. Blow-by oxygen is insufficient for apnea, and prolonged suctioning may worsen
hypoxia.
════════════════════
3. A 3-year-old child is found unresponsive after choking on a grape. The child has no chest
rise despite rescue breathing attempts. What is the most appropriate intervention?
A. Deliver abdominal thrusts
B. Perform blind finger sweeps
C. Begin cycles of CPR and airway checks
D. Transport immediately without intervention
════════════════════
Correct Answer: C. Begin cycles of CPR and airway checks
Rationale:
For an unresponsive child with suspected foreign body airway obstruction, CPR should be
initiated. Airway visualization should occur before ventilations. Blind finger sweeps are
contraindicated because they can push the object deeper.
════════════════════
4. A woman who delivered 20 minutes ago develops heavy vaginal bleeding and signs of
shock. Which intervention is most appropriate?
A. Place the mother in Trendelenburg position
B. Massage the uterine fundus firmly
C. Clamp the umbilical cord again
D. Encourage the mother to stand and walk
════════════════════
Correct Answer: B. Massage the uterine fundus firmly
Rationale:
Postpartum hemorrhage is commonly caused by uterine atony. Firm fundal massage
stimulates uterine contraction and helps reduce bleeding. Ambulation or delaying care can
worsen shock, and reclamping the cord does not address maternal hemorrhage.
════════════════════
5. A 6-year-old child presents with inspiratory stridor, drooling, and a high fever while sitting
upright and leaning forward. Which condition is most likely?
,A. Asthma
B. Bronchiolitis
C. Croup
D. Epiglottitis
════════════════════
Correct Answer: D. Epiglottitis
Rationale:
Drooling, tripod positioning, fever, and stridor strongly suggest epiglottitis, a life-threatening
upper airway emergency. Agitating the child may worsen airway obstruction. Croup usually
presents with a barking cough rather than drooling.
════════════════════
6. During delivery, the infant’s head delivers but retracts tightly against the perineum. What
complication does this finding indicate?
A. Breech birth
B. Placenta previa
C. Shoulder dystocia
D. Prolapsed cord
════════════════════
Correct Answer: C. Shoulder dystocia
Rationale:
Retraction of the infant’s head against the perineum, known as the “turtle sign,” indicates
shoulder dystocia. This occurs when the shoulders become lodged after head delivery.
Immediate maneuvers are needed to facilitate delivery safely.
════════════════════
7. A febrile 2-month-old infant is lethargic with poor feeding and decreased responsiveness.
What should the EMT recognize about this presentation?
A. Infants rarely become seriously ill from fever
B. The condition may represent a life-threatening infection
C. Lethargy is expected in young infants with fever
D. Oral fluids should be the primary treatment
════════════════════
, Correct Answer: B. The condition may represent a life-threatening infection
Rationale:
Young infants can deteriorate rapidly from sepsis or meningitis. Lethargy and poor feeding are
concerning findings requiring rapid transport and supportive care. Fever in infants should
never be dismissed as minor illness.
════════════════════
8. A pregnant trauma patient in her third trimester is hypotensive while supine on the
stretcher. Which intervention is most appropriate?
A. Place her in a left lateral tilt
B. Hyperventilate the patient
C. Apply pressure to the abdomen
D. Elevate both legs above the heart
════════════════════
Correct Answer: A. Place her in a left lateral tilt
Rationale:
Supine hypotensive syndrome occurs when the gravid uterus compresses the inferior vena
cava. Tilting the patient to the left relieves pressure and improves venous return. Elevating
the legs alone does not address the underlying cause.
════════════════════
9. A 5-year-old child with a history of asthma presents with severe wheezing and fatigue.
Breath sounds are now barely audible. What does this finding most likely indicate?
A. Clinical improvement
B. Mild bronchospasm
C. Respiratory fatigue and impending failure
D. Hyperventilation syndrome
════════════════════
Correct Answer: C. Respiratory fatigue and impending failure
Rationale:
A “silent chest” in a child with asthma indicates minimal air movement and severe airway
obstruction. This is a critical sign of impending respiratory failure and requires immediate
aggressive airway management and rapid transport.
