FISDAP EMT OB/GYN and Pediatrics Study Guide Exam Questions with Correct Answer

Supine Hypotensive Syndrome Correct Answer Dizziness and a drop in blood pressure caused when the mother is in a supine position and the weight of the uterus, infant, placenta, and amniotic fluid compress the inferior vena cava, reducing return of blood to the heart and cardiac output. hypotension in supine patients b/c fetal weight Pediatric Assessment Triangle (PAT) Correct Answer A structured assessment tool that allows you to rapidly form a general impression of the infant or child without touching him or her; consists of assessing appearance, work of breathing, and circulation to the skin. Complications from spinal immobilization Correct Answer children will need extra padding Anatomical differences in pediatrics Correct Answer Smaller airway, tongue larger in ratio to pharynx than adult, smaller reserve of everything (blood volume, O2, electrolytes, glucose, homeostasis), more flexible (don't break bones as often), compensate better but for a shorter time and decompensate quicker, more susceptible to febrile seizure, weaker immune system Indications for suctioning a newborn Correct Answer Meconium (suction aggressively), amniotic fluid after birth, anything in airway Expected anatomical/physiological changes for each trimester Correct Answer Trimester 1. uterus begins to grow placenta, adds to blood supply and increases HR Trimester 2. leg cramps + heart burn, appetite increase + weight gain Trimester 3. cardiac output increased, vomiting, unstable joints Dysfunctional bleeding in a pregnant patient Correct Answer Ectopic pregnancy, abruptio placenta, placenta previa, miscarriage (spontaneous abortion) s/s of meningitis Correct Answer - children > 2: Fever, headache, stiff neck - newborns: poor feeding, inactive, irritability, bulging fontanel pathophysiology of a febrile seizure