1
OB/PEDIATRIC EMT FISDAP Exam 2025–2026 | 200+
Verified Questions & Correct Answers with Rationales
| A+ Study Pack
Question 1 – Neonatal Respiratory Emergency
A 2-week-old infant is lethargic with a respiratory rate of 4 breaths per
minute. What is your priority concern?
A. Hypoglycemia
B. Cardiac arrest
C. Sepsis
D. Upper airway obstruction
✅ Correct Answer: B. Cardiac arrest
🧠 Rationale:
A respiratory rate this low indicates respiratory failure, which can quickly
progress to cardiac arrest in neonates. Immediate airway support and
ventilatory assistance are required, following neonatal resuscitation
protocols (i.e., warming, positioning, suctioning, stimulus, followed by
positive-pressure ventilation).
Question 2 – Child Circulation Assessment
When assessing distal circulation in a 3-year-old, your most reliable
indicator is:
A. Radial pulse strength
,2
B. Pedal pulse presence
C. Capillary refill time
D. Skin temperature
✅ Correct Answer: C. Capillary refill time
🧠 Rationale:
Capillary refill (pressing a fingernail or toe and releasing) provides a quick
and non-invasive way to assess perfusion, especially in pediatric patients.
Normal refill is less than 2 seconds.
Question 3 – Infant Airway Positioning
A 3-month-old infant is apneic with a pulse of 110. When preparing to
ventilate, how should you position the airway?
A. Tilt head back fully
B. Place towel under shoulders
C. Flex neck toward chest
D. Rotate head to the side
✅ Correct Answer: B. Place towel under shoulders
🧠 Rationale:
Infants have large occiputs and need a towel under the shoulders to align
the airway for opening. Head tilt or chin lift should be minimal to prevent
airway obstruction.
Question 4 – Pediatric Emergencies
A 2-year-old is restless, irritable, febrile, and has a barking cough that
improves near humidified steam. You suspect:
A. Asthma
B. Bronchiolitis
C. Croup
D. Epiglottitis
✅ Correct Answer: C. Croup
🧠 Rationale:
A barking cough that improves with warm steam is classic for croup, an
,3
upper airway infection causing subglottic edema. Evaluate respiratory
status and humidity therapy Airway support may be needed.
Question 5 – Assessing Burns in Children
Scald burns on a child’s legs with well-demarcated edges are a red flag for:
A. Accidental injury
B. Child abuse
C. Self-harm
D. Thermal home accident
✅ Correct Answer: B. Child abuse
🧠 Rationale:
Immersion "stocking-glove" scalds with clear lines and uniform depth
suggest forced exposure, often indicating non-accidental trauma in
children.
Question 6 – Pediatric Toxic Ingestion
A 3-year-old ingests drain cleaner. What is the most appropriate action?
A. Induce vomiting
B. Administer activated charcoal
C. Transport immediately without delay
D. Give milk to dilute
✅ Correct Answer: C. Transport immediately without delay
🧠 Rationale:
Caustic ingestion requires urgent hospital evaluation. Do not induce
vomiting or neutralize with fluids due to risk of further esophageal injury.
Rapid transport with airway monitoring is key.
Question 7 – OB Delivery Emergency
During delivery, the infant's head crowns then retracts into the vagina, and
the mother complains of severe constant pain. You suspect:
, 4
A. Shoulder dystocia
B. Uterine rupture
C. Cord prolapse
D. Placental abruption
✅ Correct Answer: B. Uterine rupture
🧠 Rationale:
Receding head (restitution) and sudden intense pain in a crowning mother
suggest uterine rupture—a life-threatening OB emergency requiring
immediate transport.
Question 8 – Child CPR Depth
What is the correct chest compression depth for a 7-year-old child during
CPR?
A. 3 cm
B. 5 cm
C. 7 cm
D. 1–1.5 inches
✅ Correct Answer: B. 5 cm
🧠 Rationale:
Pediatric CPR guidelines recommend compressions of ~5 cm (2 inches), or
one-third of the chest depth, for children aged 1 to puberty.
Question 9 – Pediatric Shock Signs
Which finding most strongly indicates decompensated shock in a pediatric
patient?
A. Cool extremities
B. Capillary refill of 3 seconds
C. Altered level of consciousness
D. Tachycardia
✅ Correct Answer: C. Altered level of consciousness
🧠 Rationale:
Changes in mental status (e.g., lethargy, unconsciousness) are late signs
OB/PEDIATRIC EMT FISDAP Exam 2025–2026 | 200+
Verified Questions & Correct Answers with Rationales
| A+ Study Pack
Question 1 – Neonatal Respiratory Emergency
A 2-week-old infant is lethargic with a respiratory rate of 4 breaths per
minute. What is your priority concern?
A. Hypoglycemia
B. Cardiac arrest
C. Sepsis
D. Upper airway obstruction
✅ Correct Answer: B. Cardiac arrest
🧠 Rationale:
A respiratory rate this low indicates respiratory failure, which can quickly
progress to cardiac arrest in neonates. Immediate airway support and
ventilatory assistance are required, following neonatal resuscitation
protocols (i.e., warming, positioning, suctioning, stimulus, followed by
positive-pressure ventilation).
Question 2 – Child Circulation Assessment
When assessing distal circulation in a 3-year-old, your most reliable
indicator is:
A. Radial pulse strength
,2
B. Pedal pulse presence
C. Capillary refill time
D. Skin temperature
✅ Correct Answer: C. Capillary refill time
🧠 Rationale:
Capillary refill (pressing a fingernail or toe and releasing) provides a quick
and non-invasive way to assess perfusion, especially in pediatric patients.
Normal refill is less than 2 seconds.
Question 3 – Infant Airway Positioning
A 3-month-old infant is apneic with a pulse of 110. When preparing to
ventilate, how should you position the airway?
A. Tilt head back fully
B. Place towel under shoulders
C. Flex neck toward chest
D. Rotate head to the side
✅ Correct Answer: B. Place towel under shoulders
🧠 Rationale:
Infants have large occiputs and need a towel under the shoulders to align
the airway for opening. Head tilt or chin lift should be minimal to prevent
airway obstruction.
Question 4 – Pediatric Emergencies
A 2-year-old is restless, irritable, febrile, and has a barking cough that
improves near humidified steam. You suspect:
A. Asthma
B. Bronchiolitis
C. Croup
D. Epiglottitis
✅ Correct Answer: C. Croup
🧠 Rationale:
A barking cough that improves with warm steam is classic for croup, an
,3
upper airway infection causing subglottic edema. Evaluate respiratory
status and humidity therapy Airway support may be needed.
Question 5 – Assessing Burns in Children
Scald burns on a child’s legs with well-demarcated edges are a red flag for:
A. Accidental injury
B. Child abuse
C. Self-harm
D. Thermal home accident
✅ Correct Answer: B. Child abuse
🧠 Rationale:
Immersion "stocking-glove" scalds with clear lines and uniform depth
suggest forced exposure, often indicating non-accidental trauma in
children.
Question 6 – Pediatric Toxic Ingestion
A 3-year-old ingests drain cleaner. What is the most appropriate action?
A. Induce vomiting
B. Administer activated charcoal
C. Transport immediately without delay
D. Give milk to dilute
✅ Correct Answer: C. Transport immediately without delay
🧠 Rationale:
Caustic ingestion requires urgent hospital evaluation. Do not induce
vomiting or neutralize with fluids due to risk of further esophageal injury.
Rapid transport with airway monitoring is key.
Question 7 – OB Delivery Emergency
During delivery, the infant's head crowns then retracts into the vagina, and
the mother complains of severe constant pain. You suspect:
, 4
A. Shoulder dystocia
B. Uterine rupture
C. Cord prolapse
D. Placental abruption
✅ Correct Answer: B. Uterine rupture
🧠 Rationale:
Receding head (restitution) and sudden intense pain in a crowning mother
suggest uterine rupture—a life-threatening OB emergency requiring
immediate transport.
Question 8 – Child CPR Depth
What is the correct chest compression depth for a 7-year-old child during
CPR?
A. 3 cm
B. 5 cm
C. 7 cm
D. 1–1.5 inches
✅ Correct Answer: B. 5 cm
🧠 Rationale:
Pediatric CPR guidelines recommend compressions of ~5 cm (2 inches), or
one-third of the chest depth, for children aged 1 to puberty.
Question 9 – Pediatric Shock Signs
Which finding most strongly indicates decompensated shock in a pediatric
patient?
A. Cool extremities
B. Capillary refill of 3 seconds
C. Altered level of consciousness
D. Tachycardia
✅ Correct Answer: C. Altered level of consciousness
🧠 Rationale:
Changes in mental status (e.g., lethargy, unconsciousness) are late signs
