OB PEDS EXAM PAPER 2026 COMPREHENSIVE
EXAM PREP Q&A WITH FULL SOLUTION
◉ You have just delivered a baby girl. Your assessment of the
newborn reveals that she has a patent airway, is breathing
adequately, and has a heart rate of 130 beats/min. Her face and
trunk are pink, but her hands and feet are cyanotic. You have
clamped and cut the umbilical cord, but the placenta has not yet
delivered. You should:
A:reassess the newborn every 5 minutes and transport after the
placenta delivers
B:give the newborn high-flow oxygen via a nonrebreathing mask and
transport.
C:massage the lower part of the mother's uterus until the placenta
delivers.
D:keep the newborn warm, give oxygen to the mother if needed, and
transport. Answer: D:keep the newborn warm, give oxygen to the
mother if needed, and transport.
◉ During your assessment of a woman in labor, you see the baby's
arm protruding from the vagina. The mother tells you that she needs
to push. You should:
,A:gently push the protruding arm back into the vagina.
B:cover the arm with a sterile towel and transport immediately.
C:insert your gloved fingers into the vagina and try to turn the baby.
D:encourage the mother to push and give her high-flow oxygen.
Answer: B:cover the arm with a sterile towel and transport
immediately.
◉ A sudden onset of respiratory distress in a 5-year-old child with
no fever is MOST likely the result of:
A:infection of the lower airways.
B:inflammation of the upper airway.
C:a foreign body airway obstruction.
D:a progressive upper airway infection. Answer: C:a foreign body
airway obstruction.
◉ After an advanced airway device has been inserted in a 6-month-
old infant in cardiopulmonary arrest, you should deliver ventilations
at a rate of:
A:12 to 20 breaths/min
B:6 to 8 breaths/min.
C:8 to 10 breaths/min.
,D:10 to 12 breaths/min. Answer: C:8 to 10 breaths/min.
◉ Upon assessing a newborn immediately after delivery, you note
that the infant is breathing spontaneously and has a heart rate of 80
beats/min. What is the MOST appropriate initial management for
this newborn?
A:Provide blow-by oxygen with oxygen tubing.
B:Assess the newborn's skin condition and color.
C:Start chest compressions and contact medical control.
D:Initiate positive-pressure ventilations. Answer: D:Initiate positive-
pressure ventilations.
◉ A 9-year-old girl was struck by a car while she was crossing the
street. Your assessment reveals a large contusion over the left upper
quadrant of her abdomen and signs of shock. Which of the following
organs has MOST likely been injured?
A:Pancreas
B:Kidney
C:Liver
D:Spleen Answer: D:Spleen
, ◉ You are assessing a 5-year-old boy with major trauma. His blood
pressure is 70/40 mm Hg and his pulse rate is 140 beats/min. and
weak. The child's blood pressure:
A:suggests increased intracranial pressure.
B:reflects adequate compensation.
C:indicates decompensated shock.
D:is appropriate based on his age. Answer: C:indicates
decompensated shock.
◉ Supplemental oxygen via the blow-by technique is MOST
appropriate for a child who presents with respiratory difficulty and:
A:has a heart rate of 70 beats/min and signs of physical exhaustion.
B:has facial cyanosis and a decreased level of consciousness.
C:is breathing with a significant reduction in tidal volume.
D:is agitated, tachycardic, and clinging to his or her parent. Answer:
D:is agitated, tachycardic, and clinging to his or her parent.
◉ A 4-year-old boy ingested an unknown quantity of drain cleaner.
He is alert, has a patent airway, and has adequate breathing. You
should:
A:administer 1 g/kg of activated charcoal.
EXAM PREP Q&A WITH FULL SOLUTION
◉ You have just delivered a baby girl. Your assessment of the
newborn reveals that she has a patent airway, is breathing
adequately, and has a heart rate of 130 beats/min. Her face and
trunk are pink, but her hands and feet are cyanotic. You have
clamped and cut the umbilical cord, but the placenta has not yet
delivered. You should:
A:reassess the newborn every 5 minutes and transport after the
placenta delivers
B:give the newborn high-flow oxygen via a nonrebreathing mask and
transport.
C:massage the lower part of the mother's uterus until the placenta
delivers.
D:keep the newborn warm, give oxygen to the mother if needed, and
transport. Answer: D:keep the newborn warm, give oxygen to the
mother if needed, and transport.
◉ During your assessment of a woman in labor, you see the baby's
arm protruding from the vagina. The mother tells you that she needs
to push. You should:
,A:gently push the protruding arm back into the vagina.
B:cover the arm with a sterile towel and transport immediately.
C:insert your gloved fingers into the vagina and try to turn the baby.
D:encourage the mother to push and give her high-flow oxygen.
Answer: B:cover the arm with a sterile towel and transport
immediately.
◉ A sudden onset of respiratory distress in a 5-year-old child with
no fever is MOST likely the result of:
A:infection of the lower airways.
B:inflammation of the upper airway.
C:a foreign body airway obstruction.
D:a progressive upper airway infection. Answer: C:a foreign body
airway obstruction.
◉ After an advanced airway device has been inserted in a 6-month-
old infant in cardiopulmonary arrest, you should deliver ventilations
at a rate of:
A:12 to 20 breaths/min
B:6 to 8 breaths/min.
C:8 to 10 breaths/min.
,D:10 to 12 breaths/min. Answer: C:8 to 10 breaths/min.
◉ Upon assessing a newborn immediately after delivery, you note
that the infant is breathing spontaneously and has a heart rate of 80
beats/min. What is the MOST appropriate initial management for
this newborn?
A:Provide blow-by oxygen with oxygen tubing.
B:Assess the newborn's skin condition and color.
C:Start chest compressions and contact medical control.
D:Initiate positive-pressure ventilations. Answer: D:Initiate positive-
pressure ventilations.
◉ A 9-year-old girl was struck by a car while she was crossing the
street. Your assessment reveals a large contusion over the left upper
quadrant of her abdomen and signs of shock. Which of the following
organs has MOST likely been injured?
A:Pancreas
B:Kidney
C:Liver
D:Spleen Answer: D:Spleen
, ◉ You are assessing a 5-year-old boy with major trauma. His blood
pressure is 70/40 mm Hg and his pulse rate is 140 beats/min. and
weak. The child's blood pressure:
A:suggests increased intracranial pressure.
B:reflects adequate compensation.
C:indicates decompensated shock.
D:is appropriate based on his age. Answer: C:indicates
decompensated shock.
◉ Supplemental oxygen via the blow-by technique is MOST
appropriate for a child who presents with respiratory difficulty and:
A:has a heart rate of 70 beats/min and signs of physical exhaustion.
B:has facial cyanosis and a decreased level of consciousness.
C:is breathing with a significant reduction in tidal volume.
D:is agitated, tachycardic, and clinging to his or her parent. Answer:
D:is agitated, tachycardic, and clinging to his or her parent.
◉ A 4-year-old boy ingested an unknown quantity of drain cleaner.
He is alert, has a patent airway, and has adequate breathing. You
should:
A:administer 1 g/kg of activated charcoal.
