2026 UPDATED QUESTIONS DOWNLOAD
FISDAP EMT OB/Pediatrics Exam Prep 2024-2025: 300 Verified Practice Questions &
Detailed Rationales | Neonatal Resuscitation, Pregnancy Complications, & Pediatric
Assessment
Crush the FISDAP OB/Pediatrics exam with this comprehensive study bank featuring 300
high-yield practice questions and detailed, italicized rationales designed for the 2024-2025
testing cycle. This guide provides deep-dive coverage of critical emergency scenarios,
including APGAR scoring, placenta previa vs. abruptio placentae, and pediatric respiratory
emergencies like croup and epiglottitis. Master the "Pediatric Assessment Triangle" and
neonatal resuscitation algorithms with questions formatted to mimic the actual FISDAP and
NREMT style for maximum recall.
A 24-year-old female is 36 weeks pregnant and reports painless, bright red vaginal
bleeding. What is the most likely cause?
A) Abruptio Placentae
B) Placenta Previa
C) Ectopic Pregnancy
D) Spontaneous Abortion
Answer: B
Rationale: Placenta previa is characterized by painless, bright red bleeding. Abruptio
placentae usually involves dark red, painful bleeding and abdominal rigidity.
While delivering a baby, you notice the umbilical cord is wrapped around the baby's
neck. What is your first action?
A) Clamp and cut the cord immediately.
B) Use a bulb syringe to suction the cord.
C) Attempt to gently slip the cord over the baby's head.
D) Instruct the mother to stop pushing.
Answer: C
Rationale: This is a nuchal cord. You should first try to slip it over the head. If it is too
tight to slip off, then you must clamp and cut it to prevent strangulation during delivery.
You are assessing a newborn 1 minute after birth. The heart rate is 130, there is a
loud cry, the baby is moving all extremities, and the body is pink with blue hands
and feet. What is the APGAR score?
A) 7
B) 8
C) 9
D) 10
,2026 UPDATED QUESTIONS DOWNLOAD
Answer: C
Rationale: Pulse = 2 (over 100), Grimace = 2 (loud cry), Activity = 2 (active movement),
Appearance = 1 (acrocyanosis/blue extremities), Respirations = 2 (strong cry). Total =
9.
A 4-year-old male is sitting in the tripod position, drooling, and has a high fever.
Which of the following is contraindicated?
A) Administering high-flow oxygen via NRB.
B) Using a tongue depressor to visualize the throat.
C) Transporting the child in a position of comfort.
D) Providing blow-by oxygen.
Answer: B
Rationale: These are classic signs of epiglottitis. Inserting anything into the mouth can
cause a laryngospasm and total airway obstruction.
In the "Pediatric Assessment Triangle" (PAT), which of the following is a component
of Appearance?
A) Skin color
B) Retractions
C) Muscle tone/Interactiveness
D) Nasal flaring
Answer: C
Rationale: The PAT consists of Appearance (TICLS: Tone, Interactiveness,
Consolability, Look/Gaze, Speech/Cry), Work of Breathing, and Circulation to Skin.
What is the most common cause of seizures in the pediatric population?
A) Epilepsy
B) Hypoglycemia
C) Febrile (rapid spike in temperature)
D) Head trauma
Answer: C
Rationale: Febrile seizures occur due to the speed of a temperature spike rather than
the height of the fever itself and are generally benign.
A newborn has a heart rate of 88 bpm. What is the priority intervention?
A) Start chest compressions.
B) Provide positive pressure ventilations (BVM) with room air.
C) Administer blow-by oxygen.
D) Perform a vigorous back rub to stimulate.
Answer: B
,2026 UPDATED QUESTIONS DOWNLOAD
Rationale: In neonatal resuscitation, if the heart rate is <100 bpm, you must assist
ventilations via BVM. If it falls <60 bpm after 30s of BVM, then start compressions.
A pregnant patient in her third trimester feels lightheaded and nauseated when lying
flat on her back. This is known as:
A) Preeclampsia
B) Placental abruption
C) Supine hypotensive syndrome
D) Braxton-Hicks contractions
Answer: C
Rationale: The heavy uterus compresses the inferior vena cava, reducing blood return
to the heart. Transport these patients in the left lateral recumbent position.
Which of the following is a sign of "Decompensated Shock" in a pediatric patient?
A) Tachycardia
B) Capillary refill of 3 seconds
C) Hypotension
D) Irritability
Answer: C
Rationale: Children compensate very well for shock with tachycardia. Once their blood
pressure drops (hypotension), they have entered decompensated shock and are near
cardiovascular collapse.
A 2-year-old female has a "seal-bark" cough and a low-grade fever. What do you
suspect?
A) Asthma
B) Croup
C) Bronchiolitis
D) Epiglottitis
Answer: B
Rationale: Croup is a viral infection of the upper airway that causes the distinct barking
cough and stridor.
You encounter a prolapsed umbilical cord during delivery. What is the correct
management?
A) Push the cord back into the vagina.
B) Place the mother in the knee-chest position and insert a gloved hand to push the
baby's head off the cord.
C) Pull on the cord to speed up delivery.
D) Clamp and cut the cord immediately.
Answer: B
, 2026 UPDATED QUESTIONS DOWNLOAD
Rationale: A prolapsed cord is a surgical emergency. You must prevent the baby's head
from compressing the cord to maintain oxygenation.
What is the primary difference between Preeclampsia and Eclampsia?
A) Presence of hypertension
B) Presence of peripheral edema
C) Onset of seizures
D) Gestational age
Answer: C
Rationale: Eclampsia is defined by the onset of tonic-clonic seizures in a patient with
preeclampsia.
A pediatric patient has an obstructed airway and is now unconscious. What is your
first step?
A) Perform 5 back blows.
B) Perform 5 abdominal thrusts.
C) Start chest compressions.
D) Attempt to visualize the object with a finger sweep.
Answer: C
Rationale: For an unconscious choking patient of any age, you immediately begin CPR
(compressions) to attempt to clear the obstruction.
How do you calculate the "lower limit" of systolic blood pressure for a child aged 1–
10?
A) 70 + (2 x age in years)
B) 80 + (2 x age in years)
/C) 90 + (2 x age in years)
D) 60 + (2 x age in years)
Answer: A
Rationale: This formula provides the minimum acceptable systolic pressure. For
example, a 5-year-old's lower limit is 80 mmHg.
During delivery, you notice greenish-brown staining in the amniotic fluid. This is
called:
A) Bloody show
B) Meconium
C) Vernix
D) Crowning
Answer: B
Rationale: Meconium is the baby's first stool. Its presence in the fluid indicates fetal
distress and poses a risk for aspiration.
FISDAP EMT OB/Pediatrics Exam Prep 2024-2025: 300 Verified Practice Questions &
Detailed Rationales | Neonatal Resuscitation, Pregnancy Complications, & Pediatric
Assessment
Crush the FISDAP OB/Pediatrics exam with this comprehensive study bank featuring 300
high-yield practice questions and detailed, italicized rationales designed for the 2024-2025
testing cycle. This guide provides deep-dive coverage of critical emergency scenarios,
including APGAR scoring, placenta previa vs. abruptio placentae, and pediatric respiratory
emergencies like croup and epiglottitis. Master the "Pediatric Assessment Triangle" and
neonatal resuscitation algorithms with questions formatted to mimic the actual FISDAP and
NREMT style for maximum recall.
A 24-year-old female is 36 weeks pregnant and reports painless, bright red vaginal
bleeding. What is the most likely cause?
A) Abruptio Placentae
B) Placenta Previa
C) Ectopic Pregnancy
D) Spontaneous Abortion
Answer: B
Rationale: Placenta previa is characterized by painless, bright red bleeding. Abruptio
placentae usually involves dark red, painful bleeding and abdominal rigidity.
While delivering a baby, you notice the umbilical cord is wrapped around the baby's
neck. What is your first action?
A) Clamp and cut the cord immediately.
B) Use a bulb syringe to suction the cord.
C) Attempt to gently slip the cord over the baby's head.
D) Instruct the mother to stop pushing.
Answer: C
Rationale: This is a nuchal cord. You should first try to slip it over the head. If it is too
tight to slip off, then you must clamp and cut it to prevent strangulation during delivery.
You are assessing a newborn 1 minute after birth. The heart rate is 130, there is a
loud cry, the baby is moving all extremities, and the body is pink with blue hands
and feet. What is the APGAR score?
A) 7
B) 8
C) 9
D) 10
,2026 UPDATED QUESTIONS DOWNLOAD
Answer: C
Rationale: Pulse = 2 (over 100), Grimace = 2 (loud cry), Activity = 2 (active movement),
Appearance = 1 (acrocyanosis/blue extremities), Respirations = 2 (strong cry). Total =
9.
A 4-year-old male is sitting in the tripod position, drooling, and has a high fever.
Which of the following is contraindicated?
A) Administering high-flow oxygen via NRB.
B) Using a tongue depressor to visualize the throat.
C) Transporting the child in a position of comfort.
D) Providing blow-by oxygen.
Answer: B
Rationale: These are classic signs of epiglottitis. Inserting anything into the mouth can
cause a laryngospasm and total airway obstruction.
In the "Pediatric Assessment Triangle" (PAT), which of the following is a component
of Appearance?
A) Skin color
B) Retractions
C) Muscle tone/Interactiveness
D) Nasal flaring
Answer: C
Rationale: The PAT consists of Appearance (TICLS: Tone, Interactiveness,
Consolability, Look/Gaze, Speech/Cry), Work of Breathing, and Circulation to Skin.
What is the most common cause of seizures in the pediatric population?
A) Epilepsy
B) Hypoglycemia
C) Febrile (rapid spike in temperature)
D) Head trauma
Answer: C
Rationale: Febrile seizures occur due to the speed of a temperature spike rather than
the height of the fever itself and are generally benign.
A newborn has a heart rate of 88 bpm. What is the priority intervention?
A) Start chest compressions.
B) Provide positive pressure ventilations (BVM) with room air.
C) Administer blow-by oxygen.
D) Perform a vigorous back rub to stimulate.
Answer: B
,2026 UPDATED QUESTIONS DOWNLOAD
Rationale: In neonatal resuscitation, if the heart rate is <100 bpm, you must assist
ventilations via BVM. If it falls <60 bpm after 30s of BVM, then start compressions.
A pregnant patient in her third trimester feels lightheaded and nauseated when lying
flat on her back. This is known as:
A) Preeclampsia
B) Placental abruption
C) Supine hypotensive syndrome
D) Braxton-Hicks contractions
Answer: C
Rationale: The heavy uterus compresses the inferior vena cava, reducing blood return
to the heart. Transport these patients in the left lateral recumbent position.
Which of the following is a sign of "Decompensated Shock" in a pediatric patient?
A) Tachycardia
B) Capillary refill of 3 seconds
C) Hypotension
D) Irritability
Answer: C
Rationale: Children compensate very well for shock with tachycardia. Once their blood
pressure drops (hypotension), they have entered decompensated shock and are near
cardiovascular collapse.
A 2-year-old female has a "seal-bark" cough and a low-grade fever. What do you
suspect?
A) Asthma
B) Croup
C) Bronchiolitis
D) Epiglottitis
Answer: B
Rationale: Croup is a viral infection of the upper airway that causes the distinct barking
cough and stridor.
You encounter a prolapsed umbilical cord during delivery. What is the correct
management?
A) Push the cord back into the vagina.
B) Place the mother in the knee-chest position and insert a gloved hand to push the
baby's head off the cord.
C) Pull on the cord to speed up delivery.
D) Clamp and cut the cord immediately.
Answer: B
, 2026 UPDATED QUESTIONS DOWNLOAD
Rationale: A prolapsed cord is a surgical emergency. You must prevent the baby's head
from compressing the cord to maintain oxygenation.
What is the primary difference between Preeclampsia and Eclampsia?
A) Presence of hypertension
B) Presence of peripheral edema
C) Onset of seizures
D) Gestational age
Answer: C
Rationale: Eclampsia is defined by the onset of tonic-clonic seizures in a patient with
preeclampsia.
A pediatric patient has an obstructed airway and is now unconscious. What is your
first step?
A) Perform 5 back blows.
B) Perform 5 abdominal thrusts.
C) Start chest compressions.
D) Attempt to visualize the object with a finger sweep.
Answer: C
Rationale: For an unconscious choking patient of any age, you immediately begin CPR
(compressions) to attempt to clear the obstruction.
How do you calculate the "lower limit" of systolic blood pressure for a child aged 1–
10?
A) 70 + (2 x age in years)
B) 80 + (2 x age in years)
/C) 90 + (2 x age in years)
D) 60 + (2 x age in years)
Answer: A
Rationale: This formula provides the minimum acceptable systolic pressure. For
example, a 5-year-old's lower limit is 80 mmHg.
During delivery, you notice greenish-brown staining in the amniotic fluid. This is
called:
A) Bloody show
B) Meconium
C) Vernix
D) Crowning
Answer: B
Rationale: Meconium is the baby's first stool. Its presence in the fluid indicates fetal
distress and poses a risk for aspiration.
