FISDAP PARAMEDIC OB/GYN STUDY GUIDE 2025/2026 UPDATE| COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS (COMPLETE SOLUTIONS) GUARANTEED
SUCCESS |GRADE A+!!
Question 1
You have just assisted in the delivery of a newborn girl. She has a strong cry and presents with
peripheral cyanosis (blue hands and feet). What is your immediate next step?
A) Initiate positive pressure ventilations
B) Administer high-flow blow-by oxygen
C) Dry her vigorously with a towel
D) Check a formal APGAR score immediately
E) Clamp and cut the umbilical cord
Correct Answer: C) dry her vigorously with a towel
Rationale: Peripheral cyanosis (acrocyanosis) is a normal finding in the first few minutes of
life if the newborn has a strong cry and good heart rate. Drying the infant vigorously
provides stimulation and prevents heat loss, which is the priority in the transition to
extrauterine life.
Question 2
A 23-year-old female had a normal home delivery yesterday. Today she is anxious and presents
with significant vaginal bleeding. She is pale, cool, and moist. Vitals: BP 90/70, P 110, R 22.
What is the most appropriate management?
A) Massage the fundus and wait for the placenta
B) Apply high-flow oxygen and transport rapidly while obtaining IV access
C) Administer 0.4mg Nitroglycerin sublingually
D) Place the patient in a prone position to slow bleeding
E) Perform a bimanual uterine exam on scene
Correct Answer: B) apply high-flow oxygen and transport rapidly while obtaining iv access
Rationale: The patient is showing signs of compensated shock due to postpartum
hemorrhage. Rapid transport and fluid resuscitation (IV access) are critical. High-flow
oxygen helps maintain tissue perfusion during hypovolemia.
Question 3
A 40-year-old female (G3, P2) is at 37 weeks gestation. She complains of a sudden onset of
painful vaginal bleeding. Vitals: BP 102/60, P 100, R 24. What should you do?
A) Perform a digital vaginal exam to check for dilation
B) Place the patient in the Trendelenburg position
C) Apply high-flow oxygen by non-rebreather mask
D) Encourage the patient to push to deliver the fetus
E) Administer Magnesium Sulfate to prevent seizures
Correct Answer: C) apply high-flow oxygen by non-rebreather mask
Rationale: Sudden painful bleeding in the third trimester suggests abruptio placentae. The
, 2
priority is maternal stabilization and oxygenation to ensure the fetus receives adequate
oxygen despite the placental detachment.
Question 4
A 35-year-old female complains of an acute onset of pain in her left lower abdominal quadrant
that radiates to her back. She has dark, red vaginal bleeding. Vitals: BP 86/44, P 128, R 24. What
is the priority intervention?
A) Administer 10mg Morphine for pain
B) Obtain IV access and administer a fluid bolus
C) Perform a pelvic exam
D) Place a sanitary pad inside the vagina
E) Administer 2g of Magnesium Sulfate
Correct Answer: B) obtain iv access and administer a fluid bolus
Rationale: The patient is in decompensated shock, likely from a ruptured ectopic pregnancy.
Immediate fluid resuscitation is necessary to maintain vital organ perfusion while en route
to definitive surgical care.
Question 5
A 26-year-old female in her second trimester presents with sudden chest pain and difficulty
breathing. The pain increases on inspiration. Lung sounds are clear, and she has a non-productive
cough. What should you suspect?
A) Preeclampsia
B) Myocardial infarction
C) Pulmonary embolism
D) Spontaneous abortion
E) Hyperemesis gravidarum
Correct Answer: C) pulmonary embolism
Rationale: Pregnancy is a hypercoagulable state. Pleuritic chest pain (increases on
inspiration), clear lung sounds, and a non-productive cough in a pregnant patient are
classic signs of a pulmonary embolism (PE).
Question 6
A 36-year-old female midwife calls EMS after the patient has been in labor for 26 hours. The
baby's buttocks are presenting and the fetus has not descended. What is your first action?
A) Pull on the baby's legs to assist delivery
B) Assess for a prolapsed cord
C) Encourage the mother to stop breathing
D) Apply a pressure dressing to the perineum
E) Administer Oxytocin to speed up contractions
Correct Answer: B) assess for a prolapsed cord
Rationale: In a breech presentation (buttocks first), there is a high risk of the umbilical cord
, 3
being compressed or prolapsing. You must check for a cord immediately, as this would
require lifting the fetus off the cord.
Question 7
A 19-year-old female complains of lower abdominal pain, fever for 2 days, and purulent vaginal
discharge. What is the most likely diagnosis?
A) Ectopic pregnancy
B) Pelvic inflammatory disease
C) Ovarian torsion
D) Urinary tract infection
E) Endometriosis
Correct Answer: B) pelvic inflammatory disease
Rationale: Pelvic inflammatory disease (PID) typically presents with lower abdominal pain,
fever, and purulent (foul-smelling) discharge, often following a recent menses or infection.
Question 8
A 24-year-old female at 8 weeks gestation complains of abdominal cramping and vaginal
bleeding. What should you suspect?
A) Placenta previa
B) Abruptio placentae
C) Spontaneous abortion
D) Ectopic pregnancy
E) Preeclampsia
Correct Answer: C) spontaneous abortion
Rationale: Bleeding and cramping in the first trimester (under 20 weeks) are most
commonly associated with a spontaneous abortion (miscarriage).
Question 9
A 41-year-old female in her third trimester complains of a headache, dark spots in her vision, and
RUQ pain. BP 162/100, P 110, R 20. What is the most likely condition?
A) Eclampsia
B) Pre-eclampsia
C) Placenta previa
D) Gestational diabetes
E) HELLP syndrome
Correct Answer: B) pre-eclampsia
Rationale: The triad of hypertension, visual disturbances (scotoma), and RUQ pain (liver
swelling) in the third trimester defines pre-eclampsia.
Question 10
During active labor, you note the umbilical cord is protruding from the vagina. What is your
QUESTIONS AND VERIFIED ANSWERS (COMPLETE SOLUTIONS) GUARANTEED
SUCCESS |GRADE A+!!
Question 1
You have just assisted in the delivery of a newborn girl. She has a strong cry and presents with
peripheral cyanosis (blue hands and feet). What is your immediate next step?
A) Initiate positive pressure ventilations
B) Administer high-flow blow-by oxygen
C) Dry her vigorously with a towel
D) Check a formal APGAR score immediately
E) Clamp and cut the umbilical cord
Correct Answer: C) dry her vigorously with a towel
Rationale: Peripheral cyanosis (acrocyanosis) is a normal finding in the first few minutes of
life if the newborn has a strong cry and good heart rate. Drying the infant vigorously
provides stimulation and prevents heat loss, which is the priority in the transition to
extrauterine life.
Question 2
A 23-year-old female had a normal home delivery yesterday. Today she is anxious and presents
with significant vaginal bleeding. She is pale, cool, and moist. Vitals: BP 90/70, P 110, R 22.
What is the most appropriate management?
A) Massage the fundus and wait for the placenta
B) Apply high-flow oxygen and transport rapidly while obtaining IV access
C) Administer 0.4mg Nitroglycerin sublingually
D) Place the patient in a prone position to slow bleeding
E) Perform a bimanual uterine exam on scene
Correct Answer: B) apply high-flow oxygen and transport rapidly while obtaining iv access
Rationale: The patient is showing signs of compensated shock due to postpartum
hemorrhage. Rapid transport and fluid resuscitation (IV access) are critical. High-flow
oxygen helps maintain tissue perfusion during hypovolemia.
Question 3
A 40-year-old female (G3, P2) is at 37 weeks gestation. She complains of a sudden onset of
painful vaginal bleeding. Vitals: BP 102/60, P 100, R 24. What should you do?
A) Perform a digital vaginal exam to check for dilation
B) Place the patient in the Trendelenburg position
C) Apply high-flow oxygen by non-rebreather mask
D) Encourage the patient to push to deliver the fetus
E) Administer Magnesium Sulfate to prevent seizures
Correct Answer: C) apply high-flow oxygen by non-rebreather mask
Rationale: Sudden painful bleeding in the third trimester suggests abruptio placentae. The
, 2
priority is maternal stabilization and oxygenation to ensure the fetus receives adequate
oxygen despite the placental detachment.
Question 4
A 35-year-old female complains of an acute onset of pain in her left lower abdominal quadrant
that radiates to her back. She has dark, red vaginal bleeding. Vitals: BP 86/44, P 128, R 24. What
is the priority intervention?
A) Administer 10mg Morphine for pain
B) Obtain IV access and administer a fluid bolus
C) Perform a pelvic exam
D) Place a sanitary pad inside the vagina
E) Administer 2g of Magnesium Sulfate
Correct Answer: B) obtain iv access and administer a fluid bolus
Rationale: The patient is in decompensated shock, likely from a ruptured ectopic pregnancy.
Immediate fluid resuscitation is necessary to maintain vital organ perfusion while en route
to definitive surgical care.
Question 5
A 26-year-old female in her second trimester presents with sudden chest pain and difficulty
breathing. The pain increases on inspiration. Lung sounds are clear, and she has a non-productive
cough. What should you suspect?
A) Preeclampsia
B) Myocardial infarction
C) Pulmonary embolism
D) Spontaneous abortion
E) Hyperemesis gravidarum
Correct Answer: C) pulmonary embolism
Rationale: Pregnancy is a hypercoagulable state. Pleuritic chest pain (increases on
inspiration), clear lung sounds, and a non-productive cough in a pregnant patient are
classic signs of a pulmonary embolism (PE).
Question 6
A 36-year-old female midwife calls EMS after the patient has been in labor for 26 hours. The
baby's buttocks are presenting and the fetus has not descended. What is your first action?
A) Pull on the baby's legs to assist delivery
B) Assess for a prolapsed cord
C) Encourage the mother to stop breathing
D) Apply a pressure dressing to the perineum
E) Administer Oxytocin to speed up contractions
Correct Answer: B) assess for a prolapsed cord
Rationale: In a breech presentation (buttocks first), there is a high risk of the umbilical cord
, 3
being compressed or prolapsing. You must check for a cord immediately, as this would
require lifting the fetus off the cord.
Question 7
A 19-year-old female complains of lower abdominal pain, fever for 2 days, and purulent vaginal
discharge. What is the most likely diagnosis?
A) Ectopic pregnancy
B) Pelvic inflammatory disease
C) Ovarian torsion
D) Urinary tract infection
E) Endometriosis
Correct Answer: B) pelvic inflammatory disease
Rationale: Pelvic inflammatory disease (PID) typically presents with lower abdominal pain,
fever, and purulent (foul-smelling) discharge, often following a recent menses or infection.
Question 8
A 24-year-old female at 8 weeks gestation complains of abdominal cramping and vaginal
bleeding. What should you suspect?
A) Placenta previa
B) Abruptio placentae
C) Spontaneous abortion
D) Ectopic pregnancy
E) Preeclampsia
Correct Answer: C) spontaneous abortion
Rationale: Bleeding and cramping in the first trimester (under 20 weeks) are most
commonly associated with a spontaneous abortion (miscarriage).
Question 9
A 41-year-old female in her third trimester complains of a headache, dark spots in her vision, and
RUQ pain. BP 162/100, P 110, R 20. What is the most likely condition?
A) Eclampsia
B) Pre-eclampsia
C) Placenta previa
D) Gestational diabetes
E) HELLP syndrome
Correct Answer: B) pre-eclampsia
Rationale: The triad of hypertension, visual disturbances (scotoma), and RUQ pain (liver
swelling) in the third trimester defines pre-eclampsia.
Question 10
During active labor, you note the umbilical cord is protruding from the vagina. What is your
