OB PEDIATRIC EMT FISDAP EXAM QUESTIONS
AND CORRECT ANSWERS
Question 1
A 14 yr F jumped off a 4ft wall, landing on her feet. She is complaining of tingling below the
waist, lower back pain and cramping of both feet. VT BP 106/74, P 112 R 20. You should?
Correct Answer
Immobilize to long spinal board
Question 1
You and your partner are performing CPR on a 2-year-old female in cardiac arrest. During your
resuscitation attempt, you should:
A: hyperventilate her because she is severely hypoxic.
B: attach the AED pads after 5 minutes of high-quality CPR.
C: allow the chest to fully recoil in between compressions.
D: perform compressions and ventilations at a ratio of 30:2.
Correct Answer
C: allow the chest to fully recoil in between compressions.
Question 2
A 29-year-old woman, who is 38 weeks pregnant, presents with heavy vaginal bleeding, a
blood pressure of 70/50 mm Hg, and a heart rate of 130 beats/min. She is pale and
diaphoretic, and denies abdominal cramping or pain. Her signs and symptoms are MOST
consistent with a/an:
A: ruptured ectopic pregnancy.
B: placenta previa.
C: ruptured ovarian cyst.
D: abruptio placenta.
Correct Answer
B: placenta previa.
,Question 3
A prolapsed umbilical cord is dangerous because the:
A: cord may be wrapped around the baby's neck, causing strangulation.
B: mother may die of hypoxia due to compromised placental blood flow.
C: cord might pull the placenta from the uterine wall during delivery.
D: baby's head may compress the cord, cutting off its supply of oxygen.
Correct Answer
D: baby's head may compress the cord, cutting off its supply of oxygen.
Question 4
Supplemental oxygen via the blow-by technique is MOST appropriate for a child who presents
with respiratory difficulty and:
A: is agitated, tachycardic, and clinging to his or her parent.
B: has a heart rate of 70 beats/min and signs of physical exhaustion.
C: is breathing with a significant reduction in tidal volume.
D: has facial cyanosis and a decreased level of consciousness.
Correct Answer
A: is agitated, tachycardic, and clinging to his or her parent.
Question 5
You should suspect physical abuse of a 4-year-old child if you observe:
A: purple and yellow bruises to the thighs.
B: bruises to the anterior tibial area.
C: that the child clings to his or her parent.
D: curious siblings who are watching you.
Correct Answer
A: purple and yellow bruises to the thighs.
Question 6
,A 6-year-old boy complains of pain to the right lower quadrant of his abdomen. Assessment
of this child's abdomen should include:
A: palpating the left upper quadrant first.
B: palpating the right lower quadrant first.
C: auscultating bowel sounds for 2 minutes.
D: avoiding palpation of the abdomen.
Correct Answer
A: palpating the left upper quadrant first.
Question 7
You are treating a 5-year-old child who has had severe diarrhea and vomiting for 3 days and is
now showing signs of shock. Supplemental oxygen has been given and you have elevated his
lower extremities. En route to the hospital, you note that his work of breathing has increased.
You should:
A: insert a nasopharyngeal airway and increase the oxygen flow.
B: begin positive-pressure ventilations and reassess the child.
C: lower the extremities and reassess the child.
D: listen to the lungs with a stethoscope for abnormal breath sounds.
Correct Answer
C: lower the extremities and reassess the child.
Question 8
The preferred method for inserting an oropharyngeal airway in a small child is to:
A: open the airway with the tongue-jaw lift maneuver and insert the airway until you meet
slight resistance.
B: insert the airway as you would in an adult, but use an airway that is one size smaller than
you would normally use.
C: depress the tongue with a tongue blade and insert the airway with the downward curve
facing the tongue.
D: insert the airway with the curvature towards the roof of the mouth and then rotate it 180
degrees.
Correct Answer
, C: depress the tongue with a tongue blade and insert the airway with the downward curve
facing the tongue.
Question 9
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: cover the arm with a sterile towel and transport immediately.
B: insert your gloved fingers into the vagina and try to turn the baby.
C: gently push the protruding arm back into the vagina.
D: encourage the mother to push and give her high-flow oxygen.
Correct Answer
A: cover the arm with a sterile towel and transport immediately.
Question 10
A 4-year-old girl fell from a third-story window and landed on her head. She is semiconscious
with slow, irregular breathing and is bleeding from her mouth and nose. You should:
A: open her airway by carefully tilting her head back, suction her oropharynx, and administer
high-flow oxygen via nonrebreathing mask.
B: suction her oropharynx, open her airway with the jaw-thrust maneuver, insert an
oropharyngeal airway, and assist her ventilations.
C: manually stabilize her head, open her airway with the jaw-thrust maneuver, insert a
nasopharyngeal airway, and suction her oropharynx.
D: open her airway with the jaw-thrust maneuver while manually stabilizing her head, suction
her oropharynx, and assist her ventilations.
Correct Answer
D: open her airway with the jaw-thrust maneuver while manually stabilizing her head, suction
her oropharynx, and assist her ventilations.
Question 11
Which of the following statements regarding crowning is correct?
A: Gentle pressure should be applied to the baby's head during crowning.
B: Crowning represents the end of the second stage of labor.
AND CORRECT ANSWERS
Question 1
A 14 yr F jumped off a 4ft wall, landing on her feet. She is complaining of tingling below the
waist, lower back pain and cramping of both feet. VT BP 106/74, P 112 R 20. You should?
Correct Answer
Immobilize to long spinal board
Question 1
You and your partner are performing CPR on a 2-year-old female in cardiac arrest. During your
resuscitation attempt, you should:
A: hyperventilate her because she is severely hypoxic.
B: attach the AED pads after 5 minutes of high-quality CPR.
C: allow the chest to fully recoil in between compressions.
D: perform compressions and ventilations at a ratio of 30:2.
Correct Answer
C: allow the chest to fully recoil in between compressions.
Question 2
A 29-year-old woman, who is 38 weeks pregnant, presents with heavy vaginal bleeding, a
blood pressure of 70/50 mm Hg, and a heart rate of 130 beats/min. She is pale and
diaphoretic, and denies abdominal cramping or pain. Her signs and symptoms are MOST
consistent with a/an:
A: ruptured ectopic pregnancy.
B: placenta previa.
C: ruptured ovarian cyst.
D: abruptio placenta.
Correct Answer
B: placenta previa.
,Question 3
A prolapsed umbilical cord is dangerous because the:
A: cord may be wrapped around the baby's neck, causing strangulation.
B: mother may die of hypoxia due to compromised placental blood flow.
C: cord might pull the placenta from the uterine wall during delivery.
D: baby's head may compress the cord, cutting off its supply of oxygen.
Correct Answer
D: baby's head may compress the cord, cutting off its supply of oxygen.
Question 4
Supplemental oxygen via the blow-by technique is MOST appropriate for a child who presents
with respiratory difficulty and:
A: is agitated, tachycardic, and clinging to his or her parent.
B: has a heart rate of 70 beats/min and signs of physical exhaustion.
C: is breathing with a significant reduction in tidal volume.
D: has facial cyanosis and a decreased level of consciousness.
Correct Answer
A: is agitated, tachycardic, and clinging to his or her parent.
Question 5
You should suspect physical abuse of a 4-year-old child if you observe:
A: purple and yellow bruises to the thighs.
B: bruises to the anterior tibial area.
C: that the child clings to his or her parent.
D: curious siblings who are watching you.
Correct Answer
A: purple and yellow bruises to the thighs.
Question 6
,A 6-year-old boy complains of pain to the right lower quadrant of his abdomen. Assessment
of this child's abdomen should include:
A: palpating the left upper quadrant first.
B: palpating the right lower quadrant first.
C: auscultating bowel sounds for 2 minutes.
D: avoiding palpation of the abdomen.
Correct Answer
A: palpating the left upper quadrant first.
Question 7
You are treating a 5-year-old child who has had severe diarrhea and vomiting for 3 days and is
now showing signs of shock. Supplemental oxygen has been given and you have elevated his
lower extremities. En route to the hospital, you note that his work of breathing has increased.
You should:
A: insert a nasopharyngeal airway and increase the oxygen flow.
B: begin positive-pressure ventilations and reassess the child.
C: lower the extremities and reassess the child.
D: listen to the lungs with a stethoscope for abnormal breath sounds.
Correct Answer
C: lower the extremities and reassess the child.
Question 8
The preferred method for inserting an oropharyngeal airway in a small child is to:
A: open the airway with the tongue-jaw lift maneuver and insert the airway until you meet
slight resistance.
B: insert the airway as you would in an adult, but use an airway that is one size smaller than
you would normally use.
C: depress the tongue with a tongue blade and insert the airway with the downward curve
facing the tongue.
D: insert the airway with the curvature towards the roof of the mouth and then rotate it 180
degrees.
Correct Answer
, C: depress the tongue with a tongue blade and insert the airway with the downward curve
facing the tongue.
Question 9
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: cover the arm with a sterile towel and transport immediately.
B: insert your gloved fingers into the vagina and try to turn the baby.
C: gently push the protruding arm back into the vagina.
D: encourage the mother to push and give her high-flow oxygen.
Correct Answer
A: cover the arm with a sterile towel and transport immediately.
Question 10
A 4-year-old girl fell from a third-story window and landed on her head. She is semiconscious
with slow, irregular breathing and is bleeding from her mouth and nose. You should:
A: open her airway by carefully tilting her head back, suction her oropharynx, and administer
high-flow oxygen via nonrebreathing mask.
B: suction her oropharynx, open her airway with the jaw-thrust maneuver, insert an
oropharyngeal airway, and assist her ventilations.
C: manually stabilize her head, open her airway with the jaw-thrust maneuver, insert a
nasopharyngeal airway, and suction her oropharynx.
D: open her airway with the jaw-thrust maneuver while manually stabilizing her head, suction
her oropharynx, and assist her ventilations.
Correct Answer
D: open her airway with the jaw-thrust maneuver while manually stabilizing her head, suction
her oropharynx, and assist her ventilations.
Question 11
Which of the following statements regarding crowning is correct?
A: Gentle pressure should be applied to the baby's head during crowning.
B: Crowning represents the end of the second stage of labor.
