FISDAP OB/PEDS

A 2 year old female is lethargic to respond. She has dry mucous membranes and a tearless cry. What should you suspect?

Hypovolemia

You have just delivered a baby girl who remains cyanotic and not responding to stimulation and oxygen therapy. Heart rate is 90. You should

Begin positive pressure ventilations

A 6 month old is febrile, cyanotic, and grunting with labored breathing. You should

Apply blow by O2 and transport

Before assessing the respiratory adequacy of an unconscious infant or child, you should

Ensure the airway is patient and clear of obstructions

Febrile seizures in children are most often the result of a/an

Abrupt rise in body temperature

A 4 year old patient has sustained blunt trauma to the chest. Based on the MOI you should suspect

Minimal external signs with serious internal injury

A mother has just delivered a newborn with central cyanosis. The newborn vitals are P 82, R 30. You should?

Begin positive pressure ventilations

A 37 year old female in the later stages of pregnancy has been experiencing abdominal pain and vomiting for the last two days. She responds to verbal stimulus. Vital signs are BP 100/70, P116, R24, skin cool and dry, how should you position her?

Left lateral recumbent

What is the proper way to size an OPA for a child?

Corner of mouth to the angle of the mandible

A 6 year old is shy and withdrawn. He has multiple contusions in various stages of healing. His mother states "he fell on the playground." What should you suspect?

Physical abuse

Where should you apply pressure to access for uterine contractions?

Abdomen below the navel

A 14 year old jumped off a 4 foot wall, landing on her feet. She is complaining of tingling below the waist, lower back pain, and cramping in both feet. Vital signs are BP 106/74, P 112, and R 20. You should

Immobilize to a long spine board

Which of the following indicates decompensated shock in a pediatric patient?

Loss of consciousness

A 3 year old is unresponsive and apneic on the floor of a restaurant. He was choking, turned blue, and collapsed. What should you do?

Begin chest compressions

In centimeters, what is the correct depth of chest compressions for a 7 year old child?

5

What is the proper method for suctioning a newborn's airway with a bulb syringe?

Squeeze before placing in the mouth

A 3 year old drank some drain cleaner. It would be most helpful to?

Transport immediately

A cord is wrapped around a baby's neck during childbirth. This is called

Nuchal cord

Scald injuries to a child's lower extremity can be indicative of?

Abuse

You have assisted a mother in delivering a premature newborn. Assessment after 5 minutes shows newborn has central cyanosis and heart rate of 90. What should you do?

Provide ventilatory assistance

You are treating a 3 month old apneic patient with a pulse of 110. In preparing to ventilate this infant, you should

Place a small towel under their shoulders

Normal response for a healthy 9 month old infant

Gaze follows the parents

2 year old is restless, irritable, and febrile with a distinct cough. The parent states that the child is calmer in a steam shower. You should suspect?

Croup

13 month old lying supine in crib, crying. Fever 104.5, rash on body and some spots are purple. You should?

Put on surgical mask

20 year old female is pregnant for the first time with twins. What is she considered?

Primigravida

Initiate CPR on infant if heart rate is less than?

60 beats/min

Neonatal 2 weeks old female is dyspneic and lethargic to respond. Vitals are P 58, R 4 and irregular. What should you be concerned about?

Cardiac arrest

During assessment of crying infant, you discover a sunken fontanelle. Your next question should be?

How many wet diapers has the baby produced

When assessing distal circulatory function in a 3 year old, a reliable indicator is?

Capillary refill

Your neighbor has asked you to check on her 2 month old baby. The baby is sleeping and vitals are P 130, R 40, and he continues to sleep even when you try to wake him up. What should you do?

Call for emergency medical services

4 year old is having trouble breathing. He is drooling and sitting forward in a chair with his mouth wide open. He has a 103.2 temperature, you should suspect?

Epiglottitis

3 year old child involved in a motor vehicle collision needs to be secured on an adult backboard. You should?

Place padding under the child's torso

When inserting an OPA in a child you should?

Hold the tongue in position with a tongue depressor

Pediatric airways differ from adult airways in that

All structures are smaller and can be more easily obstructed

10 year old patient was injured while skateboarding, upon assessment you note a visible deformity of the forearm. The fingers are pale and cool without a palpable pulse. You should apply?

Gentle manual traction

7 year old presents with a pencil in his left cheek, you should?

Check for airway patency

37 week pregnant woman with tearing abdominal pain and weak, vitals are 90/60, 140, and 26 with pale, cool, diaphoretic skin, you should suspect?

Abruptio placentae

Which may indicate that a fetus was in distress before delivery?

Meconium

A 2 year old child presents with a fever, lethargy, and screaming upon neck flexion. You should suspect?

Meningitis

A conscious child has a significant airway obstruction due to an illness. You should?

Give O2 and transport immediately

With pediatric patient, your assessment should begin?

At first sight

A child is postictal. You should?

Ensure open airway

Shortly after delivery, a mother experiences dyspnea and comes hypotensive. No excess bleeding is noted and the uterus seems firm. You should suspect?

Pulmonary embolism

Compared to adults in shock, pediatric patients?

Stay in compensated shock longer

Preeclampsia becomes eclampsia when

A seizure occurs

38 year old female reports left sided abdominal pain that radiates to the back. Vitals are 90/64, 118, 20. You should suspect?

A ruptured ectopic emergency

33 year old female was in a motor vehicle collision. She is 36 weeks pregnant. First responders have removed the patient from the vehicle and immobilized her and they cannot obtain a blood pressure. You should?

Tilt the backboard to the left immediately

5 year old is actively seizing, his respirations are slow and skin is pale. His parents say he has seized several times in the last 15 minutes without waking up. You should suspect that the?

Child is in status epilepticus and medication is required

Nausea, vomiting, vaginal discharge, irregular periods and abdominal pain are signs and symptoms of?

Pelvic inflammatory disease

What effect can excessive traction have on the umbilical cord during placental delivery?

Abruptio placenta

The cessation of menses with associated decrease of estrogen secretion is called?

Menopause

24 year old female in her second trimester of pregnancy presents with mild contractions. There is no regular pattern to the contractions, and they have not increased in intensity since they began. She denies vaginal bleeding or any other symptoms. This patient is most likely experiencing?

Braxton hicks contractions

A 20 year old female feels faint and has severe pain between her shoulder blades. Her skin is cool and clammy. Vital signs are BP 82/48, P 134, R 22, and SPO2 92%. What should you suspect?

Rupture ectopic pregnancy

A woman is 36 weeks pregnant and complaining of painless vaginal bleeding. The most likely cause is?

Placenta previa

A 4 year old male is sitting upright and drooling. He has swallowed a marble that is completely blocking his airway. What should you do?

Perform abdominal thrusts

To relieve pressure on the vena cava when transporting a pregnant patient, you should?

Place on left side

A maternal condition that occurs when the placenta separates from the uterine wall and is a cause of a pre-birth bleeding is?

Abruptio placenta

32 week pregnant female complaining of facial swelling, headache, vomiting, and experiencing visual disturbances last 12 hours. You should suspect?

Preeclampsia

35 week pregnant woman. Following scenarios most life threatening?

Hypertension and experiencing visual disturbances

One sign of respiratory distress in a neonate?

Grunting

Assess on infant. Which artery should you take for pulse?

Brachial

50 year old fell from her bicycle after hitting a bump in the road. She is now bleeding from her vagina. You should

Apply external sterile bulky dressing

If a patient presents vaginal bleeding within the first 20 weeks of pregnancy you should suspect?

Spontaneous abortion

Placenta previa occurs when the placenta...

Is abnormally positioned

Assisting home birth and baby's head just delivered. You should?

Examine for nuchal

Alert & oriented 4 year old patient has possible head injury from a fall. Vitals are P 120, R 18. How should you transport?

Fully immobilize with towels under his scapulae

Painless bright red vaginal bleeding late in the third trimester. You should suspect?

Placenta previa

Signs or symptoms of a pre delivery emergency?

Hypertension

24 year old woman presents with vaginal bleeding following sexual assault, controlling bleeding would best be done by

Placing a dressing at the vaginal opening

A patient is in labor and has a strong urge to push. The baby's head is not yet visible, but the umbilical cord is protruding, you should?

Place her in knee-chest position and transport

A pale 2 year old male turns his face away and hides when you approach. Vital signs are P 150 R 32 with audible wheezing what should you be most concerned about?

Skin color

Which signs and symptoms most suggest preeclampsia?

Hypertension and excessive water retention

The period of time during which intrauterine fetal development occurs is called?

Gestation

You are assisting a vaginal delivery and the mom is crowning. The infant's head suddenly disappears and the mother begins to complain of sharp, intense, constant abdominal pain. You should suspect?

Uterine rupture

2 year old patient has a respiratory rate of 30 breaths per minute. This is considered?

Normal