OB/PEDs FISDAP

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

A) Too fast

B) Inadequate

C)normal

D)too slow

C) Normal

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

A) Pulse ox

B) BP

C) Cap refill

D) Skin temp

C) Cap Refill

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

A) Altered mental status

B) cerebral hypoxia

C) respiratory acidosis

D) cardiac arrest

D) Cardiac Arrest

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

A) Gravida II

B) Gravidarum

C) Primigravida

C) Primigravida

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?

A) Influenza

B) Bronchitis

C) Croup

D) Epiglottitis

C) Croup

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

A) Institute 2 min of CPR and then ventilate

B) place a small towel under their shoulders

C) open the airway with an OPA and bag every 6 seconds

D) attach the AED and wait instructions

B) place a small towel under their shoulders

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

A) Abuse

B) Radiant heat

C) accidents

D) chemicals

A) Abuse

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

A) Administer activated charcoal

B) transport immediately

C) administer glucagon

D) induce vomiting

B) transport immediately

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?

A) Placenta previa

B) multiple births

C) Uterine Rupture

D) transition to phase III of delivery

C) Uterine Rupture

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

A) 1.5

B) 6

C) 5

D) 2

C) 5

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

A) Shallow breathing

B) *rapid heart rate

C) pale cool and diaphoretic

D) loss of consciousness

D) loss of consciousness

Where should you apply pressure to access for uterine contractions?

A) Left and right upper quadrants

B) abdomen below the navel

C) abdomen above the navel

D) left and right flan

C) abdomen above the navel

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

A) Tip of the nose to the corner of the mouth

B) corner of mouth to the angle of the mandible

C) the length of the index finger of the child

D) middle of the mouth to the ear lobe

B) corner of mouth to the angle of the mandible

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

A) Initiate active warming

B) begin positive pressure ventilations

C) administer blow by O2

D) suction the airway and stimulate

B) begin positive pressure ventilations

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

A) Abrupt rise in body temp

B) life threatening infection

C) temp greater than 100 fahrenheit

D) inflammatory process

A) Abrupt rise in body temp

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

A) *Assist ventilations via bvm

B) sponge the infant with tepid water

C) apply blow by 02 and trans

D) perform a rapid medical assessment

C) apply blow by 02 and trans

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

A) Hypoxia

B) hypoglycemia

C) morning hypovolemia

D) hypothermia

C) morning hypovolemia

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

A) Gravidity

B) Gestation

C) Parity

D) Primi gravity

B) Gestation

Which signs and symptoms most suggest pre eclampsia?

A) Hypertension and excessive water retention

B) Inability to sleep supine and acid reflux

C) Hypoglycemia and swollen extremities

D) Polyuria and postural hypotension

A) Hypertension and excessive water retention

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?

A) Heart rate

B) skin color

C) respiratory rate

D) breath sounds

D) breath sounds

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?

A) Clamp the cord in 2 places and cut between them

B) place her in knee-chest position and transport

C) cover the cord with a dry sterile dressing

D) encourage her to bear down and push

B) place her in knee-chest position and transport

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

A) Packing a vaginal canal with gauze

B) Apply direct pressure

C) Placing a dressing @ the vaginal opening

D) Bending the patient's legs upward

C) Placing a dressing @ the vaginal opening

Signs or symptoms of a pre delivery emergency?

A) Hypertension

B) Back pain

C) crowning

D) gush of amniotic fluid

A) Hypertension

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

A) placenta previa

B) abruptio placentae

C) ectopic pregnancy

D) spontaneous abortion

A) placenta previa

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

A) Fully immobilize with towel under his scapulae

B) fully immobilize in Trendelenburg position

C) secure child's safety seat to the stretcher

D) allow the patient to sit on his mother's lap

A) Fully immobilize with towel under his scapulae

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

A) Examine for nuchal

B) guide and rotate

C) turn face up and suction

A) Examine for nuchal

Placenta previa occurs when the placenta..

A) Separates from the uterus

B) is abnormally positioned

C) separates from umbilical cord

D) disrupted

B) is abnormally positioned

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

Abruptio placenta

ruptured uterus

placenta previa

Spontaneous abortion

D) Spontaneous abortion

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

vagina. You should

Gently pack the vagina with sterile dressing

transport the patient with legs elevated

transport patient in the left lateral recumbent

apply external sterile bulky dressing

apply external sterile bulky dressing

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

Brachial

radial

carotid

femoral

Brachial

One sign of respiratory distress in a neonate?

Grunting

increased activity

barrel chest

tachycardia

Grunting

35 week pregnant woman. Following scenarios most life threatening?

A) Hypertension and experiencing visual disturbances

B) fever and pain on urination

C) sharp lower abdominal pain

D) contracts with mucous discharge

A) Hypertension and experiencing visual disturbances

32 week pregnant female complaining of facial swelling, headache, vomiting, and experiencing

visual disturbances last 12 hours. You should suspect?

Gestational diabetes

eclampsia

severe migraine

pre eclampsia

pre eclampsia

A maternal condition that occurs when the placenta separates from the uterine wall and is a cause

of pre birth bleeding is?

Abruptio placenta

uterine rupture

placenta previa

ectopic pregnancy

Abruptio placenta

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

Place on left side

place in recovery

raise the patient's legs

place in semi fowler's

Place on left side

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?

Start chest compressions

perform abdominal thrusts

provide back blows

suction the airway

perform abdominal thrustss

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

is?

Abruptio placenta

placenta previa

spontaneous abortion

bloody show

placenta previa

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?

Sexual transmitted infection

spontaneous abortion

pelvic inflammatory disease

rupture ectopic pregnancy

rupture ectopic pregnancy

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

premature labor

placenta previa

threatened abortion

Braxton Hicks contractions

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

Menopause

menarche

myometrium

mitted schmerz

Menopause

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

Uterine rupture

umbilical bleeding

abruptio placentae

uterine rupture

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

of?

Pelvic inflammatory disease

ruptured ectopic pregnancy

endometriosis

cystitis

Pelvic inflammatory disease

5 year old is actively seizing, his respirations are slow and skin is pale. His parents say he had

seized several times in the last 15 minutes without waking up. You should suspect that the?

A) Seizure is about to end and you should wait to treat him

B) child will become postictal and will

regain consciousness

C) child is in status epilepticus and medication is required

D) child is in diabetic ketoacidosis and medication is required

child is in status epilepticus and medication is required

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?

A) Load and go to the nearest trauma center

B) tilt the backboard to the left immediately

C) loosen the backboard straps as soon as possible

D) apply oxygen and call for helicopter transport

tilt the backboard to the left immediately

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

20. You should suspect?

Pelvic inflammatory disease

kidney stones

ruptured ectopic emergency

cholecystitis

a ruptured ectopic emergency

Compared to adults in shock, pediatric patients?

Stay in compensated shock longer

do not require treatment as quickly

are less likely to become hypovolemic

become hypertensive sooner

Stay in compensated shock longer

Shortly after delivery, a mother experiences dyspnea and becomes hypotensive. No excessive

bleeding is noted and the uterus seems firm. You should suspect?

Abruptio placenta

pulmonary embolism

post delivery trauma

uterine rupture

pulmonary embolism

Pre- eclampsia becomes eclampsia when

A seizure occurs

constant hyperten occurs

systolic above 170

third trimester begins

A seizure occurs

A child is postictal. You should?

Note length of seizure

administer blow by o2

ensure open airway

protect patient from injury

ensure open airway

With pediatric patient, your assessment should begin?

At first sight

after you intro yourself

after parents consent

at first contact

At first sight

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

Insert OPA

examine the upper airway for white spots

place the child in a supine position

give o2 and transport immediately

give o2 and transport immediately

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

suspect?

Meningitis

influenza

febrile seizure

ear infection

Meningitis

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

Presence of a greenish material in the amniotic fluid, meconium(dark green substance

forming the first feces of a newborn infant)

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?

Supine hypotensive syndrome

imminent delivery

abruptio placentae

placenta previa

abruptio placentae

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

Remove the pencil

stabilize the pencil

check for airway patency

control bleeding

check for airway patency

10 year old patient was injured while skating, upon assessment you note a visible deformity of the

forearm. The fingers are pale and cool without a palpable pulse. You should apply?

A rigid splint

gentle manual traction

a cold pack and rapid transport

significant traction until pulse returns

gentle manual traction

Pediatric airways differ from adult airways in that

Trachea is more rigid

child's tongue takes up less space

oral airways devices cannot be used on children

all structures are smaller and can be more easily obstructed

all structures are smaller and can be more easily obstructed

When inserting an OPA in a child you should?

Hold the tongue in position

Use tongue depressor

Hold the tongue in position

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

You should?

Secure the feet first, then the torso

secure the head first, then the torso

place padding under the child's head

place padding under the child's torso

place padding under the child's torso

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 temp. you should suspect?

Epiglottitis

croup

hyperthermia

asthma attack

Epiglottitis

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 EMS

tell your neighbor that he is sleeping soundly

check on the baby again in a few hours

recommend that your neighbor call the pediatrician

Call for EMS

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

be?

Birth defects

fallen recently

how many wet diapers has the baby produced

how many wet diapers has the baby produced

Initiate CPR on infant if heart rate is less than?

60

60

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

should?

Transport

put on surgical mask

open airway

apply high-flow oxygen

put on surgical mask

Normal response for a healthy 9 month old infant.

Gaze follows parents

pays no attention to you when entering

ribs clearly visible upon inspiration

extremities feel cool to the touch

Gaze follows parents

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?

a. Begin chest compressions

b. Continue to dry and warm the newborn

c. Administer oxygen via blow-by

d. Provide ventilatory assistance

d. Provide ventilatory assistance

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

a. Neck cord

b. Nuchal cord

c. Circumferential cord

d. Prolapsed cord

b. Nuchal cord

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

a. Squeeze after placing the bulb syringe in the nose

b. Squeeze before placing the bulb syringe in the nose

c. Squeeze after placing the bulb syringe in the mouth

d. Squeeze before placing the bulb syringe in the mouth

d. Squeeze before placing the bulb syringe in the mouth

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?

a. Begin chest compressions

b. Perform a blind finger sweep

c. Give 5 abdominal thrusts

d. Give 5 back blows

a. Begin chest compressions

A 14 year old jumped off a 4 foot wall, landing on her feet. She is complaining of tingling below waist,

lower back pain, and cramping in both feet. Vital signs are BP 106/74, P 112, and R 20. You should

a. Immobilize to a long spine board

b. Transport in a position of comfort

c. Apply bilateral soft splints to lower extremities

d. Coach her to slow her breathing

a. Immobilize to a long spine board

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?

a. Sexual abuse

b. Emotional abuse

c. Neglect

d. Physical abuse

d. Physical abuse

You have just delivered a baby girl who remains cyanotic and is not responding to stimulation and

oxygen therapy. Heart rate is 90. You should

● Attempt suctioning and contact medical control

● Perform chest compressions at 15:2

● Continue to provide stimulation by flicking the soles of her feet

● Begin positive pressure ventilations

● Begin positive pressure ventilations

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

● Routinely suction the mouth to remove oral secretions

● Insert and OPA or an NPA

● Ensure that his or her head is in a hyperextended position

● Ensure the airway is patent and clear of obstructions

● Ensure the airway is patent and clear of obstructions

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

● Good chest rise with no diaphragmatic breathing

● Minimal external signs with serious internal injury

● Multi rib fractures due to fragile bone structure

● Dark ecchymosis around the umbilical area

● Minimal external signs with serious internal injury

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, P 116 R 24, skin

cool and dry, How should you position her?

● In Fowler's position on the stretcher

● Semi Fowlers with knees bent

● Left lateral recumbent with knees bent

● Supine with a pillow under her knees

● Left lateral recumbent with knees bent