OB/PEDIATRIC EMT FISDAP | EXAM GUIDE
QUESTIONS WITH 100% CORRECT ANSWERS
You will know that the third stage of labor has begun when: Correct Answer: the entire baby has delivered
First stage: onset of contractions and ends when the cervix is fully dilated. As the first stage of labor pr...
OB/PEDIATRIC EMT FISDAP | EXAM GUIDE
QUESTIONS WITH 100% CORRECT ANSWERS You will know that the third stage of labor has begun when: Correct Answer: the entire baby has delivered First stage: onset of contractions and ends when the cervix is fully dilated. As the
first stage of labor progresses, the mother's contractions become more frequent and regular. The second stage being with full cervical dilation and ends when the baby is completely delivered. The THIRD stage begins with the birth of the baby and ends when the placenta has delivered)
Following the initial steps of resuscitation, a newborn remains apnea and cyanotic. You should: Correct Answer: begin ventilations with a bag-mask device
(Initial steps of newborn resuscitation include drying, warming, positioning, suctioning, and tactile stimulation). If the newborn remains apnea after the initial steps of resuscitation or heart rate is less than 100 beats/min, you should begin positive pressure ventilation (PPV) with a bag-mask device at a rate of 40 to 60 breaths/min.
Signs and symptoms of pelvic inflammatory disease include: Correct Answer: generalized lower abdominal pain, nausea, and fever
You are dispatched to a residence for a 4-year-old girl who is sick. Your assessment reveals that she has increased work of breathing and is making a high-pitched sound during inhalation. Her mother tells you that she has been running a high fever for the past 24 hours. Your MOST immediate concern should be: Correct Answer: assessing the need for ventilation assistance. (child probably has croup, laryngotracheobronchitis, viral upper airway infection. A 9-month-old infant presents with a cough, runny nose, and respiratory distress. A whoop wound is heard during inhalation. What should you suspect? Correct Answer: pertussis
(pertussis is also known as whopping cough that presents with symptoms of coughing, sneezing and a runny nose. As the disease progresses the cough is characterized by a distinct whoop sound heard during inhalation).
You are caring for a 6-year-old child with a possible fractured arm and have reason to believe that the child was abused. What should you do? Correct Answer: advise the parents that the child needs to be transported.
A 3-year-old girl is unresponsive and has slow, shallow breathing. Her heart rate is 65 beats/min and her skin is cyanotic. Her caregiver advises that the child ingested an unknown quantity of her narcotic painkillers. What should you do? Correct Answer: ventilate with a bag-mask device at 20 breath/min.
(the initial treatment for an opioid overdose, regardless of the patient's age, is to optimize ventilation and oxygenation. For the child, provide 20 to 30 breath/min.
The purpose of the pediatric assessment triangle is to: Correct Answer: form a general impression of the child without touching him or her.
Which of the following assessment finding would you expect to encounter in a newly born infant? Correct Answer: cyanosis to the hands and feet
(immediately following birth, and possibly for up to 12 to 24 hours, cyanosis to the hands and feet is a common finding. Heart rate should be greater than 100 beats/min and apnea beyond 30 seconds is not normal.)
Following delivery of a newborn, the 21-year-old mother is experiencing mild vaginal bleeding. You note that her heart rate has increased from 90 to 120 beats/min and she is diaphoretic. Treatment should include: Correct Answer: treating for shock and performing uterine massage during transport
(Blood loss up to 500mL within the first 24 hours after delivery is considered normal and
usually is well tolerated by the mother. Placing the mother on her left side is appropriate
before she delivers (and if she is to in shock) and prevents supine hypotensive syndrome.)
You are assessing a 5-year-old boy with major trauma. His blood pressure is 70/40 mmHg and his pulse rate is 140 beats/min and weak. The child's blood pressure: Correct Answer: indicates decompensated shock
A woman who is 34 weeks' pregnant is in cardiac arrest. During the resuscitation attempt, you should: Correct Answer: manually displace the uterus toward the left (this relieves pressure from the inferior vena cava and facilitates blood return to the heart)
The MAIN reason why small children should ride in the backseat of a vehicle is because: Correct Answer: they can experience severe injury or death if the air bag deploys
A 29-year-old woman, who is 38 weeks' pregnant, presents with heavy vaginal bleeding,
a blood pressure of 70/50 mmHg, and a heart rate of 130 beats/min. She is pale and diaphoretic, and denies abdominal cramping or pain. What should you suspect? Correct
Answer: placenta previa
(Placenta previa is a condition in which the placenta develops over and covers some or all of the cervix. As the cervix dilates, the vasculature that attaches the placenta to the uterine wall tears, resulting in vaginal bleeding that is often severe enough to cause shock. By contrast, abrupt placenta is a condition in which the placenta prematurely separates from the uterine wall, is characterized by tearing abdominal pain, heavy vaginal bleeding, and shock)
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