OBPEDIATRIC EMT FISDAP 2023-2024

OB/PEDIATRIC EMT FISDAP 2023-2024

LATEST EXAM 200+ QUESTIONS AND

CORRECT ANSWERS (VERIFIED

ANSWERS)|AGRADE

Following delivery of a full-term baby, you have properly cared for the baby and clamped and cut the umbilical cord. During transport, you note that the mother is

experiencing moderate vaginal bleeding. You should:

• firmly massage the uterine fundus with a circular motion
• elevate her legs 6-8 inches and cover her with a blanket
• carefully insert a sterile trauma dressing into her vagina
• place her legs together and position her on her left side - ANSWER- A) firmly

massage the uterine fundus with a circular motion

When determining the frequency of contractions, you should time the contractions

from the:

• end of one to the start of the next
• start of one to the start of the next
• end of one to the end of the next
• start of one to the end of the next - ANSWER- B) start of one to the start of the

next

If a baby is born at 7:52, the second Apgar score should be calculated at:

A) 7:57

B) 8:00

C) 7:59

D) 7:53 - ANSWER- A) 7:57

A nuchal cord is defined as an umbilical cord that:

• is lacerated due to traumatic delivery
• has separated from the placenta
• is wrapped around the baby's neck
• has abnormally developed blood vessels - ANSWER- C) is wrapped around the

baby's neck

When preparing a pregnant patient for delivery, you should position her: 1 / 4

• on her left side with the right leg elevated
• in a sitting position with her hips elevated 12 inches
• in a supine position with her legs elevated
• on a firm surface with her hips elevated 2 to 4 inches - ANSWER- D) on a firm

surface with her hips elevated 2 to 4 inches

A mother who is pregnant with her first baby is typically in the first stage of labor

for approximately:

• 16 hours
• 10 hours
• 4 hours
• 8 hours - ANSWER- A) 16 hours

The amniotic fluid serves to:

• assist in fetal development
• remove viruses from the fetus
• transfer oxygen to the fetus
• insulate and protect the fetus - ANSWER- D) insulate and protect the fetus

The presence of meconium in the amniotic fluid indicates:

• that the fetus is at least 4 weeks premature
• that full newborn resuscitation will be needed
• that the baby's airway may be obstructed
• an expected finding in full-term infants - ANSWER- C) that the baby's airway

may be obstructed

A 26 y/o female who is 34 weeks pregnant is experiencing a seizure. Her husband tells you that her blood pressure has been high and that she has been complaining

of a headache for the past few days. You should:

• insert an OPA and ventilate with a BVM
• elevate her legs to improve brain perfusion and keep her warm
• administer oral glucose for presumed hypoglycemia and transport
• place her on her side, administer high-flow oxygen, and transport - ANSWER-
• place her on her side, administer high-flow oxygen, and transport

You and your partner are both male and are attending to a 28 y/o female patient complaining of diffuse abdominal pain. The patient is 34 weeks pregnant with her first child. The patient refuses to allow you to examine her, and her husband informs you that their culture does not allow males to examine or care for pregnant

women. You should: 2 / 4

• inform the patient that by calling for an ambulance, she is agreeing to the care

provided and continue with your assessment and management

• respect the patient's wishes, ensure that the appropriate documentation is

provided, and transport the patient

• insist that the patient requires proper care and that requires adequate physical

assessment and that you cannot be responsible for the outcome

• call for the police to ensure the patient assessment is carried out - ANSWER-
• respect the patient's wishes, ensure that the appropriate documentation is

provided, and transport the patient

Common interventions used to stimulate spontaneous respirations in the newborn

include all of the following EXCEPT:

• suctioning of the upper airway
• some form of tactile stimulation
• positive-pressure ventilations
• thorough drying with a towel - ANSWER- C) positive-pressure ventilations

A history of PID or tubal ligations increases a woman's risk for:

• an ectopic pregnancy
• gestational DM
• pre-eclampsia
• placenta previa - ANSWER- A) an ectopic pregnancy

Which of the following questions is of LEAST pertinence when determining whether a mother will deliver her baby within the next few minutes?

• "Do you feel the need to push?"
• "Is this your first baby?"
• "When are you due?"
• "Have you had a sonogram?" - ANSWER- D) "Have you had a sonogram?"

Your 22 y/o patient is in active labor. Upon visual inspection, you note that the infant's leg is protruding from the vagina. Appropriate management of this

situation includes:

• gently pulling on the infant's leg in an attempt to facilitate delivery
• carefully attempting to push the infant's leg off of the umbilical cord
• placing the mother supine with her head down and pelvis elevated
• placing the mother in a recumbent position and rapidly transporting -

ANSWER- C) placing the mother supine with her head down and pelvis elevated

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You are attending to a 23 y/o female patient who is 16 weeks pregnant with her second child. The patient has apparently fallen and sustained an injury to her upper right arm. When you ask about the incident history, the patient is reluctant to explain what happened and becomes very quiet. Based on this information, you

should:

• immediately remove the patient from the environment and transport
• continue your care in a private area, document any details regarding the scene

of the incident, and reassure her as you provide care

• ask more detailed questions and press the issue until you have a more detailed

understanding of the incident

• contact police and remain at the scene until they arrive and escort you to the

hospital - ANSWER- B) continue your care in a private area, document any details regarding the scene of the incident, and reassure her as you provide care

By the 20th week of pregnancy, the uterus is typically at or above the level of the

mother's:

• belly button
• superior diaphragm
• xiphoid process
• pubic bone - ANSWER- A) belly button

During your visual inspection of a 25 y/o woman in labor, you see the baby's head crowning at the vaginal opening. What should you do?

• maintain firm pressure on the head until it completely delivers
• tell the mother not to push and transport her immediately
• place your fingers in the vagina to assess for a nuchal cord
• apply gentle pressure to the baby's head as it delivers - ANSWER- D) apply

gentle pressure to the baby's head as it delivers

Three days after delivering a baby, a 30 y/o woman complains of sudden onset SOB. Her level of consciousness is decreased and she is tachycardic. The EMT

should suspect:

• intrauterine bleeding
• acute pulmonary edema
• PE
• spontaneous PTX - ANSWER- C) PE

A pregnant trauma patient may lose a significant amount of blood before showing

signs of shock because:

• pregnant patients have an overall increase in blood volume
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