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FISDAP OB-PEDS Exam 2022 Question and Answer

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FISDAP OB-PEDS Exam 2022 Question and Answer A 2 year old female is lethargic to respond. She has dry mucous membranes and a tearless cry. What should you suspect? • Hypoxia • hypoglycemia •... hypovolemia • hypothermia • Dehydration ANS – hypovolemia 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 ANS - Begin positive pressure ventilations A 6 month old is febrile, cyanotic, and grunting with labored breathing. You should? • Assist ventilations via bvm • sponge the infant with tepid water • apply blow by 02 and trans • perform a rapid medical assessment ANS - apply blow by 02 and trans 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 ANS - Ensure the airway is patent and clear of obstructions Febrile seizures in children are most often the result of a/an • Abrupt rise in body temp • life threatening infection • Temp greater than 100 Fahrenheit • inflammatory process ANS - Abrupt rise in body temp 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 ANS - Minimal external signs with serious internal injury A mother has just delivered a newborn with central cyanosis. The newborns vitals are P 82, R 30. You should? • Initiate active warming • begin positive pressure ventilations • administer blow by O2 • suction the airway and stimulate ANS - 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, 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 ANS - Left lateral recumbent with knees bent What is the proper way to size an OPA for a child? • Tip of the nose to the corner of the mouth • corner of mouth to the angle of the mandible • the length of the index finger of the child • middle of the mouth to the ear lobe ANS - corner of mouth to the angle of the mandible [Show More]

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