OB FISDAP
1. 2 yo pt has a resp rate of 30 breaths per minute. This is considered?
o Too fast/ inadequate/normal/too slow
Reason: Normal 24-40
2. When assessing distal circulatory function in a 3 yo, a reliable indic
...
OB FISDAP
1. 2 yo pt has a resp rate of 30 breaths per minute. This is considered?
o Too fast/ inadequate/normal/too slow
Reason: Normal 24-40
2. When assessing distal circulatory function in a 3 yo, a reliable indicator is?
o Pulse ox/ BP/ Cap refill/ skin temp
Reason: Circulation cap refill and pulse
3. Neonatal 2 week old F is dyspneic and lethargic to respond. Vitals are P 58, R 4 and irregular.
What should you be concerned about?
o Altered mental status/cerebral hypoxia/ respiratory acidosis/ cardiac arrest
Reason: Low respiratory
4. 20 yo F is pregnant for the first time with twins. What is she considered?
o Gravida II/ Gravidarum/ primigravida
5. 2 yo is restless, irritable, and febrile with a distinct cough. The parent states that the child is
calmer in a steam shower. You should suspect?
o Influenza/ bronchitis/ croup/ epiglottitis
Reason: Steam helps reduce inflammation of croup symptoms
6. You are treating a 3 month old, apneic patient with a pulse of 110. In preparing to ventilate this
infant, you should?
o Institute 2 min of CPR and then ventilate/ place a small towel under their
shoulders/ open the airway with an OPA and bag every 6 seconds/ attach the
AED and wait instructions
Reason: Slight elevation for airway to be open, head is bigger than body
7. Scald injuries to a child’s lower extremity can be indicative of?
o Abuse/ radiant heat/ accidents/ chemicals
Reason: pg 1269/1270
8. 3 yo drank some drain cleaner. It would be most helpful to?
o Administer activated charcoal/ transport immediately/ administer glucagon/
induce vomiting
9. 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?
o Placenta previa/ multiple births/ uterine rupture/ transition to phase III of
delivery
Reason: Look up definition online, only one that makes sense
10. In centimeters what is the correct depth of chest compressions for a 7 year old child?
o 1.5/ 6/ 5/ 2
11. Which of the following indicates decompensated shock in a pediatric patient?
o Shallow breathing/ rapid heart rate/ pale cool and diaphoretic/ loss of
consciousness
Reason: Low blood pressure can knock you out Pg. 1254
12. Where should you apply pressure to access for uterine contractions?above
the navel/ left and right flank
Reason: Nurse Sue taught us, Pg.
13. What is the proper way to size an OPA for a child?
o 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
Reason: Same for all ages
14. A mother has just delivered a newborn with central cyanosis. The newborns vitals are P 82,
R 30. You should?
o Initiate active warming/ begin positive pressure ventilations/ administer blow
by O2/ suction the airway and stimulate
Reason: To help assist with breathing and to warm the child
15. Febrile seizures in children are most often the result of a/an
o Abrupt rise in body temp/ life threatening infection/ temp greater than 100
Fahrenheit/ inflammatory process
Reason: sudden rise causes febrile Pg. 1260
16. A 6 month old is febrile, cyanotic, and grunting with labored breathing. You should?
o Assist ventilations via bvm/ sponge the infant with tepid water/ apply blow
by 02 and transport/ perform a rapid medical assessment
Reason: you don’t want that baby on your hands, pg. 1206 if central saturation
17. A 2 yo F is lethargic to response. She has dry mucous membranes and a tearless cry. What
should you suspect?
o Hypoxia/ hypoglycemia/ hypovolemia/ hypothermia
18. The period of time during which intrauterine fetal development occurs is called?
o Gravidity/ gestation/ parity/ primi gravity
19. Which signs and symptoms most suggest pre eclampsia?
o Hypertension and excessive water retention/ inability to sleep supine and
acid reflux/ hypoglycemia and swollen extremities/ polyuria and postural
hypotension
20. A pale 2yo male turns his face away and hides when you approach. VS are p150 R 32 w/
audible wheezing what should you most be concerned about?
o Heart rate/ skin color/ respiratory rate/ breath sounds
Reason: Pulse is normally 60-140, ABC
21. A pt 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?
o Clamp the cord in 2 places and cut between them/place her in knee-chest
position and transport/cover the cord with a dry sterile dressing/encourage her
to bear down and push
22. 24 yo woman presents with vaginal bleeding following sexual assault, controlling bleeding
would best be done by
o Packing a vaginal canal with gauze/ apply direct pressure/placing a dressing
o Hypertension/ Back pain/ crowning/ gush of amniotic fluid
24. Painless bright red vag bleeding late in third trimester. You should suspect?
o Placenta previa/ abruptio placentae/ ectopic pregnancy/ spontaneous abortion
25. A & O 4 yo pt has possible head injury from fall. Vitals are P 120, R 18. How should you
trans?
o Fully immobilize with towel under his scapulae/ fully immobilize in
Trendelenburg position/ secure child’s safety seat to the stretcher/ allow the pt
to sit on his mother’s lap
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