FTECH 144 93 _ OB PEADIATRIC FIXED FISDAP All 75

Questions with Answers

1.

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

1. Normal

2. Page 1225

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

1. Pulse ox/ BP/ Cap refill/ Skin temp

2. Pg 1254

3. 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?

1. Altered mental status/cerebral hypoxia/ respiratory acidosis/ cardiac arrest

2. Pg 1240 & 1241

4. 20 year old female is pregnant for the first time with twins. What is she considered?

1. Gravida II/ Gravidarum/ primigravida

5. 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?

1. Influenza/

2. bronchitis/

3. croup/

4. epiglottitis

Page 1244

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

infant, you should?

1. Institute 2 min of CPR and then ventilate/

2. place a small towel under their shoulders/

3. open the airway with an OPA and bag every 6 seconds/

4. attach the AED and wait instructions

7. Scald injuries to a child’s lower extremity can be indicative of?

1. Abuse/

2. radiant heat/

3. accidents/

4. chemicals

Pg 1270

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

1. Administer activated charcoal/

2. transport immediately/

3. administer glucagon/

4. induce vomiting

5. Pg 1259 look at the contraindications of administering activated charcoal

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?

1. Placenta previa/

2. multiple births/

3. uterine rupture

4. transition to phase III of delivery

Google it. Not in the book

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

1. 1.5/

2. 6/

3. 5/

4. 2

Page 536

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

1. Shallow breathing/

2. *rapid heart rate/

3. pale cool and diaphoretic/

4. loss of consciousness

5. pg1254

12. Where should you apply pressure to access for uterine contractions?

1. Left and right upper quadrants/ abdomen below the navel/ abdomen above the navel/ left

and right flank

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

1. 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

2. Page 1246

14. A mother has just delivered a newborn with central cyanosis. The newborns vitals are P 82, R

30. You should?

1. Initiate active warming/ begin positive pressure ventilations/ administer blow by O2/ suction

the airway and stimulate

2. <60 CPR, 60-100 BVM, 100-120 blow-by O2, >120 OK

3. Page 1204

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

1. Abrupt rise in body temp/ life threatening infection/ temp greater than 100 fahrenheit/

inflammatory process

2. Pg 701 and 1261

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

1. *Assist ventilations via bvm/ sponge the infant with tepid water/ apply blow by 02 and trans/

perform a rapid medical assessment

2. Pg 1232

17. A 2 year old female is lethargic to respond. She has dry mucous membranes and a tearless cry.

What should you suspect?

1. Hypoxia/ hypoglycemia/ morning hypovolemia/ hypothermia

2. Dehydration

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

1. Gravidity/ gestation/ parity/ primi gravity

19. Which signs and symptoms most suggest pre eclampsia?

1. Hypertension and excessive water retention/ inability to sleep supine and acid reflux/

hypoglycemia and swollen extremities/ polyuria and postural hypotension

2. Page 1187

20. 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?

1. Heart rate/ skin color/ respiratory rate/ breath sounds

2. Page 1225

21. 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?

1. 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

2. Page 1207

22. 24 year old woman presents with vaginal bleeding following sexual assault, controlling bleeding

would best be done by

1. Packing a vaginal canal with gauze/ apply direct pressure/placing a dressing @ the vaginal

opening/ bending the patient’s legs upward

23. Signs or symptoms of a pre delivery emergency?

1. Hypertension/ Back pain/ crowning/ gush of amniotic fluid

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

1. Placenta previa/ abruptio placentae/ ectopic pregnancy/ spontaneous abortion

2. Page 1188

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

should you transport?

1. Fully immobilize with towel under his scapulae/ fully immobilize in Trendelenburg position/

secure child’s safety seat to the stretcher/ allow the patient to sit on his mother’s lap

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

1. Examine for nuchal/ guide and rotate/ turn face up and suction

27. Placenta previa occurs when the placenta..

1. Separates from the uterus/is abnormally positioned/ separates from umbilical cord/

disrupted

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

1. Abruptio placentae/ruptured uterus/ placenta previa/ Spontaneous abortion

2. Page 1188

29. 50 year old fell from her bicycle after hitting a bump in the road. She is now bleeding from her

vagina. You should

1. 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

2. Page 836

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

1. Brachial/ radial/ carotid/ femoral

31. One sign of respiratory distress in a neonate?

1. Grunting/ increased activity/ barrel chest/ tachycardia

2. Page 1232

32. 35 week pregnant woman. Following scenarios most life threatening?

1. Hypertension and experiencing visual disturbances/ fever and pain on urination/ sharp

lower abdominal pains/ contracts with mucous discharge

2. Page 1187

33. 32 week pregnant female complaining of facial swelling, headache, vomiting, and experiencing

visual disturbances last 12 hours. You should suspect?

1. Gestational diabetes/ eclampsia/ severe migraine/ pre eclampsia

2. Page 1187

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

of pre birth bleeding is?

1. Abruptio placenta/ uterine rupture/ placenta previa/ ectopic pregnancy

2. Page 1187

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

1. Place on left side/ place in recovery/ raise the patient’s legs/ place in semi fowler’s

2. Page 1187

36. 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?

1. Start chest compressions/ Perform abdominal thrusts/ provide back blows/ suction the

airway

2. Page 1243