OB-PEDS FISDAP
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
A 6 year old is shy and withdrawn. He has multiple contusions in various stages of healing. His
mother states "he fell on the playground." What should you suspect?
Sexual abuse
Emotional abuse
Neglect
Physical abuse - ANS Physical abuse
Where should you apply pressure to access for uterine contractions?
Left and right upper quadrants
abdomen below the navel
abdomen above the navel
left and right flank - ANS abdomen below the navel
A 14 year old jumped off a 4 foot wall, landing on her feet. She is complaining of tingling below
waist, lower back pain, and cramping in both feet. Vital signs are BP 106/74, P 112, and R 20. You
should
Immobilize to a long spine board
Transport in a position of comfort
Apply bilateral soft splints to lower extremities
Coach her to slow her breathing - ANS Immobilize to a long spine board
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