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Exam (elaborations)

OB PEADIATRIC FIXED FISDAP.

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OB PEADIATRIC FIXED FISDAP - QUESTIONS AND ANSWERS.

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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



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, 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


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