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OB-PEDS FISDAP*/75 QUESTIONS AND
ANSWERS (A+)
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 - √Answer :hypovolemia Quiz :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: Continue to provide stimulation by flicking the soles of her feet Begin positive pressure ventilations - √Answer :Begin positive pressure ventilations Quiz :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 - √Answer :apply blow by 02 and trans Quiz :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 - √Answer :Ensure the airway is patent and clear of obstructions Quiz :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 - √Answer :Abrupt rise in body temp Quiz :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 - √Answer :Minimal external signs with serious internal injury
Quiz :A 6 year old is shy and withdrawn.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 - √Answer :Physical abuse Quiz :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 - √Answer :abdomen below the navel Quiz :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 - √Answer :Immobilize to a long spine board Quiz :Which of the following indicates decompensated shock in a pediatric patient?
Shallow breathing rapid heart rate pale cool and diaphoretic loss of consciousness - √Answer :loss of consciousness Quiz :A 3 year old is unresponsive and apneic on the floor of a restaurant. He was choking, turned blue, and collapsed. What should you do? Begin chest compressions Perform a blind finger sweep Give 5 abdominal thrusts Give 5 back blows - √Answer :Begin chest compressions Quiz :In centimeters what is the correct depth of chest compressions for a 7 year old child?
6 5 2 - √Answer : Quiz :What is the proper method for suctioning a newborn's airway with a bulb syringe? Squeeze after placing the bulb syringe in the nose Squeeze before placing the bulb syringe in the nose Squeeze after placing the bulb syringe in the mouth
Begin chest compressions Continue to dry and warm the newborn Administer oxygen via blow-by Provide ventilatory assistance - √Answer :Provide ventilatory assistance Quiz :You are treating a 3 month old, apneic patient with a pulse of 110. In preparing to ventilate this infant, you should? 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 - √Answer :place a small towel under their shoulders Quiz :Normal response for a healthy 9 month old infant. Gaze follows parents pays no attention to you when entering ribs clearly visible upon inspiration extremities feel cool to the touch - √Answer :Gaze follows parents Quiz :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? Influenza bronchitis croup epiglottis - √Answer :croup
Quiz :13 month old lying supine in crib, crying. Fever of 104.5, rash on body and some spots are purple. You should? Transport put on surgical mask open airway apply high-flow oxygen - √Answer :put on surgical mask Quiz :20 year old female is pregnant for the first time with twins. What is she considered? Gravida I| Gravidarum primigravida - √Answer :primigravida Quiz :Initiate CPR on infant if heart rate is less than? - √Answer : Quiz :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? Altered mental status cerebral hypoxia respiratory acidosis cardiac arrest - √Answer :cardiac arrest Quiz :During assessment of a crying infant, you discover a sunken fontanelle. Your next question should be?
asthma attack - √Answer :Epiglottitis Quiz :3 year old child involved in a motor vehicle collision needs to be secured on an adult backboard. You should? Secure the feet first, then the torso secure the head first, then the torso place padding under the child's head place padding under the child's torso - √Answer :place padding under the child's torso Quiz :When inserting an OPA in a child you should? Hold the tongue in position Use tongue depressor - √Answer :Hold the tongue in position Quiz :Pediatric airways differ from adult airways in that Trachea is more rigid child's tongue takes up less space oral airways devices cannot be used on children all structures are smaller and can be more easily obstructed - √Answer :all structures are smaller and can be more easily obstructed Quiz :10 year old patient was injured while skating, upon assessment you note a visible deformity of the forearm. The fingers are pale and cool without a palpable pulse. You should apply? A rigid splint
gentle manual traction a cold pack and rapid transport significant traction until pulse returns - √Answer :gentle manual traction Quiz :7 year old presents with a pencil in his left cheek, you should? Remove the pencil stabilize the pencil check for airway patency control bleeding - √Answer :check for airway patency Quiz :37 week pregnant woman with tearing abdominal pain and weak, vitals are 90/60, 140, and 26 with pale, cool, diaphoretic skin, you should suspect? Supine hypotensive syndrome imminent delivery abruptio placentae placenta previa - √Answer :abruptio placentae Quiz :Which may indicate that a fetus was in distress before delivery? Presence of a greenish material in the amniotic fluid meconium - √Answer :meconium Quiz :A 2 year old child presents with a fever, lethargy, and screaming upon neck flexion. You should suspect?
Quiz :Shortly after delivery, a mother experiences dyspnea and becomes hypotensive. No excessive bleeding is noted and the uterus seems firm. You should suspect? Abruptio placenta pulmonary embolism post delivery trauma uterine rupture - √Answer :pulmonary embolism Quiz :Compared to adults in shock, pediatric patients? Stay in compensated shock longer do not require treatment as quickly are less likely to become hypovolemic become hypertensive sooner - √Answer :Stay in compensated shock longer Quiz :Pre- eclampsia becomes eclampsia when A seizure occurs constant hyperten occurs systolic above 170 third trimester begins - √Answer :A seizure occurs Quiz :38 year old female reports left sided abdominal pain that radiates to the back. Vitals are 90/64, 118, 20. You should suspect? Pelvic inflammatory disease kidney stones
a ruptured ectopic emergency cholecystitis - √Answer :a ruptured ectopic emergency Quiz :33 year old female was in a motor vehicle collision. She is 36 weeks pregnant. First responders have removed the patient from the vehicle and immobilized her and they cannot obtain a blood pressure. You should? Load and go to the nearest trauma center tilt the backboard to the left immediately loosen the backboard straps as soon as possible apply oxygen and call for helicopter transport - √Answer :tilt the backboard to the left immediately Quiz :5 year old is actively seizing, his respirations are slow and skin is pale. His parents say he had seized several times in the last 15 minutes without waking up. You should suspect that the? Seizure is about to end and you should wait to treat him child will become postictal and will regain consciousness child is in status epilepticus and medication is required child is in diabetic ketoacidosis and medication is required - √Answer :child is in status epilepticus and medication is required Quiz :Nausea, vomiting, vaginal discharge, irregular periods and abdominal pain are signs and symptoms of? Pelvic inflammatory disease ruptured ectopic pregnancy endometriosis
Quiz :A 20 year old female feels faint and has severe pain between her shoulder blades. Her skin is cool and clammy. Vital signs are BP 82/48, P 134, R 22, and SPO2 92%. What should you suspect? Sexual transmitted infection spontaneous abortion pelvic inflammatory disease rupture ectopic pregnancy - √Answer :rupture ectopic pregnancy Quiz :A woman is 36 weeks pregnant and complaining of painless vaginal bleeding. The most likely cause is? Abruptio placenta placenta previa spontaneous abortion bloody show - √Answer :placenta previa Quiz :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? Start chest compressions perform abdominal thrusts provide back blows suction the airway - √Answer :perform abdominal thrusts Quiz :To relieve pressure on the vena cava when transporting a pregnant patient, you should? Place on left side
place in recovery raise the patient's legs place in semi fowler's - √Answer :Place on left side Quiz :A maternal condition that occurs when the placenta separates from the uterine wall and is a cause of pre birth bleeding is? Abruptio placenta uterine rupture placenta previa ectopic pregnancy - √Answer :Abruptio placenta Quiz :32 week pregnant female complaining of facial swelling, headache, vomiting, and experiencing visual disturbances last 12 hours. You should suspect? Gestational diabetes eclampsia severe migraine pre eclampsia - √Answer :pre eclampsia Quiz :35 week pregnant woman. Following scenarios most life threatening? Hypertension and experiencing visual disturbances fever and pain on urination sharp lower abdominal pains contracts with mucous discharge - √Answer :Hypertension and experiencing visual disturbances
ruptured uterus placenta previa Spontaneous abortion - √Answer :Spontaneous abortion Quiz :Placenta previa occurs when the placenta.. Separates from the uterus is abnormally positioned separates from umbilical cord disrupted - √Answer :is abnormally positioned Quiz :Assisting a home birth and baby's head just delivered. You should? Examine for nuchal guide and rotate turn face up and suction - √Answer :Examine for nuchal Quiz :Alert & oriented 4 year old patient has possible head injury from a fall. Vitals are P 120, R 18. How should you transport? 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 - √Answer :Fully immobilize with towel under his scapulae Quiz :Painless bright red vaginal bleeding late in the third trimester. You should suspect?
Placenta previa abruptio placentae ectopic pregnancy spontaneous abortion - √Answer :Placenta previa Quiz :Signs or symptoms of a pre delivery emergency? Hypertension Back pain crowning gush of amniotic fluid - √Answer :Hypertension Quiz :24 year old woman presents with vaginal bleeding following sexual assault, controlling bleeding would best be done by Packing a vaginal canal with gauze apply direct pressure placing a dressing @ the vaginal opening bending the patient's legs upward - √Answer :placing a dressing @ the vaginal opening Quiz :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? 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
