OB/PEDIATRIC FISDAP Exam Containing 75 Questions with Definitive Solutions 2024-2025, Exams of Nursing

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OB/PEDIATRIC FISDAP Exam Containing

75 Questions with Definitive Solutions

2024-2025.

(Dark Back Ground for better Visibility and eye Care) which of the following are classic signs of preeclampsia? - Answer: hypertension, proteinuria, and visions changes

Braxton-hicks’ contractions - Answer: occur in the second trimester and are false labor. a 4-year-old male slammed his right hand in a door. His index finger is completely severed, and his middle finger is hanging by flap of skin. What should you do? - Answer: apply a dressing over the partially amputated finger what size endotracheal tubes is generally used when orally intubating a full-term newborn? - Answer: 3:0-3.5 mm tube A restrained 23 years old pregnant female in her third semester, was involved in a head-on motor vehicle collision. She is complaining of abdominal pain. Initials vitals sign B\P 110/70, P90, and R20. After rapid extrication and spinal immobilization via long spine board. Her vital signs B/P 90/40, P110, and R28. What is the most likely explanation for her changes in vital signs? - Answer: supine hypotension syndrome A ten-year-old patient stops talking and stares straight ahead. He is unresponsive for about 15 seconds. Which of the following conditions is most likely? - Answer: petit mal seizure absent Seizure a newborn has just delivered. He is limp and apneic. What should you do? - Answer: dry him and suction the airway as needed

a 22-year-old female, primigravida, with no prenatal care, has just delivered a healthy baby, now she begins to have forceful contractions and to push. Additional amniotic fluid expelled. You should - Answer: rapid transport to the patient and neonate A 23-year-old pregnant female is in her third trimester. She complains of painless, bright red vaginal bleeding. What should you do? - Answer: prepare for transport and obtain IV access a mother tells you her four-year-old boy has had cold-like symptoms for several days and now has developed trouble breathing and a barking cough. You should - Answer: administer nebulized epinephrine how many and what types of blood vessels are in the umbilical cord? - Answer: two arteries and one vein a unresponsive two months old infant has had a runny nose, slight fever, diarrhea, and decreased appetite for the past three days. The child whimpers to painful stimuli, is breathing 50R, has a weak brachial P180, and his fontanelle is sunken. You should suspect. - Answer: dehydration an unresponsive 4-month female has had diarrhea for 3 days. She has sunken anterior fontanelle and skin tenting. Vitals signs are P188, R46, capillary refill 5 seconds. What should you do? - Answer: Administer 20 mL/kg saline bolus

A 24-year-old female in her second trimester is complaining of bright red vaginal bleeding without pain. What should you suspect? - Answer: placenta previa a 6-year-old states that he tripped and hurt his arm. He has marked edema of the right upper extremity and bruises in various stages of healing on his child's cheek and neck. what should you do? - Answer: report detail findings to the hospital a 27-year-old female in her 8th month pregnancy complains of ankle swelling. Vitals signs are BP 100/70, P90, R20. At this stage of pregnancy, what do these vital signs indicate? - Answer: natural changes a pregnant patient is experiencing contractions. Upon examination, you notice the infant head's bulging from the perineum and the patient has an urge to push. What stage of labor is - Answer: second a 31-year-old female complains of heavy vaginal bleeding and generalized weakness. She is conscious and alert. Visit signs 85/P and P120 weak. After applying 100% oxygen, you should - Answer: place absorbent dressings over the vaginal and administer isotonic crystalloid to maintain perfusion A 24 years old female primipara, 8 weeks gestation, is describing right lower quadrant abdominal pain, periumbilical pain, and fever. Her knees are drawn to her chest, and her pain increases when she jarred. Vital signs are BP120/76, P100, R20. What is the most likely cause - Answer: Appendicitis

a history of pelvic inflammatory diseases the risk of what pregnancy related complication? - Answer: Ectopic pregnancy a 20 year old female complains of diffuse, lower quadrant abdominal pain. When questioned, she indicated having multiple sex partners. She also complains of fever, chills, nausea and vomiting over the last 12 hours and foul-smelling vaginal discharge. - Answer: Pelvic inflammatory disease a 24 year old female just given birth to a newborn. What sign indicates imminent delivery? - Answer: loss of the mucus plug what is the most common way a newborn loses heat? - Answer: evaporation a patient is 9 months pregnant and entrapped in a vehicle. She is in tremendous pain from obvious bilateral femur fractures. Vital signs are B/P 80/62, P130, R24. You have minimal access to her. To address her pain, you should? - Answer: administer Valium a 26 year old female is in labor with her first child. When you access for crowning you see a foot presenting. You are 15 minutes from the nearest hospital. What should you do? - Answer: reassure the mother and Have her breath during contractions which patient is experiencing the most normal breathing? - Answer: A two week old with belly breathing

during transport of a mother and her recent newborn to the hospital, the mother complains of sudden onset of difficulty breathing and excruciatingly sharp chest pain. She becomes unresponsive, has noted jugular venous distension, and is hypotension, you should suspect - Answer: pulmonary embolism a 5 year old female has been sick with low grade fever for the past 2 days. Her irritability increases with movement, and she had a 30 second seizure prior to EMS arrival. What should you suspect? - Answer: febrile seizure the second stage of lab\or concludes when - Answer: the baby is delivered five minutes after delivery, a baby has strong cry, peripheral mottling, active movement of arms and legs, and pulse of 140. The APGAR score is - Answer: 9 A toddler pulled a pot of boiling water from the stove on herself, sustaining partial thickness burns to her chest, abdomen and the anterior surfaces of both legs. What percentage of body surface area is involved? - Answer: 32 a 6 year old fell out of a tree. He is now lethargic and complaining of abdominal pain. His belly is rigid and distended. You should suspect - Answer: lacerated liver a 25 year old female is 32 weeks pregnant with profound facial edema. She fell and complained of left hip pain with an externally rotated and shortened left leg.

Vitals signs are BP 162/104, P129, R20. What should you do? - Answer: place the patient on her right side and monitor vital signs a 29-year-old female in her third trimester is bleeding vaginally. She is G3P1 and has lost approximately 750 mL of blood prior to your arrival. She denies any pain. You suspect - Answer: placenta previa a four-year-old male complains of rapid onset sore throat and muffled speech. Respirations are rapid and non-labored. You should - Answer: place the child in a position of comfort and provide humidified oxygen when evaluating a woman in labor, who is gravies 5 and para 4, you should - Answer: expect a relatively short second stage of labor A 6-month-old male was found lying face down in the crib. He is cyanotic and apneic; a weak brachial pulse is present. You are unable to see a chest rise with your second attempt at rescue breathing after repositioning the head. What should you do? - Answer: start CPR a 40 year old full-term multipara pregnant is in labor with crowning. You should - Answer: deliver the baby on scene and transport before the delivery of the placenta

A 33 LB child is experiencing fever, malaise, poor appetite, and vomiting. Capillary refill is 4 seconds and he has tachycardia. You should administer - Answer: 300 mL of crystalloid a six year old female is lethargic to respond and presents with dyspnea, respiration 34, palpable peripheral pulses. She has a history of upper respiratory infection(URI). You should - Answer: transport her as high priority patient because of anatomical differences, which laryngoscope blade is preferred for intubating infants and children? - Answer: straight a five year old child ingested an undetermined amount of amitriptyline sometime in the last hour. Your treatment should include - Answer: ECG monitoring with rapid transport an APGAR calculation at the 1-minute post delivery mark is an 8. What does this indicate? - Answer: active and vigorous newborn over vigorous massaging of the fundus post-delivery can result in - Answer: inverted uterus you are working during inclement weather in a remote location. The nearest hospital is more than two hours away. Your patient just delivered a healthy baby boy but has inverted her uterus. What order should you expect from an online physician? - Answer: replace the inverted uterus with a gloved hand

a 29 year old female in her third trimester is bleeding vaginally. She is G3P1 and has lost approximately 750mL of blood prior to your arrival. She denies any pain. You suspect - Answer: placenta previa a five year old has a sudden onset of high fever and now complains of a sore throat and pain on swallowing. His voice is muffled and he is drooling. You should suspect. - Answer: epiglottis A 40 year old multipara pregnant female is in labor with crowning. You should - Answer: deliver the baby on scene and transport before the delivery of the placenta a six year old female is lethargic to respond and presents with dyspnea, respiration 34, rapid palpable peripheral pulses. She has a history of upper respiratory infection (URI). You should - Answer: transport her as high priority patient A one year old patient has fever and a cough that sounds like a bark. He has a temperature 101 degrees and is experiencing increased shortness of breath and intercostal muscles retractions. You should administer - Answer: racemic epinephrine 0.5 with NS via nebulizer

a pregnant patient is experiencing contractions. Upon examination, you notice that the infant's head is bulging from the perineum and the patient has the urge to push. What stage of labor is this? - Answer: second a 6 month old male was found lying face down in the crib. He is cyanotic and apneic; a weak brachial pulse is present. You are unable to see a chest rise with your second attempt at rescue breathing after repositioning the head. What should you do? - Answer: start CPR a 22 old female, who is 36 weeks pregnant, is experiencing abdominal discomfort. During evaluation, you notice the umbilical cord is presenting from the vaginal canal. How should the patient be positioned? - Answer: Knee chest position successfully intubation of a newborn is assisted by placing padding under the - Answer: shoulders a 22 year old pregnant woman experiences a significant amount of painless, bright, red bleeding shortly after sexual intercourse. The most likely cause is - Answer: placenta previa management of all newborns includes - Answer: prevention of heat loss, open the airway, and evaluation of the infant.

a 2 year old male has been ill for several days with respiratory track infection. Yesterday he developed a severe headache, high fever and extreme lethargy. You should suspect - Answer: meningitis a six year old female has suffered blunt trauma to her right upper quadrant. She responds to painful stimuli and her vital signs are BP 50/30, P132, and R32. The organ likely involved is the - Answer: liver a 38 year old female is 34 weeks pregnant, experience a sudden sharp tearing pain in her abdomen and develops a rigid abdomen. What should you suspect? - Answer: Abruptio placentae you are assisting with a vaginal delivery. The infant's head has been delivered, the mouth and nose suctioned to deliver the anterior shoulder - Answer: gently guide on the infant's head downward you are dispatched to a playground for a patient with difficulty breathing. Upon arrival you find a 5 years old who appears anxious with noted circumoral cyanosis and intercostal retraction. Vitals signs are BP86/P, P150, and R46. You should suspect? - Answer: anaphylaxis A six years old female has suffered blunt trauma to her right open quadrant. She respond to painful stimuli. Vital signs are BP 50/30 pulse 132 and respiratioun 32. She is most likely suffering from - Answer: hypovolemic shock

a restrained 23 year old pregnant female in her third trimester was involved in a head-on motor vehicle collision. She complains of abdominal pain. Initial vitals signs are BP 110/70, P90, R20. After rapid extrication and spinal immobilization via long spine, board, her vitals signs are BP 90/40, P110, R28. What is the most likely explanation for her change in vitals? - Answer: supine hypotension syndrome a seven year old is having difficulty breathing. He is lethargic with central cyanosis and poor muscle tone. Vital signs are P70, and R10. You should suspect respiratory

• Answer: arrest Braxton-Hicks contractions - Answer: occur in the second trimester and are False labor a one year old child has been ill with multiple episodes of emesis and diarrhea. Assessment shows a lethargic 35 pounds child who has mottled skin, dry mucous membranes, capillary refill >2 seconds and P220. After securing the airway, providing high concentration oxygen and establishing an IV, you should - Answer: give a 320cc fluid bolus a seven month old is breathing at a rate of 60 breaths/min, has nasal flaring, and intercostal retractions. You hear stridorous noises on inspiration. This is most likely caused by a/an - Answer: bronchospasms associated with asthma

a three year old female has suffered burns to both her hands after grabbing a hot exhaust pipe. The injured areas show charred, dark brown and white patches of skin with little pain. Those burns should be considered - Answer: critical a seven year old is having difficulty breathing. He is lethargic with central cyanosis and poor muscle tone. Vitals signs are P70 and R10, you should suspect respiratory - Answer: failure an 11 year old male has been skateboarding in 100 degree temperatures and has been drinking caffeinated soft drinks. He complains of palpitations. The cardiac monitor displays a narrow-QRS tachycardia at a rate of 160 beats/minute. Vitals signs are BP110/60, P160, R20. What should you do? - Answer: transport the patient by ambulance, monitor closely, and administer fluids en route a 50 pound child is unresponsive, pulseless l, and apneic. The cardiac monitor displays ventricular fibrillation. CPR is in process. The initial defibrillation should be at, - Answer: 50 joules a 3 month old infant who weight 6kg has an history of congenital of heart disease. Vitals sign are R60, the ECG show a narrow complex tachycardia at a rate of 240 beats/minute, cyanotic, nailbeds and SPO2 88%. What should you administer? - Answer: 30 mg amiodorine, IV push the terminal of pregnancy for maternal health reasons is called a/an - Answer: therapeutic abortion

a 22 year old female, who is 36 weeks pregnant, is experiencing abdominal discomfort. During evaluation, you note the umbilical cord is presenting from the virginal canal. How should the patient be positioned - Answer: knee chest position a 19 year old female is 25 weeks pregnant. She has severe headaches, blurred vision and edema. She has not regularly seen a physical during her pregnancy. What other symptoms should you expect - Answer: hypertension