Sir name
1
OB/Pediatric EMT FISDAP Exam 2026–2027 | 200+
Verified Questions & Detailed Rationales | A+ Study Guide
1. A 28-year-old woman at 38 weeks gestation presents with bright red vaginal
bleeding and no pain. What is the most likely cause?
Answer:
Placenta previa.
Rationale:
Painless bright red bleeding in the third trimester is classic for placenta previa. Avoid vaginal
exams to prevent further hemorrhage.
2. A 32-week pregnant woman reports severe abdominal pain, rigid uterus,
and vaginal bleeding. Fetal heart tones are absent. What is the likely
diagnosis?
Answer:
Placental abruption.
Rationale:
Painful third-trimester bleeding with uterine rigidity and absent fetal heart tones indicates
placental abruption, an obstetric emergency.
3. During delivery, a newborn’s head delivers but shoulders are stuck. What is
the immediate maneuver?
Answer:
McRoberts maneuver (hyperflex maternal hips and apply suprapubic pressure).
Rationale:
Shoulder dystocia is an emergency; McRoberts maneuver increases pelvic diameter and relieves
obstruction.
, Sir name
1
4. A 6-year-old with fever, drooling, and inspiratory stridor is sitting upright
and leaning forward. What is the priority action?
Answer:
Provide oxygen and prepare for airway management; avoid tongue depressor exam.
Rationale:
Classic signs of epiglottitis; airway compromise can be fatal. Do not attempt visualization in the
field.
5. A 7-month-old infant presents with choking, cyanosis, and no cough after
swallowing a small object. What is the first step?
Answer:
Perform back blows and chest thrusts if unresponsive to encourage airway clearance.
Rationale:
Infant (<1 year) choking requires back blows and chest thrusts, not abdominal thrusts. Call for
ALS backup if needed.
6. A 15-year-old pregnant patient at 20 weeks gestation complains of lower
abdominal pain and vaginal spotting. What is a key differential to rule out?
Answer:
Ectopic pregnancy.
Rationale:
Although less common at 20 weeks, ectopic pregnancy is life-threatening; early evaluation with
ultrasound and vitals is crucial.
, Sir name
1
7. A newborn has a heart rate of 75 bpm and is not breathing. What is the
first step in resuscitation?
Answer:
Begin positive pressure ventilation (PPV).
Rationale:
Heart rate <100 bpm in a newborn requires immediate PPV per Neonatal Resuscitation Program
guidelines.
8. During a pediatric seizure, the child becomes cyanotic and rigid. What is
the priority?
Answer:
Ensure airway patency and provide oxygen; protect from injury.
Rationale:
Seizure management focuses on airway, breathing, and preventing trauma; do not restrain.
9. A 34-week gestation patient presents with painless, bright red vaginal
bleeding. Vital signs stable. What is your field management?
Answer:
Place patient in left lateral recumbent position, administer oxygen if needed, and transport
rapidly.
Rationale:
Painless third-trimester bleeding is likely placenta previa. Lateral positioning improves
uteroplacental perfusion.
10. A 3-year-old presents with a sudden onset of wheezing and coughing after
exposure to peanuts. What is the first intervention?
Answer:
Administer epinephrine IM immediately.
, Sir name
1
Rationale:
Anaphylaxis in pediatric patients requires prompt IM epinephrine. Support airway, breathing,
and circulation.
11. A newborn presents with a heart rate of 85 bpm after drying and
stimulation. What is the next step?
Answer:
Begin positive pressure ventilation (PPV).
Rationale:
Heart rate <100 bpm after initial stimulation requires ventilation per NRP guidelines.
12. A 16-year-old at 34 weeks gestation reports severe abdominal pain, rigid
uterus, and no fetal movement. Vital signs unstable. What is the priority?
Answer:
Immediate rapid transport for suspected placental abruption.
Rationale:
Placental abruption is life-threatening for mother and fetus; rapid transport is critical.
13. During delivery, a newborn’s head delivers, but the nuchal cord is tight
around the neck. What is the correct procedure?
Answer:
Gently slip the cord over the baby’s head; if not possible, clamp and cut.
Rationale:
Nuchal cord management prevents hypoxia; clamping is last resort if cord cannot be loosened.
1
OB/Pediatric EMT FISDAP Exam 2026–2027 | 200+
Verified Questions & Detailed Rationales | A+ Study Guide
1. A 28-year-old woman at 38 weeks gestation presents with bright red vaginal
bleeding and no pain. What is the most likely cause?
Answer:
Placenta previa.
Rationale:
Painless bright red bleeding in the third trimester is classic for placenta previa. Avoid vaginal
exams to prevent further hemorrhage.
2. A 32-week pregnant woman reports severe abdominal pain, rigid uterus,
and vaginal bleeding. Fetal heart tones are absent. What is the likely
diagnosis?
Answer:
Placental abruption.
Rationale:
Painful third-trimester bleeding with uterine rigidity and absent fetal heart tones indicates
placental abruption, an obstetric emergency.
3. During delivery, a newborn’s head delivers but shoulders are stuck. What is
the immediate maneuver?
Answer:
McRoberts maneuver (hyperflex maternal hips and apply suprapubic pressure).
Rationale:
Shoulder dystocia is an emergency; McRoberts maneuver increases pelvic diameter and relieves
obstruction.
, Sir name
1
4. A 6-year-old with fever, drooling, and inspiratory stridor is sitting upright
and leaning forward. What is the priority action?
Answer:
Provide oxygen and prepare for airway management; avoid tongue depressor exam.
Rationale:
Classic signs of epiglottitis; airway compromise can be fatal. Do not attempt visualization in the
field.
5. A 7-month-old infant presents with choking, cyanosis, and no cough after
swallowing a small object. What is the first step?
Answer:
Perform back blows and chest thrusts if unresponsive to encourage airway clearance.
Rationale:
Infant (<1 year) choking requires back blows and chest thrusts, not abdominal thrusts. Call for
ALS backup if needed.
6. A 15-year-old pregnant patient at 20 weeks gestation complains of lower
abdominal pain and vaginal spotting. What is a key differential to rule out?
Answer:
Ectopic pregnancy.
Rationale:
Although less common at 20 weeks, ectopic pregnancy is life-threatening; early evaluation with
ultrasound and vitals is crucial.
, Sir name
1
7. A newborn has a heart rate of 75 bpm and is not breathing. What is the
first step in resuscitation?
Answer:
Begin positive pressure ventilation (PPV).
Rationale:
Heart rate <100 bpm in a newborn requires immediate PPV per Neonatal Resuscitation Program
guidelines.
8. During a pediatric seizure, the child becomes cyanotic and rigid. What is
the priority?
Answer:
Ensure airway patency and provide oxygen; protect from injury.
Rationale:
Seizure management focuses on airway, breathing, and preventing trauma; do not restrain.
9. A 34-week gestation patient presents with painless, bright red vaginal
bleeding. Vital signs stable. What is your field management?
Answer:
Place patient in left lateral recumbent position, administer oxygen if needed, and transport
rapidly.
Rationale:
Painless third-trimester bleeding is likely placenta previa. Lateral positioning improves
uteroplacental perfusion.
10. A 3-year-old presents with a sudden onset of wheezing and coughing after
exposure to peanuts. What is the first intervention?
Answer:
Administer epinephrine IM immediately.
, Sir name
1
Rationale:
Anaphylaxis in pediatric patients requires prompt IM epinephrine. Support airway, breathing,
and circulation.
11. A newborn presents with a heart rate of 85 bpm after drying and
stimulation. What is the next step?
Answer:
Begin positive pressure ventilation (PPV).
Rationale:
Heart rate <100 bpm after initial stimulation requires ventilation per NRP guidelines.
12. A 16-year-old at 34 weeks gestation reports severe abdominal pain, rigid
uterus, and no fetal movement. Vital signs unstable. What is the priority?
Answer:
Immediate rapid transport for suspected placental abruption.
Rationale:
Placental abruption is life-threatening for mother and fetus; rapid transport is critical.
13. During delivery, a newborn’s head delivers, but the nuchal cord is tight
around the neck. What is the correct procedure?
Answer:
Gently slip the cord over the baby’s head; if not possible, clamp and cut.
Rationale:
Nuchal cord management prevents hypoxia; clamping is last resort if cord cannot be loosened.
