2026 UPDATED QUESTIONS DOWNLOAD
FISDAP EMT OB/Pediatrics Exam Prep 2024-2025 Verified Practice Questions & Detailed
Rationales | Neonatal Resuscitation, Pregnancy Complications, & Pediatric Assessment
Crush the FISDAP OB/Pediatrics exam with this comprehensive study bank featuring 300
high-yield practice questions and detailed, italicized rationales designed for the 2024-2025
testing cycle. This guide provides deep-dive coverage of critical emergency scenarios,
including APGAR scoring, placenta previa vs. abruptio placentae, and pediatric respiratory
emergencies like croup and epiglottitis. Master the "Pediatric Assessment Triangle" and
neonatal resuscitation algorithms with questions formatted to mimic the actual FISDAP and
NREMT style for maximum recall.
Which of the following is the most reliable indicator of a pediatric patient’s
perfusion?
A) Systolic blood pressure
B) Heart rate
C) Skin color, temperature, and capillary refill
D) Respiratory rate
Answer: C
Rationale: Children compensate for shock by shunting blood to the core; therefore, skin
signs (mottling, coolness, delayed refill) appear long before the blood pressure drops.
A newborn has a heart rate of 84 beats/min. What is the priority intervention?
A) Start chest compressions
B) Provide positive pressure ventilations (BVM)
C) Administer blow-by oxygen
D) Perform a vigorous back rub
Answer: B
Rationale: In neonatal resuscitation, if the HR is <100 bpm, you must immediately assist
ventilations with a BVM. Compressions only begin if the HR falls below 60 bpm.
A 3-year-old is sitting in a tripod position, drooling, and has a high fever. You
suspect:
A) Croup
B) Asthma
C) Epiglottitis
D) Bronchiolitis
Answer: C
Rationale: The "3 Ds" (Drooling, Dysphagia, Distress) and a high fever are classic for
,2026 UPDATED QUESTIONS DOWNLOAD
epiglottitis. Do not agitate the child or look in the mouth, as it can cause a total airway
obstruction.
While delivering a baby, you notice the umbilical cord is wrapped tightly around the
neck. You should:
A) Clamp and cut the cord immediately
B) Gently slip the cord over the baby’s head
C) Instruct the mother to push harder
D) Suction the baby’s nose then mouth
Answer: B
Rationale: This is a nuchal cord. Your first attempt should be to slip it over the head. If it
is too tight to move, then you must clamp and cut it to allow delivery to proceed.
A 24-year-old female is 36 weeks pregnant and reports painless, bright red vaginal
bleeding. This is likely:
A) Abruptio placentae
B) Placenta previa
C) Ectopic pregnancy
D) Preeclampsia
Answer: B
Rationale: Placenta previa is characterized by painless, bright red bleeding. Abruption
usually involves dark red, painful bleeding and a rigid abdomen.
In the Pediatric Assessment Triangle (PAT), "Appearance" evaluates which of the
following?
A) Work of breathing
B) Skin mottling
C) Mental status and muscle tone
D) Blood pressure
Answer: C
Rationale: Appearance (TICLS) assesses the "brain" portion of the triangle—tone,
interactiveness, and consolability—to determine if the child is "sick" or "not sick."
A child has a seal-bark cough and a low-grade fever. What is the correct treatment?
A) Albuterol nebulizer
B) High-flow oxygen and cool mist (if available)
C) Abdominal thrusts
D) Blind finger sweep
Answer: B
Rationale: Croup is a viral upper-airway swelling. Humidified or cool air helps reduce the
subglottic edema.
,2026 UPDATED QUESTIONS DOWNLOAD
A pregnant patient in her third trimester feels faint when lying flat on her back. What
is the cause?
A) Gestational diabetes
B) Supine hypotensive syndrome
C) Preeclampsia
D) Braxton-Hicks contractions
Answer: B
Rationale: The heavy uterus compresses the inferior vena cava, reducing blood return
to the heart. Transport these patients on their left side.
You are assessing a newborn at 1 minute after birth. HR is 110, cry is strong,
extremities are flexed, baby grimaces when suctioned, and the body is pink with
blue hands. What is the APGAR?
A) 7
B) 8
/C) 9
D) 10
Answer: C
Rationale: Pulse (2), Resp (2), Grimace (2), Activity (2), Appearance (1 for
acrocyanosis). Total = 9.
What is the correct compression-to-ventilation ratio for 2-rescuer infant CPR?
A) 3:1
B) 5:1
C) 15:2
D) 30:2
Answer: C
Rationale: For infants and children, the 2-rescuer ratio is 15:2. The 3:1 ratio is only used
for neonatal resuscitation in the first minutes of life.
A pediatric patient is in "decompensated shock" when:
A) They are tachycardic
B) Their skin is cool and clammy
C) Their blood pressure drops (hypotension)
D) They are crying inconsolably
Answer: C
Rationale: Children are masters of compensation. Once their blood pressure drops, they
have exhausted their compensatory mechanisms and are near cardiac arrest.
A prolapsed umbilical cord is best managed by:
A) Pushing the cord back into the vagina
, 2026 UPDATED QUESTIONS DOWNLOAD
B) Clamping and cutting the cord
C) Positioning the mother head-down/hips-up and pushing the baby's head off the cord
D) Pulling on the cord to speed up delivery
Answer: C
Rationale: This is a surgical emergency. You must prevent the baby's head from
compressing the cord to maintain fetal oxygenation.
Which stage of labor begins with full cervical dilation and ends with the delivery of
the baby?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
Answer: B
Rationale: Stage 1 is dilation; Stage 2 is expulsion (delivery); Stage 3 is the delivery of
the placenta.
What is the most common cause of cardiac arrest in infants and children?
A) Congenital heart defects
B) Respiratory failure
C) Drug overdose
D) Commotio cordis
Answer: B
Rationale: Unlike adults (who usually have primary cardiac issues), children usually stop
breathing first, which then leads to cardiac arrest.
A 2-year-old child has swallowed a coin. He is coughing forcefully and crying. You
should:
A) Perform back blows
B) Perform abdominal thrusts
C) Encourage him to cough and transport
D) Perform a blind finger sweep
Answer: C
Rationale: If the patient is coughing or speaking, the airway is only partially obstructed.
Intervention could turn it into a total obstruction.
Meconium staining in the amniotic fluid indicates:
A) A healthy, full-term baby
B) Fetal distress and potential for aspiration
C) Maternal infection
D) Placenta previa
FISDAP EMT OB/Pediatrics Exam Prep 2024-2025 Verified Practice Questions & Detailed
Rationales | Neonatal Resuscitation, Pregnancy Complications, & Pediatric Assessment
Crush the FISDAP OB/Pediatrics exam with this comprehensive study bank featuring 300
high-yield practice questions and detailed, italicized rationales designed for the 2024-2025
testing cycle. This guide provides deep-dive coverage of critical emergency scenarios,
including APGAR scoring, placenta previa vs. abruptio placentae, and pediatric respiratory
emergencies like croup and epiglottitis. Master the "Pediatric Assessment Triangle" and
neonatal resuscitation algorithms with questions formatted to mimic the actual FISDAP and
NREMT style for maximum recall.
Which of the following is the most reliable indicator of a pediatric patient’s
perfusion?
A) Systolic blood pressure
B) Heart rate
C) Skin color, temperature, and capillary refill
D) Respiratory rate
Answer: C
Rationale: Children compensate for shock by shunting blood to the core; therefore, skin
signs (mottling, coolness, delayed refill) appear long before the blood pressure drops.
A newborn has a heart rate of 84 beats/min. What is the priority intervention?
A) Start chest compressions
B) Provide positive pressure ventilations (BVM)
C) Administer blow-by oxygen
D) Perform a vigorous back rub
Answer: B
Rationale: In neonatal resuscitation, if the HR is <100 bpm, you must immediately assist
ventilations with a BVM. Compressions only begin if the HR falls below 60 bpm.
A 3-year-old is sitting in a tripod position, drooling, and has a high fever. You
suspect:
A) Croup
B) Asthma
C) Epiglottitis
D) Bronchiolitis
Answer: C
Rationale: The "3 Ds" (Drooling, Dysphagia, Distress) and a high fever are classic for
,2026 UPDATED QUESTIONS DOWNLOAD
epiglottitis. Do not agitate the child or look in the mouth, as it can cause a total airway
obstruction.
While delivering a baby, you notice the umbilical cord is wrapped tightly around the
neck. You should:
A) Clamp and cut the cord immediately
B) Gently slip the cord over the baby’s head
C) Instruct the mother to push harder
D) Suction the baby’s nose then mouth
Answer: B
Rationale: This is a nuchal cord. Your first attempt should be to slip it over the head. If it
is too tight to move, then you must clamp and cut it to allow delivery to proceed.
A 24-year-old female is 36 weeks pregnant and reports painless, bright red vaginal
bleeding. This is likely:
A) Abruptio placentae
B) Placenta previa
C) Ectopic pregnancy
D) Preeclampsia
Answer: B
Rationale: Placenta previa is characterized by painless, bright red bleeding. Abruption
usually involves dark red, painful bleeding and a rigid abdomen.
In the Pediatric Assessment Triangle (PAT), "Appearance" evaluates which of the
following?
A) Work of breathing
B) Skin mottling
C) Mental status and muscle tone
D) Blood pressure
Answer: C
Rationale: Appearance (TICLS) assesses the "brain" portion of the triangle—tone,
interactiveness, and consolability—to determine if the child is "sick" or "not sick."
A child has a seal-bark cough and a low-grade fever. What is the correct treatment?
A) Albuterol nebulizer
B) High-flow oxygen and cool mist (if available)
C) Abdominal thrusts
D) Blind finger sweep
Answer: B
Rationale: Croup is a viral upper-airway swelling. Humidified or cool air helps reduce the
subglottic edema.
,2026 UPDATED QUESTIONS DOWNLOAD
A pregnant patient in her third trimester feels faint when lying flat on her back. What
is the cause?
A) Gestational diabetes
B) Supine hypotensive syndrome
C) Preeclampsia
D) Braxton-Hicks contractions
Answer: B
Rationale: The heavy uterus compresses the inferior vena cava, reducing blood return
to the heart. Transport these patients on their left side.
You are assessing a newborn at 1 minute after birth. HR is 110, cry is strong,
extremities are flexed, baby grimaces when suctioned, and the body is pink with
blue hands. What is the APGAR?
A) 7
B) 8
/C) 9
D) 10
Answer: C
Rationale: Pulse (2), Resp (2), Grimace (2), Activity (2), Appearance (1 for
acrocyanosis). Total = 9.
What is the correct compression-to-ventilation ratio for 2-rescuer infant CPR?
A) 3:1
B) 5:1
C) 15:2
D) 30:2
Answer: C
Rationale: For infants and children, the 2-rescuer ratio is 15:2. The 3:1 ratio is only used
for neonatal resuscitation in the first minutes of life.
A pediatric patient is in "decompensated shock" when:
A) They are tachycardic
B) Their skin is cool and clammy
C) Their blood pressure drops (hypotension)
D) They are crying inconsolably
Answer: C
Rationale: Children are masters of compensation. Once their blood pressure drops, they
have exhausted their compensatory mechanisms and are near cardiac arrest.
A prolapsed umbilical cord is best managed by:
A) Pushing the cord back into the vagina
, 2026 UPDATED QUESTIONS DOWNLOAD
B) Clamping and cutting the cord
C) Positioning the mother head-down/hips-up and pushing the baby's head off the cord
D) Pulling on the cord to speed up delivery
Answer: C
Rationale: This is a surgical emergency. You must prevent the baby's head from
compressing the cord to maintain fetal oxygenation.
Which stage of labor begins with full cervical dilation and ends with the delivery of
the baby?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
Answer: B
Rationale: Stage 1 is dilation; Stage 2 is expulsion (delivery); Stage 3 is the delivery of
the placenta.
What is the most common cause of cardiac arrest in infants and children?
A) Congenital heart defects
B) Respiratory failure
C) Drug overdose
D) Commotio cordis
Answer: B
Rationale: Unlike adults (who usually have primary cardiac issues), children usually stop
breathing first, which then leads to cardiac arrest.
A 2-year-old child has swallowed a coin. He is coughing forcefully and crying. You
should:
A) Perform back blows
B) Perform abdominal thrusts
C) Encourage him to cough and transport
D) Perform a blind finger sweep
Answer: C
Rationale: If the patient is coughing or speaking, the airway is only partially obstructed.
Intervention could turn it into a total obstruction.
Meconium staining in the amniotic fluid indicates:
A) A healthy, full-term baby
B) Fetal distress and potential for aspiration
C) Maternal infection
D) Placenta previa
