EMT FISDAP ALL LATEST EXAM TEST QUESTIONS AND
ANSWERS SURE A+
✔✔Assisting with a normal delivery - ✔✔1). There may be a gush of fluid as the
amniotic sac breaks and labor begins, as well as a bloody show — the mucous plug
covering the cervix drops away during a contraction.
2). The mother experiences intermittent contractions that become longer and more
regular.
3). Contractions become very strong as delivery begins; the cervix is now fully dilated.
4). The baby's head emerges first, face down.
5). The head drops down slightly as the next contraction occurs. Very quickly, the
shoulders pop past the pubic bone and the newborn is delivered.
6). Continue to dry and warm the newborn.
7). Note the time of birth and evaluate the newborn's APGAR score at 1 minute and 5 5
minutes after birth.
The highest score is a 10; the lowest is zero. A score of 7 or greater in the first minute is
considered normal.
Clamp and cut the newborn's umbilical cord, which is still attached.
8). Clamp the cord with the two clips supplied in the delivery kit. One clamp should be 3
to 4 inches from the newborn's body, the other about 2 to 4 inches away from the first.
9). Wrap the newborn in dry clothing or blankets, and cover the head with the cap in the
OB delivery kit.
10). If the mother intends to breast-feed her baby, encourage her to do so.
11). Prepare for the delivery of the placenta.
The placenta delivers 10 to 20 minutes after the newborn. This delivery occurs naturally.
Place the placenta into a plastic bag and bring it to the hospital.
12). Perform fundal massage after delivery to help reduce the amount of bleeding from
the uterus.
✔✔First trimester complications - ✔✔Vaginal Bleeding.
Excessive Nausea and Vomiting.
High Fever.
Vaginal Discharge and Itching.
Pain or Burning During Urination.
Leg or Calf Pain, or Swelling on One Side/ Severe Headache.
Flare-Ups of Chronic Diseases.
✔✔Identification of hyperemesis gravidarum - ✔✔may be confirmed by a thorough
clinical evaluation, detailed patient history, and the identification of characteristic
symptoms (e.g., persistent and severe nausea and vomiting, dehydration, and weight
loss).
✔✔the physiology of the placenta - ✔✔An interweaving of maternal and fetal blood
vessels
provides an exchange of nutrients (O2, nutrients, waste products) between mother and
fetus
, Uses glucose as fuel
✔✔Preventative measures for supine hypotensive syndrome - ✔✔Left lateral tilt to 15°-
30° is achieved by placing a wedge under the right hip and is used in practice for labor
and delivery as well as nonobstetric surgery in pregnant patients undergoing anesthesia
to prevent supine hypotensive syndrome.
✔✔Signs and symptoms of an ovarian cyst - ✔✔Pelvic pain.
Dull ache in the lower back and thighs.
Problems emptying the bladder or bowel completely.
Pain during sex.
Unexplained weight gain.
Pain during your period.
Unusual (not normal) vaginal bleeding.
Breast tenderness.
✔✔Signs and symptoms of imminent delivery - ✔✔Regular contractions lasting 45-60
seconds
Urge to bear down or sensation of bowel movement
Large amount of bloody show
Crowning occurs
Mother believes delivery is imminent
✔✔Signs and symptoms of pelvic inflammatory disease - ✔✔-onset is usually after
menses
-sudden pelvic pain, profuse vaginal exudate, fever, metrorrhagia
✔✔treatment of prolapsed cord - ✔✔elevate hips, administer oxygen, and keep mother
warm
keep baby's head away from cord
do not attempt to push cord back
wrap cord in sterile moist towel
transport mother to hospital, continuing pressure on baby's head
✔✔Treatment of postpartum bleeding - ✔✔Gentle massage of the uterine fundus to
encourage bleeding control and delivery of the placenta (which normally takes up to 15-
30 min) Fluid resuscitation with crystalloids, particularly if bleeding continues: This
situation should be managed like that of any patient at risk of hemorrhagic shock.
✔✔Treatment of vaginal bleeding - ✔✔the patient has active vaginal bleeding, place a
feminine pad over the vagina.
The patient in this case shows numerous signs and symptoms of shock. She is
tachycardic, hypotensive (especially when you consider she has chronic hypertension
and is not taking her medications), her skin is cool and slightly pale with delayed
capillary refill, and she experiences dizziness when she stands and walks around.
ANSWERS SURE A+
✔✔Assisting with a normal delivery - ✔✔1). There may be a gush of fluid as the
amniotic sac breaks and labor begins, as well as a bloody show — the mucous plug
covering the cervix drops away during a contraction.
2). The mother experiences intermittent contractions that become longer and more
regular.
3). Contractions become very strong as delivery begins; the cervix is now fully dilated.
4). The baby's head emerges first, face down.
5). The head drops down slightly as the next contraction occurs. Very quickly, the
shoulders pop past the pubic bone and the newborn is delivered.
6). Continue to dry and warm the newborn.
7). Note the time of birth and evaluate the newborn's APGAR score at 1 minute and 5 5
minutes after birth.
The highest score is a 10; the lowest is zero. A score of 7 or greater in the first minute is
considered normal.
Clamp and cut the newborn's umbilical cord, which is still attached.
8). Clamp the cord with the two clips supplied in the delivery kit. One clamp should be 3
to 4 inches from the newborn's body, the other about 2 to 4 inches away from the first.
9). Wrap the newborn in dry clothing or blankets, and cover the head with the cap in the
OB delivery kit.
10). If the mother intends to breast-feed her baby, encourage her to do so.
11). Prepare for the delivery of the placenta.
The placenta delivers 10 to 20 minutes after the newborn. This delivery occurs naturally.
Place the placenta into a plastic bag and bring it to the hospital.
12). Perform fundal massage after delivery to help reduce the amount of bleeding from
the uterus.
✔✔First trimester complications - ✔✔Vaginal Bleeding.
Excessive Nausea and Vomiting.
High Fever.
Vaginal Discharge and Itching.
Pain or Burning During Urination.
Leg or Calf Pain, or Swelling on One Side/ Severe Headache.
Flare-Ups of Chronic Diseases.
✔✔Identification of hyperemesis gravidarum - ✔✔may be confirmed by a thorough
clinical evaluation, detailed patient history, and the identification of characteristic
symptoms (e.g., persistent and severe nausea and vomiting, dehydration, and weight
loss).
✔✔the physiology of the placenta - ✔✔An interweaving of maternal and fetal blood
vessels
provides an exchange of nutrients (O2, nutrients, waste products) between mother and
fetus
, Uses glucose as fuel
✔✔Preventative measures for supine hypotensive syndrome - ✔✔Left lateral tilt to 15°-
30° is achieved by placing a wedge under the right hip and is used in practice for labor
and delivery as well as nonobstetric surgery in pregnant patients undergoing anesthesia
to prevent supine hypotensive syndrome.
✔✔Signs and symptoms of an ovarian cyst - ✔✔Pelvic pain.
Dull ache in the lower back and thighs.
Problems emptying the bladder or bowel completely.
Pain during sex.
Unexplained weight gain.
Pain during your period.
Unusual (not normal) vaginal bleeding.
Breast tenderness.
✔✔Signs and symptoms of imminent delivery - ✔✔Regular contractions lasting 45-60
seconds
Urge to bear down or sensation of bowel movement
Large amount of bloody show
Crowning occurs
Mother believes delivery is imminent
✔✔Signs and symptoms of pelvic inflammatory disease - ✔✔-onset is usually after
menses
-sudden pelvic pain, profuse vaginal exudate, fever, metrorrhagia
✔✔treatment of prolapsed cord - ✔✔elevate hips, administer oxygen, and keep mother
warm
keep baby's head away from cord
do not attempt to push cord back
wrap cord in sterile moist towel
transport mother to hospital, continuing pressure on baby's head
✔✔Treatment of postpartum bleeding - ✔✔Gentle massage of the uterine fundus to
encourage bleeding control and delivery of the placenta (which normally takes up to 15-
30 min) Fluid resuscitation with crystalloids, particularly if bleeding continues: This
situation should be managed like that of any patient at risk of hemorrhagic shock.
✔✔Treatment of vaginal bleeding - ✔✔the patient has active vaginal bleeding, place a
feminine pad over the vagina.
The patient in this case shows numerous signs and symptoms of shock. She is
tachycardic, hypotensive (especially when you consider she has chronic hypertension
and is not taking her medications), her skin is cool and slightly pale with delayed
capillary refill, and she experiences dizziness when she stands and walks around.
