FISDAP OBGYN / PEDIATRICS &
OBSTETRICS/GYNECOLOGY EXAM PRACTICE 49
QUESTIONS WITH VERIFIED AND COMPLETE
SOLUTIONS ANSWERS/A+GRADE
In which position should a 36 week pregnant female be transported? - ANSWER: Left
lateral recumbent
An 18 year old female is crying and complains of being sexually assaulted. She has
dry blood on her face and hands. She wants to use the bathroom and wash off the
dry blood. What should you do? - ANSWER: Comfort her and wrap her in a blanket
A 21 year old woman is in labor. She is lying flat on her back and the newborn's head
has already delivered. What should you do? - ANSWER: Make sure the cord is not
wrapped around the neck
After assisting a 36 year old female with the delivery of a healthy newborn baby, she
continues to bleed heavily. What should you do? - ANSWER: Massage her uterus
over the lower abdomen
Which is the term for an umbilical cord that is wrapped around an infant's neck? -
ANSWER: nuchal
A 36 year old female attempted to have an at home birth. Her midwife called EMS
because she has been in labor for 26 hours. The baby's buttocks is presenting and
the fetus has not descended. What should you do? - ANSWER: Assess for a prolapsed
cord.
A 25 year old female is gravid 5 para 4. She is sitting in a bathtub and has the urge to
push. Her due date is tomorrow. She tells you that her water broke and the fluid was
green. What should you do? - ANSWER: Prepare for delivery.
A 22 year old female is supine in bed and complains of abdominal pain that radiates
to her right flank. The pain started 4 days ago but now it is "unbearable." She is
febrile and jaundiced. Vital signs are BP 84/50, P 124, R 22 and labored. What should
you do? - ANSWER: Obtain IV access.
A 28 year old female is in active labor. The umbilical cord is protruding from the
vagina. What should you do? - ANSWER: Insert a gloved hand into the vagina.
When should you suction the infant's mouth and nose? - ANSWER: when they are
lethargic and meconium staining is present
A 22 year old female complains of general weakness with persistent nausea and
vomiting. This is the first trimester and her first pregnancy. Vital signs are BP 94/52 P
, 104, R 18, blood glucose analysis 64 mg/dL. What should you suspect? - ANSWER:
Hyperemesis gravidarum
What is the most important question to ask when obtaining a patient history from a
pregnant patient who is having contractions in her third trimester? - ANSWER: Is this
your first pregnancy?
A 19 year old female is 37 weeks pregnant. Her boyfriend assaulted her with a pool
cue and she complains of vaginal bleeding. Her abdomen is extremely tender with
periumbilical ecchymosis. What should you suspect? - ANSWER: Uterine rupture
A 19 year old female complains of lower abdominal pain with purulent vaginal
discharge. She has had a fever for 2 days accompanied with general malaise. What
should you suspect? - ANSWER: Pelvic inflammatory disease
A 29 year old female is 33 weeks pregnant. She complains of strong contractions and
a foot is presenting. What should you do? - ANSWER: Place her on her left side, have
her breathe through contractions and transport rapidly.
You have just assisted in delivery of a newborn girl. She has a strong cry and has
peripheral cyanosis. What should you do? - ANSWER: Dry the her vigorously with a
towel.
How does placenta previa typically present? - ANSWER: Painless bright red bleeding.
A 23 year old female had a "normal home delivery" yesterday. Today she is anxious
and has significant vaginal bleeding. She is pale with cool, moist skin. Vital signs are
BP 90/70, P 110, R 22. What should you do? - ANSWER: Apply high-flow oxygen and
transport rapidly while obtaining IV access.
A 40 year old female is gravida 3 para 2 and 37 weeks gestation. She complains of a
sudden onset of painful vaginal bleeding. Vital signs are BP 102/60, P 100, R 24.
What should you do? - ANSWER: Apply high-flow oxygen by non-rebreather mask.
While delivering a newborn, you notice the umbilical cord is loosely wrapped around
the neck. What should you do? - ANSWER: Attempt to slide the cord over the head.
What is a sign or symptom of preeclampsia? - ANSWER: Hypertension
A 31 year old female is having an eclamptic seizure. What should you administer? -
ANSWER: Magnesium sulfate 2 g
35 year old female complains of an acute onset of pain to her left lower abdominal
quadrant. She tells you that the pain moves around to her back and that she has
dark, red vaginal bleeding. Vital signs are BP 86/44, P 128, R 24. What should you
do? - ANSWER: Obtain I.V. access and administer a fluid bolus.
OBSTETRICS/GYNECOLOGY EXAM PRACTICE 49
QUESTIONS WITH VERIFIED AND COMPLETE
SOLUTIONS ANSWERS/A+GRADE
In which position should a 36 week pregnant female be transported? - ANSWER: Left
lateral recumbent
An 18 year old female is crying and complains of being sexually assaulted. She has
dry blood on her face and hands. She wants to use the bathroom and wash off the
dry blood. What should you do? - ANSWER: Comfort her and wrap her in a blanket
A 21 year old woman is in labor. She is lying flat on her back and the newborn's head
has already delivered. What should you do? - ANSWER: Make sure the cord is not
wrapped around the neck
After assisting a 36 year old female with the delivery of a healthy newborn baby, she
continues to bleed heavily. What should you do? - ANSWER: Massage her uterus
over the lower abdomen
Which is the term for an umbilical cord that is wrapped around an infant's neck? -
ANSWER: nuchal
A 36 year old female attempted to have an at home birth. Her midwife called EMS
because she has been in labor for 26 hours. The baby's buttocks is presenting and
the fetus has not descended. What should you do? - ANSWER: Assess for a prolapsed
cord.
A 25 year old female is gravid 5 para 4. She is sitting in a bathtub and has the urge to
push. Her due date is tomorrow. She tells you that her water broke and the fluid was
green. What should you do? - ANSWER: Prepare for delivery.
A 22 year old female is supine in bed and complains of abdominal pain that radiates
to her right flank. The pain started 4 days ago but now it is "unbearable." She is
febrile and jaundiced. Vital signs are BP 84/50, P 124, R 22 and labored. What should
you do? - ANSWER: Obtain IV access.
A 28 year old female is in active labor. The umbilical cord is protruding from the
vagina. What should you do? - ANSWER: Insert a gloved hand into the vagina.
When should you suction the infant's mouth and nose? - ANSWER: when they are
lethargic and meconium staining is present
A 22 year old female complains of general weakness with persistent nausea and
vomiting. This is the first trimester and her first pregnancy. Vital signs are BP 94/52 P
, 104, R 18, blood glucose analysis 64 mg/dL. What should you suspect? - ANSWER:
Hyperemesis gravidarum
What is the most important question to ask when obtaining a patient history from a
pregnant patient who is having contractions in her third trimester? - ANSWER: Is this
your first pregnancy?
A 19 year old female is 37 weeks pregnant. Her boyfriend assaulted her with a pool
cue and she complains of vaginal bleeding. Her abdomen is extremely tender with
periumbilical ecchymosis. What should you suspect? - ANSWER: Uterine rupture
A 19 year old female complains of lower abdominal pain with purulent vaginal
discharge. She has had a fever for 2 days accompanied with general malaise. What
should you suspect? - ANSWER: Pelvic inflammatory disease
A 29 year old female is 33 weeks pregnant. She complains of strong contractions and
a foot is presenting. What should you do? - ANSWER: Place her on her left side, have
her breathe through contractions and transport rapidly.
You have just assisted in delivery of a newborn girl. She has a strong cry and has
peripheral cyanosis. What should you do? - ANSWER: Dry the her vigorously with a
towel.
How does placenta previa typically present? - ANSWER: Painless bright red bleeding.
A 23 year old female had a "normal home delivery" yesterday. Today she is anxious
and has significant vaginal bleeding. She is pale with cool, moist skin. Vital signs are
BP 90/70, P 110, R 22. What should you do? - ANSWER: Apply high-flow oxygen and
transport rapidly while obtaining IV access.
A 40 year old female is gravida 3 para 2 and 37 weeks gestation. She complains of a
sudden onset of painful vaginal bleeding. Vital signs are BP 102/60, P 100, R 24.
What should you do? - ANSWER: Apply high-flow oxygen by non-rebreather mask.
While delivering a newborn, you notice the umbilical cord is loosely wrapped around
the neck. What should you do? - ANSWER: Attempt to slide the cord over the head.
What is a sign or symptom of preeclampsia? - ANSWER: Hypertension
A 31 year old female is having an eclamptic seizure. What should you administer? -
ANSWER: Magnesium sulfate 2 g
35 year old female complains of an acute onset of pain to her left lower abdominal
quadrant. She tells you that the pain moves around to her back and that she has
dark, red vaginal bleeding. Vital signs are BP 86/44, P 128, R 24. What should you
do? - ANSWER: Obtain I.V. access and administer a fluid bolus.
