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OB/PEDIATRIC EMT FISDAP Exam 2025 | 100+ Real
NGN-Style Questions & Verified Answers | A+ Test Bank
1. A 22-year-old woman, gravida 2 para 1, is in active labor at 39 weeks gestation. While en
route to the hospital, she begins crowning. You notice clear amniotic fluid and the mother
is anxious and pushing uncontrollably. As the EMT on scene, you prepare for delivery.
Which action should you prioritize immediately to ensure a safe outcome for both mother
and newborn?
A. Clamp and cut the cord immediately after delivery
B. Apply firm pressure to the baby’s head to slow delivery
C. Support the perineum and guide the head during delivery
D. Delay delivery until hospital arrival
✅ Answer: C
Rationale: Supporting the perineum and guiding the baby’s head prevents perineal tears and
ensures controlled delivery.
,2
2. You are called to a scene where a 3-month-old infant is found unresponsive in a crib. The
caregiver reports the baby was last seen awake 20 minutes ago. Upon assessment, the infant
has no visible injuries, is apneic, and has no palpable pulse. What is your immediate next
step according to pediatric BLS guidelines?
A. Administer oxygen and transport
B. Begin chest compressions and ventilations at a 15:2 ratio
C. Deliver back blows and chest thrusts
D. Perform a jaw thrust and reassess airway
✅ Answer: B
Rationale: For infants without a pulse, BLS requires immediate CPR at 15:2 with two rescuers.
3. A 28-year-old pregnant woman at 36 weeks gestation complains of sudden, severe
abdominal pain with vaginal bleeding. She denies trauma. Her blood pressure is 88/60, and
her skin is cool and diaphoretic. What condition should you suspect, and how should you
manage this patient prehospital?
A. Placenta previa; transport in left lateral position
B. Abruptio placentae; administer high-flow oxygen and rapid transport
C. Uterine rupture; apply pressure to the abdomen
D. Preterm labor; delay delivery until ALS arrives
✅ Answer: B
,3
Rationale: Abruptio placentae presents with pain and bleeding; manage with O2 and rapid
transport.
4. You arrive at a home where a 4-year-old child is having a generalized tonic-clonic
seizure. The parents state this is the child’s first seizure and he has had a fever since this
morning. What is the most appropriate intervention for this pediatric patient in the
prehospital setting?
A. Apply a cold compress and administer ibuprofen
B. Insert an oropharyngeal airway and provide blow-by oxygen
C. Protect the airway, prevent injury, and monitor the seizure duration
D. Attempt to restrain the child to prevent injury
✅ Answer: C
Rationale: Pediatric febrile seizures require supportive care: airway, safety, and monitoring.
5. A 5-year-old child is involved in a motor vehicle crash and presents with abdominal
bruising, low-grade fever, and abdominal pain upon palpation. Vitals are stable, but
parents are concerned. What should be your primary concern and prehospital action plan?
A. Rule out appendicitis and allow transport refusal
B. Suspect internal bleeding and monitor for signs of shock
C. Administer pain medication and observe
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D. Advise the parents to follow up with a pediatrician
✅ Answer: B
Rationale: Blunt trauma in peds often causes internal bleeding with few early signs.
6. You respond to a 17-year-old female at 30 weeks gestation complaining of blurred vision,
severe headache, and swelling in her hands and face. Her BP is 168/112, and she appears
anxious. She has no history of trauma. What complication of pregnancy should you
suspect, and what should your immediate prehospital management include?
A. Eclampsia; administer magnesium sulfate
B. Preeclampsia; monitor vitals and position left lateral
C. Abruptio placentae; initiate IV fluids rapidly
D. Placenta previa; apply direct abdominal pressure
✅ Answer: B
Rationale: Preeclampsia presents with hypertension, edema, and headache—positioning and
monitoring are critical.
7. A 2-year-old male is experiencing difficulty breathing. His mother states he was playing
with toys before suddenly coughing and becoming cyanotic. On assessment, he has stridor,
diminished breath sounds on the right, and cannot speak. What should you do
immediately?
A. Deliver abdominal thrusts
B. Attempt direct laryngoscopy
OB/PEDIATRIC EMT FISDAP Exam 2025 | 100+ Real
NGN-Style Questions & Verified Answers | A+ Test Bank
1. A 22-year-old woman, gravida 2 para 1, is in active labor at 39 weeks gestation. While en
route to the hospital, she begins crowning. You notice clear amniotic fluid and the mother
is anxious and pushing uncontrollably. As the EMT on scene, you prepare for delivery.
Which action should you prioritize immediately to ensure a safe outcome for both mother
and newborn?
A. Clamp and cut the cord immediately after delivery
B. Apply firm pressure to the baby’s head to slow delivery
C. Support the perineum and guide the head during delivery
D. Delay delivery until hospital arrival
✅ Answer: C
Rationale: Supporting the perineum and guiding the baby’s head prevents perineal tears and
ensures controlled delivery.
,2
2. You are called to a scene where a 3-month-old infant is found unresponsive in a crib. The
caregiver reports the baby was last seen awake 20 minutes ago. Upon assessment, the infant
has no visible injuries, is apneic, and has no palpable pulse. What is your immediate next
step according to pediatric BLS guidelines?
A. Administer oxygen and transport
B. Begin chest compressions and ventilations at a 15:2 ratio
C. Deliver back blows and chest thrusts
D. Perform a jaw thrust and reassess airway
✅ Answer: B
Rationale: For infants without a pulse, BLS requires immediate CPR at 15:2 with two rescuers.
3. A 28-year-old pregnant woman at 36 weeks gestation complains of sudden, severe
abdominal pain with vaginal bleeding. She denies trauma. Her blood pressure is 88/60, and
her skin is cool and diaphoretic. What condition should you suspect, and how should you
manage this patient prehospital?
A. Placenta previa; transport in left lateral position
B. Abruptio placentae; administer high-flow oxygen and rapid transport
C. Uterine rupture; apply pressure to the abdomen
D. Preterm labor; delay delivery until ALS arrives
✅ Answer: B
,3
Rationale: Abruptio placentae presents with pain and bleeding; manage with O2 and rapid
transport.
4. You arrive at a home where a 4-year-old child is having a generalized tonic-clonic
seizure. The parents state this is the child’s first seizure and he has had a fever since this
morning. What is the most appropriate intervention for this pediatric patient in the
prehospital setting?
A. Apply a cold compress and administer ibuprofen
B. Insert an oropharyngeal airway and provide blow-by oxygen
C. Protect the airway, prevent injury, and monitor the seizure duration
D. Attempt to restrain the child to prevent injury
✅ Answer: C
Rationale: Pediatric febrile seizures require supportive care: airway, safety, and monitoring.
5. A 5-year-old child is involved in a motor vehicle crash and presents with abdominal
bruising, low-grade fever, and abdominal pain upon palpation. Vitals are stable, but
parents are concerned. What should be your primary concern and prehospital action plan?
A. Rule out appendicitis and allow transport refusal
B. Suspect internal bleeding and monitor for signs of shock
C. Administer pain medication and observe
, 4
D. Advise the parents to follow up with a pediatrician
✅ Answer: B
Rationale: Blunt trauma in peds often causes internal bleeding with few early signs.
6. You respond to a 17-year-old female at 30 weeks gestation complaining of blurred vision,
severe headache, and swelling in her hands and face. Her BP is 168/112, and she appears
anxious. She has no history of trauma. What complication of pregnancy should you
suspect, and what should your immediate prehospital management include?
A. Eclampsia; administer magnesium sulfate
B. Preeclampsia; monitor vitals and position left lateral
C. Abruptio placentae; initiate IV fluids rapidly
D. Placenta previa; apply direct abdominal pressure
✅ Answer: B
Rationale: Preeclampsia presents with hypertension, edema, and headache—positioning and
monitoring are critical.
7. A 2-year-old male is experiencing difficulty breathing. His mother states he was playing
with toys before suddenly coughing and becoming cyanotic. On assessment, he has stridor,
diminished breath sounds on the right, and cannot speak. What should you do
immediately?
A. Deliver abdominal thrusts
B. Attempt direct laryngoscopy
