FISDAP Obstetrician (OB). 75 Questions & Answers

Document Content and Description Below

OB FISDAP 1. 2 yo pt has a resp rate of 30 breaths per minute. This is considered? o Too fast/ inadequate/normal/too slow Reason: Normal 24-40 2. When assessing distal circulatory function in a 3 ... yo, a reliable indicator is? o Pulse ox/ BP/ Cap refill/ skin temp Reason: Circulation cap refill and pulse 3. Neonatal 2 week old F is dyspneic and lethargic to respond. Vitals are P 58, R 4 and irregular. What should you be concerned about? o Altered mental status/cerebral hypoxia/ respiratory acidosis/ cardiac arrest Reason: Low respiratory 4. 20 yo F is pregnant for the first time with twins. What is she considered? o Gravida II/ Gravidarum/ primigravida 5. 2 yo is restless, irritable, and febrile with a distinct cough. The parent states that the child is calmer in a steam shower. You should suspect? o Influenza/ bronchitis/ croup/ epiglottitis Reason: Steam helps reduce inflammation of croup symptoms 6. You are treating a 3 month old, apneic patient with a pulse of 110. In preparing to ventilate this infant, you should? o Institute 2 min of CPR and then ventilate/ place a small towel under their shoulders/ open the airway with an OPA and bag every 6 seconds/ attach the AED and wait instructions Reason: Slight elevation for airway to be open, head is bigger than body 7. Scald injuries to a child’s lower extremity can be indicative of? o Abuse/ radiant heat/ accidents/ chemicals Reason: pg 1269/1270 8. 3 yo drank some drain cleaner. It would be most helpful to? o Administer activated charcoal/ transport immediately/ administer glucagon/ induce vomiting 9. You are assisting a vaginal delivery and the mom is crowning. The infant's head suddenly disappears and the mother begins to complain of sharp, intense, constant abdominal pain. You should suspect? o Placenta previa/ multiple births/ uterine rupture/ transition to phase III of delivery Reason: Look up definition online, only one that makes sense 10. In centimeters what is the correct depth of chest compressions for a 7 year old child? o 1.5/ 6/ 5/ 2 11. Which of the following indicates decompensated shock in a pediatric patient? o Shallow breathing/ rapid heart rate/ pale cool and diaphoretic/ loss of consciousness Reason: Low blood pressure can knock you out Pg. 1254 12. Where should you apply pressure to access for uterine contractions?above the navel/ left and right flank Reason: Nurse Sue taught us, Pg. 13. What is the proper way to size an OPA for a child? o Tip of the nose to the corner of the mouth/ corner of mouth to the angle of the mandible/ the length of the index finger of the child/ middle of the mouth to the ear lobe Reason: Same for all ages 14. A mother has just delivered a newborn with central cyanosis. The newborns vitals are P 82, R 30. You should? o Initiate active warming/ begin positive pressure ventilations/ administer blow by O2/ suction the airway and stimulate Reason: To help assist with breathing and to warm the child 15. Febrile seizures in children are most often the result of a/an o Abrupt rise in body temp/ life threatening infection/ temp greater than 100 Fahrenheit/ inflammatory process Reason: sudden rise causes febrile Pg. 1260 16. A 6 month old is febrile, cyanotic, and grunting with labored breathing. You should? o Assist ventilations via bvm/ sponge the infant with tepid water/ apply blow by 02 and transport/ perform a rapid medical assessment Reason: you don’t want that baby on your hands, pg. 1206 if central saturation 17. A 2 yo F is lethargic to response. She has dry mucous membranes and a tearless cry. What should you suspect? o Hypoxia/ hypoglycemia/ hypovolemia/ hypothermia 18. The period of time during which intrauterine fetal development occurs is called? o Gravidity/ gestation/ parity/ primi gravity 19. Which signs and symptoms most suggest pre eclampsia? o Hypertension and excessive water retention/ inability to sleep supine and acid reflux/ hypoglycemia and swollen extremities/ polyuria and postural hypotension 20. A pale 2yo male turns his face away and hides when you approach. VS are p150 R 32 w/ audible wheezing what should you most be concerned about? o Heart rate/ skin color/ respiratory rate/ breath sounds Reason: Pulse is normally 60-140, ABC 21. A pt is in labor and has a strong urge to push. The baby’s head is not yet visible, but the umbilical cord is protruding, you should? o Clamp the cord in 2 places and cut between them/place her in knee-chest position and transport/cover the cord with a dry sterile dressing/encourage her to bear down and push 22. 24 yo woman presents with vaginal bleeding following sexual assault, controlling bleeding would best be done by o Packing a vaginal canal with gauze/ apply direct pressure/placing a dressing o Hypertension/ Back pain/ crowning/ gush of amniotic fluid 24. Painless bright red vag bleeding late in third trimester. You should suspect? o Placenta previa/ abruptio placentae/ ectopic pregnancy/ spontaneous abortion 25. A & O 4 yo pt has possible head injury from fall. Vitals are P 120, R 18. How should you trans? o Fully immobilize with towel under his scapulae/ fully immobilize in Trendelenburg position/ secure child’s safety seat to the stretcher/ allow the pt to sit on his mother’s lap [Show More]

Last updated: 1 year ago

Preview 1 out of 7 pages