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Mastering the OB FISDAP Exam: Questions and Answers, Exams of Nursing

Messiah CollegeNursing

OB FISDAP Exam Questions and Answers Latest Update 2022/2023

Typology: Exams

2022/2023

Uploaded on 09/14/2023

Matthewnl
Matthewnl 🇺🇸

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OB FISDAP Exam Questions and Answers Latest
Update 2022/2023
2 yo pt has a resp rate of 30 breaths per minute. This is considered?
oToo fast/
inadequate/normal/too slow Reason: Normal
24- 40
•When assessing distal circulatory function in a 3 yo, a reliable indicator is?
oPulse ox/ BP/ Cap refill/ skin
temp Reason: Circulation cap refill and pulse
•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?
oAltered mental status/cerebral hypoxia/ respiratory acidosis/
cardiac arrest Reason: Low respiratory
•20 yo F is pregnant for the first time with twins. What is she considered?
oGravida II/ Gravidarum/ primigravida
•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?
oInfluenza/ bronchitis/ croup/
epiglottitis Reason: Steam helps reduce
inflammation of croup symptoms
•You are treating a 3 month old, apneic patient with a pulse of 110. In preparing
to ventilate this infant, you should?
oInstitute 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
•Scald injuries to a child’s lower extremity can be indicative of?
oAbuse/ radiant heat/ accidents/
OB FISDAP Exam Questions and Answers Latest
Update 2022/2023
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Download Mastering the OB FISDAP Exam: Questions and Answers and more Exams Nursing in PDF only on Docsity!

OB FISDAP Exam Questions and Answers Latest

Update 2022/

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

  • 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
  • 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
  • 20 yo F is pregnant for the first time with twins. What is she considered? o Gravida II/ Gravidarum/ primigravida
  • 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
  • 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
  • Scald injuries to a child’s lower extremity can be indicative of? o Abuse/ radiant heat/ accidents/

OB FISDAP Exam Questions and Answers Latest

Update 2022/

OB FISDAP Exam Questions and Answers Latest

Update 2022/

chemicals Reason: pg 1269/

  • 3 yo drank some drain cleaner. It would be most helpful to? o Administer activated charcoal/ transport immediately/ administer glucagon/ induce vomiting
  • 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
  • In centimeters what is the correct depth of chest compressions for a 7 year old child? o 1.5/ 6/ 5 / 2
  • 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
  • Where should you apply pressure to access for uterine contractions?

OB FISDAP Exam Questions and Answers Latest

Update 2022/

  • The period of time during which intrauterine fetal development occurs is called? o Gravidity/ gestation/ parity/ primi gravity
  • 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
  • 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
  • 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
  • 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 @ the vaginal opening/ bending the pt’s legs upward
  • Sign or symptoms of a pre delivery emergency? o Hypertension/ Back pain/ crowning/ gush of amniotic fluid
  • Painless bright red vag bleeding late in third trimester. You should suspect? o Placenta previa/ abruptio placentae/ ectopic pregnancy/ spontaneous abortion
  • 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 NEXT 25
  • A maternal condition that occurs when the placenta separates from the uterine wall and is a cause of pre birth bleeding is? o Abruptio placenta/ uterine rupture/ placenta previa/ ectopic pregnancy
  • To relieve pressure on the vena cava when transporting a pregnant patient, you should? o Place on left side/ place in recovery/ raise the patient’s legs/ place in semi fowler’s
  • A 4 yo M is sitting upright and drooling. He has swallowed a marble that is completely blocking his airway. What should you do? o Start chest compressions/ perform abdominal thrusts/ provide back blows/ suction the airway
  • A woman is 36 weeks pregnant and complaining of painless vaginal bleeding. The most likely cause is? o Abruptio placenta/ placenta previa/ spontaneous abortion/ bloody show
  • A 20 yo F feels faint and has severe pain between her shoulder blades. Her skin is cool and clammy. Vital signs are BP 82/48, P 134, R 22, and SPO2 92%. What should you suspect? o Sexual transmitted infection/ spontaneous abortion/ pelvic inflammatory disease/ rupture ectopic pregnancy
  • 24 yo F in her second trimester of pregnancy presents with mild contractions. There is no regular pattern to the contractions, and they have not increased in intensity since they began. She denies vaginal bleeding or any other symptoms. This patient is most likely experiencing? o Braxton Hicks contractions/ premature labor/ a placenta previa/ a

threatened abortion

  • The cessation of menses with associated decrease of estrogen secretion is called? o Menopause/ menarche/ myometrium/ mitted schmerz
  • What effect can excessive traction have on the umbilical cord during placental delivery? o Uterine rupture/ umbilical bleeding/ abruption previa Reason: This is why you don’t pull because it will cause internal bleeding
  • Nausea, vomiting, vag discharge, irregular periods and abdominal pain are signs and syms of? o Pelvic inflammatory disease/ ruptured ectopic pregnancy/ endometriosis/ cystitis
  • 5 yo is actively seizing, his respirations are slow and blank are pale. His parents say he had seized several times in the last 15 minutes without waking up. You should suspect that the? o Seizure is about to end and you should wait to treat him/ child will become postictal and will regain consciousness/ child is in status epilepticus and medication is required/ child is in diabetic ketoacidosis and medication is required
  • 33 yo F was in a motor vehicle collision. She is 36 w pregnant. First responders have removed the pt from the vehicle and immobilized her and they cannot obtain a blood pressure. You should? o Load and go to the nearest trauma center/ tilt the backboard to the left immediately/ loosen the backboard straps as soon as possible/ apply oxygen and call for helicopter transport
  • 38 yo F reports left sided abdominal pain that radiates to the back. Vitals are
  • A child is postictal. You should? o Note length of seizure/ administer blow by o2/ ensure open airway/ protect pt from injury
  • With pediatric pt, your assessment should begin? o At first sight/ after you intro yourself/ after parents consent/ at first contact NEXT 25
  • A conscious child has a significant airway obstruction due to an illness. You should? o Insert OPA/ examine the upper airway for white spots/ place the child in a supine position/ give o2 and trans immediately
  • A 2 year old child presents with a fever, lethargy, and screaming upon neck flexion. You should suspect? o Meningitis/ influenza/ febrile seizure/ ear infection
  • Which may indicate that a fetus was in distress before delivery? o Presence of a greenish material in the amniotic fluid
  • 37 week preg woman with tearing ab pain and weak, vitals are 90/60, 140, and 26 with pale, cool, diaphoretic skin, you should suspect? o Supine hypotensive syndrome/ imminent delivery/ abruptio placentae/ placenta previa Reason: Low blood pressure, Pg. 1188, due to the pain and shock signs
  • 7 yo presents with a pencil in his left cheek, you should? o Remove the pencil/ stabilize the pencil/ check for airway patency/ control bleeding
  • 10 yo pt was injured while skating, upon assessment you note a visible

deformity of the forearm. The fingers are pale and cool without a palpable pulse. You should apply? o A rigid splint/ gentle manual traction/ a cold pack and rapid trans/ significant traction until pulse returns

  • Pediatric airways differ from adult airways in that o Trachea is more rigid/ child’s tongue takes up less space/ oral airways devices cannot be used on children/ all structures are smaller and can be more easily obstructed
  • When inserting an OPA in a child you should? o Hold the tongue in position
  • 3 yo child involved in a motor vehicle collision needs to be secured on an adult backboard. You should? o Secure the feet first, then the torso/ secure the head first, then the torso/ place padding under the child’s head/ place padding under the child’s torso Reason: anatomically have a bigger head and the torso needs some elevation.
  • 4 yo is having trouble breathing. He is drooling and sitting forward in a chair with his mouth wide open. He has a 103.2 temp. you should suspect? o Epiglottitis/ croup/ hyperthermia/ asthma attack Reason: Drooling is the key word, and high temperature
  • Your neighbor has asked you to check on her 2 month old baby. The baby is sleeping and vitals are P 130, R 40, and he continues to sleep even when you try to wake him up. What should you do?
  • You have just delivered a baby girl who remains cyanotic and is not responding to stimulation and oxygen therapy. Heart rate 90 you should
    • Continue stimulation by flicking soles of the feet / perform chest compressions at 15:2 / begin positive pressure ventilation / attempt suctioning and contact medical control Reason:
  • A cord is wrapped around the baby’s neck during childbirth. What is this condition called?
    • Neck cord / prolapsed cord / nuchal cord / circumferential cord or McCord Reason: 69: 3 yr child, unresponsive and apneic on a restaurant floor. Mother says he was choking, turned blue and collapsed. You should?
    • Begin chest compressions / give 5 back blows / perform a blind finger sweep / give 5 ab thrusts Reason:
  1. Before assessing the respiratory adequacy of an unconscious infant or child you should
    • Ensure patent airway and clear of obstructions Reason:

signs with serious internal impression / dark ecchymosis around the

umbilical cord area Reason: pg 1226

  1. Later preg stage with vomiting, AB pain for 2 days nausea, vomiting, vaginal discharge, irregular period and abdominal pain are signs/symptoms of:
    • pelvic inflammatory disease
    • Ruptured ectopic pregnancy
    • Endometriosis
    • Cystitis