FISDAP OBGYN / Pediatrics & Obstetrics/Gynecology Exam Practice Questions with Answers (Answer Key at the end)
Pediatrics & Obstetrics/Gynecology Exam
... [Show More] Practice Questions
1. You notice a brownish green fluid pasing from a 23 year old female while giving
birth. What should you do?
A. Using a gloved hand prevent the fetus from fully delivering.
B. Using a glove hand attempt to visualize the cord for a rupture.
C. Stimulate the fetus immediately after delivery.
D. Suction the mouth and nose of the fetus after delivery.
2. A 36 year old pregnant female has severe abdominal pain. In what position you
transport her?
A. Supine with her head slightly elevated.
B. Right lateral recumbent.
C. In the position of comfort.
D. Left lateral recumbent.
3. Which of the following women is most likely in the first stage of labor?
A. A woman whose contractions occur five minutes apart and last sixty seconds.
B. A woman who feels a strong pressure and an urge to bear down.
C. A woman whose contractions began approximately thirty minutes ago.
D. A woman whose amniotic sac just ruptured, releasing a large amount of clear
liquid.
4. A 6 year old male complains of belly pain. What should you use to determine his
pain level?
A. Wong/Baker pain scale
B. 1 to 10 pain rating scale
C. Analog visual scale
D. Oucher pain scale
5. A 34 year old pregnant female is found apneic and pulseless sitting in a chair.
What should you do?
A. Place her supine on the floor and start CPR.
B. Perform CPR at a rate of 40:2.
C. Start CPR and withhold placement of an AED.
D. Start CPR with a left lateral tilt of 30 degrees.
6. What is the leading cause of maternal death associated with pregnancy?
A. Eclampsia
B. Emboli
C. Hemorrhage
D. Stroke
7. What is the most serious complication of vaginal bleeding?
A. Irreversible shock
B. Hypovolemic shock
C. Neurogenic shock
D. Cardiogenic shock
8. Which stage of delivery begins with complete cervical dilation and ends with
delivery of the baby?
A. First
B. Third
C. Fourth
D. Second
9. Where does fertilization of the egg take place?
A. Endometrium
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B. Ovary
C. Uterus
D. Fallopian tube
10. In which trimester is placenta previa usually seen?
A. Third
B. Any
C. Second
D. First
11. When assisting with the delivery of twins what should you expect?
A. Shorter delivery times
B. Lower birth weights
C. Larger neonates
D. Two placentas
12. After fertilization of an egg, where will embryo develop and mature?
A. Cervix
B. Vagina
C. Fallopian tube
D. Uterus
13. A 27 year old female complains of insomnia, irritability and feelings of being
overwhelmed. She claims she wants to end her life after giving birth to a child
with Down's Syndrome 2 days ago. What should you suspect?
A. Postpartum depression
B. Anxiety
C. Alcohol intoxication
D. Drug overdose
14. In which trimester is a spontaneous abortion is usually seen?
A. Third
B. Any
C. First
D. Second
15. After how many days does woman's menstrual cycle normally occur?
A. 28 days.
B. 45 days.
C. 21 days.
D. 14 days.
16. In a breech delivery, which part of the baby's body would be delivered LAST?
A. Shoulder
B. Head
C. Feet
D. Buttocks
17. A 32 year old pregnant female states "I have been in labor for an hour and my
water broke." What should you do?
A. Check for crowning.
B. Obtain baseline vital signs.
C. Transport emergently.
D. Obtain a SAMPLE medical history.
18. A 27 year old pregnant female is complaining of extreme bouts of thirst, nausea
and urination. What should you suspect?
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A. Urinary tract infection
B. Gestational diabetes
C. Early stage kidney failure
D. Pre-eclampsia
19. A 19 year old female gives birth to a baby boy. You note blue extremities and a
pink trunk. His pulse is 108 and he cries weakly. He grimaces when you suction him,
but other movement is limited. What is his APGAR score?
A. 8
B. 4
C. 6
D. 2
20. Why is it important to remove a nuchal cord from a neonate as soon as it is
seen?
A. It can prevent adequate oxygen exchange.
B. It will not allow for blood to circulate in the fetus.
C. The fetus will be unable to receive enough nutrients.
D. It causes shunting through the ductus arteriosus.
21. During a breech birth presentation, which body part presents first?
A. Umbilical cord
B. Buttocks
C. Head
D. Arms
22. What occurs during compression of the inferior vena cava?
A. Preeclampsia
B. Supine hypotensive syndrome
C. Pregnancy induced hypertension
D. Eclampsia
23. A 24 year old female complains of acute onset sharp lower abdominal pain with
vaginal bleeding during her third trimester. What should you suspect?
A. Placenta previa
B. Abruptio placenta
C. Uterine rupture
D. Ectopic pregnancy
24. A 32 year old pregnant female complains of profuse vaginal bleeding. She denies
any abdominal pain or discomfort. What should you suspect?
A. Placenta previa
B. Ruptured ovarian cyst
C. Abruptio placenta
D. Uterine rupture
25. A 19 year old pregnant female has contractions lasting 20-30 seconds and
occurring every 10-15 minutes. She denies having any vaginal discharge. What
should you suspect?
A. Imminent delivery
B. Braxton-Hicks
C. Abruptio placentae
D. Spontaneous abortion
26. A 25 year old pregnant patient was ejected from a motor vehicle. She is apneic
and pulseless. What should you do?
A. Provide CPR and transport.
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B. Transport in the left lateral recumbent position.
C. Prepare for delivery.
D. Avoid contaminating the scene.
27. A 24 year old female complains of a sudden onset of lower quadrant abdominal
pain. She is pale and has a rapid, weak pulse. What should you ask her?
A. "Are you on birth control?"
B. "Are you sexually active?"
C. "Is there any possibility you are pregnant?"
D. "How many sexual partners do you have?"
28. You begin delivering a fetus when its head begins retracting back into the
vagina. What should you do?
A. Insert a gloved hand into the vagina and rotate the fetus.
B. Gently apply traction to the head and shoulders.
C. Tell the mother to bear down hard to push the fetus out.
D. Transport immmediately, while having the mother pant rapidly.
29. What causes compression of the inferior vena cava, reducing venous return to the
mother's heart?
A. Supine hypotensive syndrome
B. Ectopic pregnancy
C. Gestational thrombocytopenia
D. Abruptio placenta
30. After the birth of male child, you note he is blue all over, is not breathing,
and has no pulse. What is his APGAR?
A. 8
B. 5
C. 2
D. 0
31. Why should you allow the newborn to begin nursing right after birth?
A. To facilitate mother-baby bonding.
B. To prevent neonate hypoglycemia.
C. To allow for neonatal stimulation.
D. To promote contraction of the uterus.
32. How should you place a pregnant female on a backboard?
A. Raise the head 12-18 inches in the air.
B. You should never put them on the backboard.
C. Raise the right side of the board 6-12 inches in the air.
D. Raise the feet 12-18 inches in the air.
33. Which of the following accurately represents bodily changes that occur during a
normal pregnancy?
A. Decreased blood volume, increased heart rate, decreased blood pressure.
B. Increased blood volume, increased heart rate, decreased blood pressure.
C. Increased blood volume, decreased heart rate, increased blood pressure.
D. Decreased blood volume, decreased heart rate, increased blood pressure.
34. A 28 year old pregnant female complains of severe hand pain and deformity after
slamming it in a car door. Vital signs are BP 110/70, P 80, R 14. In what position
should you transport her?
A. Trendelenberg
B. Prone
C. Left side
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D. Supine
35. A mother has gestational diabetes. What should you expect during delivery?
A. A larger weight fetus.
B. A fetus in respiratory distress.
C. A smaller weight fetus.
D. A fetus with birth defects.
36. What should you do to control post-delivery bleeding?
A. Squeeze her legs together.
B. Place moist dressings in her uterus.
C. Massage gently over her uterus.
D. Place her in the recovery position.
37. How is eclampsia distinguised from pre-eclampsia?
A. Edema
B. Hypertension
C. Seizures
D. High blood glucose
38. How can persistent fetal circulation be triggered?
A. Hypothermia
B. A hypovolemic state
C. Alkalosis caused by maternal drug use
D. Induced labor
39. A 22 year old female was recently involved in a sexual assault. She wants to
take a shower, what should you do?
A. Perform a thorough pelvic exam before letting her shower.
B. Allow her to do so after she places her clothing in an evidence bag.
C. Advise her to speak to a police officer before showering.
D. Ask her to wait until she gets admitted to the hospital.
40. The cervix is considered fully dilated at which diameter?
A. 10 cm
B. 20 cm
C. 5 cm
D. 2 cm
41. You look for crowning on a 32 year old female and notice a prolapsed cord. What
should you do?
A. Stablize the head and shoulders of the fetus and start delivery.
B. Clamp, cut the cord and deliver the fetus.
C. Instruct her to continue pushing to visualize the fetus.
D. Gently push the fetus away from the cord with a gloved hand.
42. A 32 year old pregnant female was ejected in a car accident. She is pulseless,
apneic and unresponsive. Where should you transport her?
A. A pediatric hospital for an emergent cesarean section.
B. A level 1 trauma center for definitive care.
C. The closest hospital for immediate care.
D. Do no transport and call medical direction instead.
43. A 27 year old woman has a portion of her vagina protruding after giving birth.
What should you suspect?
A. Ovarian torsion
B. Endometriosis
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C. Prolapsed uterus
D. Mittelschmerz
44. What does the G in APGAR stand for?
A. Gurgling
B. Gestation
C. Grimace
D. Generic Appearance
45. A 32 year old female complains of sharp lower leg pain as you perform your
secondary survey. She is 20 weeks pregnant. What should you suspect?
A. Lower leg muscle cramp
B. Deep venous thrombosis
C. Electrolyte imbalance
D. False labor pains
46. A pregnant woman with a history of swelling and hypertension is having seizures.
What should you suspect?
A. Status epilepticus
B. Liver failure
C. Eclampsia
D. Pre-eclampsia
47. A 38 year female is in labor in her car. This is her fourth child, contractions
last 30 seconds and occur every 1-2 minutes. What should you do?
A. Call for air medical transport.
B. Tell her to bear down hard and to push.
C. Transport the patient to the hospital for treatment.
D. Move her to the ambulance and prepare for delivery.
48. What signals the end of the second stage of labor?
A. Bulging of the perineum
B. Delivery of the placenta
C. Complete cervical dilation
D. Delivery of the baby
49. Which is NOT a sign of pre-eclampsia?
A. Seizures
B. Hypertension
C. Headache
D. Edema [Show Less]