TL;DR
Learn age-specific assessment techniques and treatment modifications for pediatric patients. Pediatric emergencies require specialized knowledge and are a distinct exam domain.
Free OB Emergencies & Pediatrics Practice Questions
NREMT EMT Certification · Medical / OB / GYN
This module covers OB Emergencies & Pediatrics as part of the Medical / OB / GYN section, testing your understanding of core concepts and their practical application.
| Exam | NREMT EMT Certification |
| Pass Rate | 67% |
| Duration | 120 minutes |
| Module | OB Emergencies & Pediatrics |
Why OB Emergencies & Pediatrics matters
OB Emergencies & Pediatrics is tested separately because age-specific populations require modified assessment and treatment approaches.
Sample Practice Questions (5)
1. You are called for a delivery in progress. Upon examination, you see the baby's buttocks presenting at the vaginal opening (breech presentation). What is the correct EMT management?
- Support the delivering body, do NOT pull on the baby, and if the head does not deliver within 3 minutes of the body, create an airway by inserting a gloved hand to form a "V" around the baby's nose and mouth
- Attempt to turn the baby by pushing the buttocks back in
- Pull on the baby's legs to speed delivery of the head
- Have the mother stop pushing and transport for C-section
2. During a field delivery, the baby's head delivers but the shoulders do not follow with the next contraction despite gentle downward traction. The baby's head retracts slightly against the perineum ("turtle sign"). What complication has occurred and what should you do?
- Shoulder dystocia; apply suprapubic pressure (not fundal pressure), flex the mother's legs sharply against her abdomen (McRoberts maneuver), and transport emergently
- Pull harder on the baby's head to free the shoulders
- Push the baby's head back in and transport for C-section
- Apply fundal pressure to force the baby out
3. An 8-month-old infant is lethargic with a bulging fontanelle, fever of 103°F, and a petechial (non-blanching) rash. What condition should you suspect, and what is the MOST important consideration?
- Meningitis; maintain standard precautions with a mask, manage airway/breathing, and transport emergently. Alert the receiving hospital for isolation
- Allergic reaction; administer epinephrine
- Normal infant fussiness with a viral rash
- Child abuse; report to authorities
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Start practicing free →4. A 6-year-old child is in cardiac arrest. You check for a pulse at the carotid artery for 10 seconds and feel nothing. What is the correct sequence, and how does pediatric cardiac arrest management differ from adults?
- Begin CPR with 30:2 (single rescuer), compress to one-third the AP diameter of the chest, and apply AED with pediatric pads/dose attenuator if available — pediatric arrest is more likely respiratory in origin
- Apply the AED first before starting compressions, as pediatric arrest is usually cardiac in origin
- Provide 2 minutes of rescue breathing only, then reassess, since the arrest is respiratory
- Use adult AED pads and adult compression depth of 2-2.4 inches
5. A newborn has been delivered and dried. The APGAR score at 1 minute is 4 (HR 80, slow/irregular respiratory effort, some flexion, grimace only, body pink with blue extremities). What is the MOST appropriate action?
- Begin positive-pressure ventilation with BVM at 40-60 breaths per minute since the heart rate is below 100 and breathing is inadequate
- Continue stimulation and wait for the APGAR at 5 minutes
- Begin chest compressions immediately
- Wrap the baby and hand to the mother for skin-to-skin
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