CEP CEP Pediatric & Obstetric Emergencies 2 — Questions and Answers
Question 1: What is the recommended compression-to-ventilation ratio for a 2-rescuer infant CPR?
- 30:2
- 15:2 (Correct answer)
- 5:1
- 3:1
Correct answer: 15:2
Two-rescuer infant CPR uses a 15:2 compression-to-ventilation ratio per AHA guidelines for healthcare providers.
Question 2: Which presentation is most consistent with epiglottitis in a child?
- Barking cough, stridor, low fever
- Drooling, tripod position, high fever (Correct answer)
- Wheezing, prolonged expiration, mild distress
- Hoarseness, croup cough, gradual onset
Correct answer: Drooling, tripod position, high fever
Epiglottitis classically presents with drooling, a tripod or sniffing position, high fever, and severe sore throat due to supraglottic swelling.
Question 3: A child is seizing and IV access cannot be established. Which route is preferred for benzodiazepine administration?
- Subcutaneous
- Intranasal or rectal (Correct answer)
- Sublingual
- Intramuscular deltoid
Correct answer: Intranasal or rectal
Intranasal or rectal benzodiazepine administration is preferred when IV access is unavailable for pediatric seizures in the prehospital setting.
Question 4: What is the most common cause of cardiac arrest in pediatric patients?
- Ventricular fibrillation
- Respiratory failure leading to hypoxia (Correct answer)
- Congenital heart defect rupture
- Electrolyte imbalance
Correct answer: Respiratory failure leading to hypoxia
Unlike adults, most pediatric cardiac arrests are caused by respiratory failure and hypoxia rather than primary cardiac events.
Question 5: When should a paramedic consider field delivery versus transport for an obstetric patient?
- When contractions are 10 minutes apart
- When delivery is imminent with crowning or uncontrollable urge to push (Correct answer)
- When the patient requests field delivery
- When transport time exceeds 30 minutes
Correct answer: When delivery is imminent with crowning or uncontrollable urge to push
Field delivery should be considered when crowning is visible or the patient has an uncontrollable urge to push, indicating imminent delivery.
Question 6: What condition is characterized by maternal hypertension, proteinuria, and edema after 20 weeks gestation?
- Placenta previa
- Abruptio placentae
- Preeclampsia (Correct answer)
- Ectopic pregnancy
Correct answer: Preeclampsia
Preeclampsia is defined by new-onset hypertension with proteinuria or end-organ dysfunction after 20 weeks of gestation.
CEP CEP Pediatric & Obstetric Emergencies 2
What is the recommended compression-to-ventilation ratio for a 2-rescuer infant CPR?