SNHD PROTOCOLS FINAL PAPER 2026 EXAM
QUESTIONS AND SOLUTIONS 100 PERCENT
CORRECT
◉ What steps are to be taken to perform a "normal" delivery?
Answer: 1. puncture amniotic sac if not already broken
2. deliver and support the head
3. suction mouth then nose, multiple times if meconium is present
4. deliver upper shoulder then lower shoulder
5. deliver the remainder of the baby
6. clam and cut the umbilical cord
7. repeat all steps if there are multiple births
8. Deliver Placenta
◉ What is the treatment of a delivery with a limb presentation?
Answer: place parent in left lateral recumbent position
◉ What is the treatment of a delivery with a breech presentation?
Answer: supporting the body of the baby while supporting the head
◉ What is the treatment for a Limb Presentation?
,(ChildBirth/Labor Protocol) Answer: Place patient in left lateral
recumbent position
◉ What is the treatment of a delivery with a cord presentation?
Answer: 1. position patient in trendelenburg and slightly on left side.
2. Wrap the cord and keep it moist.
3. Insert gloved hand to lift baby off cord.
◉ When do you obtain an APGAR score?
(Childbirth/Labor Pearls) Answer: At 1 minute and 5 minutes after
birth
◉ Should the mother have freely flowing vaginal bleeding?
(Childbirth/Labor Pearls) Answer: No, some bleeding is normal;
copious amounts of blood or free flowing is abnormal.
◉ Childbirth normal APAR score Answer: 7-10
◉ Childbirth Abnormal APAR Score
(Childbirth/Labor Pearls) Answer: 4-7 requires resuscitative
measures
,◉ Should mother and infant be transported together, or in separate
vehicles? Answer: Together whenever possible
◉ What assessment questions should you ask mom/family
members? Answer: • Gestational age (37 weeks is full-term)
• Gravid/Para status and high risk pregnancy
• Any history of drug/medication use
◉ What patient demographic is the most susceptible to cold-related
illnesses? Answer: Very young and old
◉ Active Heating Measures? Answer: Armpit and groin, but not
directly on the skin
◉ After you do your "General Adult Assessment" what is the next
step for a Cold-Related illness? Answer: • Remove from environment
• Temperature management if available
• Remove wet clothing
• Dry/warm patient
• Passive warming measures
◉ What is the next step if a patient has a Localized Cold injury.
Answer: 1. Monitor and reassess
, 2. General wound care
3. Do not rub skin to warm
4. Do not allow refreezing
◉ List the temperature for Mild hypothermia? Answer: 90°- 95° F
(33° - 35° C)
◉ List the temperature for Moderate hypothermia? Answer: 82° -
90° F (28° - 32° C)
◉ List the temperature for Severe hypothermia? Answer: <82
degrees F (<28° C)
◉ Hypothermia Mechanisms Answer: • Radiation
• Convection
• Conduction
• Evaporation
◉ Which medications are indicated for a patient experiencing an
uncontrolled Epistaxis bleeding? Answer: Oxymetazoline or
phenylephrine
◉ What is the dosage of the medications?
QUESTIONS AND SOLUTIONS 100 PERCENT
CORRECT
◉ What steps are to be taken to perform a "normal" delivery?
Answer: 1. puncture amniotic sac if not already broken
2. deliver and support the head
3. suction mouth then nose, multiple times if meconium is present
4. deliver upper shoulder then lower shoulder
5. deliver the remainder of the baby
6. clam and cut the umbilical cord
7. repeat all steps if there are multiple births
8. Deliver Placenta
◉ What is the treatment of a delivery with a limb presentation?
Answer: place parent in left lateral recumbent position
◉ What is the treatment of a delivery with a breech presentation?
Answer: supporting the body of the baby while supporting the head
◉ What is the treatment for a Limb Presentation?
,(ChildBirth/Labor Protocol) Answer: Place patient in left lateral
recumbent position
◉ What is the treatment of a delivery with a cord presentation?
Answer: 1. position patient in trendelenburg and slightly on left side.
2. Wrap the cord and keep it moist.
3. Insert gloved hand to lift baby off cord.
◉ When do you obtain an APGAR score?
(Childbirth/Labor Pearls) Answer: At 1 minute and 5 minutes after
birth
◉ Should the mother have freely flowing vaginal bleeding?
(Childbirth/Labor Pearls) Answer: No, some bleeding is normal;
copious amounts of blood or free flowing is abnormal.
◉ Childbirth normal APAR score Answer: 7-10
◉ Childbirth Abnormal APAR Score
(Childbirth/Labor Pearls) Answer: 4-7 requires resuscitative
measures
,◉ Should mother and infant be transported together, or in separate
vehicles? Answer: Together whenever possible
◉ What assessment questions should you ask mom/family
members? Answer: • Gestational age (37 weeks is full-term)
• Gravid/Para status and high risk pregnancy
• Any history of drug/medication use
◉ What patient demographic is the most susceptible to cold-related
illnesses? Answer: Very young and old
◉ Active Heating Measures? Answer: Armpit and groin, but not
directly on the skin
◉ After you do your "General Adult Assessment" what is the next
step for a Cold-Related illness? Answer: • Remove from environment
• Temperature management if available
• Remove wet clothing
• Dry/warm patient
• Passive warming measures
◉ What is the next step if a patient has a Localized Cold injury.
Answer: 1. Monitor and reassess
, 2. General wound care
3. Do not rub skin to warm
4. Do not allow refreezing
◉ List the temperature for Mild hypothermia? Answer: 90°- 95° F
(33° - 35° C)
◉ List the temperature for Moderate hypothermia? Answer: 82° -
90° F (28° - 32° C)
◉ List the temperature for Severe hypothermia? Answer: <82
degrees F (<28° C)
◉ Hypothermia Mechanisms Answer: • Radiation
• Convection
• Conduction
• Evaporation
◉ Which medications are indicated for a patient experiencing an
uncontrolled Epistaxis bleeding? Answer: Oxymetazoline or
phenylephrine
◉ What is the dosage of the medications?
