SNHD AEMT STUDY GUIDE 2026 FULL
CONTENT QUESTIONS AND ANSWERS
COMPLETE SET
◉ Adult chest pain signs and symptoms
Answer: CP, pressure, ache, vise-like pain, tight; locations,
substernal, epigastric, arm, jaw, neck, shoulder; radiation of pain;
pale diaphoresis; shortness of breath; nausea, vomiting, dizziness;
time of onset
◉ Adult chest pain differential
Answer: trauma versus medical; anginal versus MI; pericarditis;
pulmonary embolism; asthma, COPD; pneumothorax; aortic
dissection or aneurysm; GE reflux or hiatal hernia; esophageal
spasm; chest injury or pain; pleural pain; drug overdose
◉ Adult chest pain pearls
Answer: Recommended exam: mental status, skin, HEENT, heart,
lungs, abdomen, back, extremities, neuro
Diabetics, geriatrics, and femal patients often have atypical pain
Nitroglycerin is contraindicated in any patient with hypotension,
bradycardia, or tachycardia in the absence of heart failure and
evidence of right ventricular infarction
,◉ Childbirth/Labor Normal presentation
Answer: 1. General adult assessment
2. Pregnant patient with signs of impending delivers
3. Puncture amniotic sac if not already broken
Deliver and support the head
Suction mouth, then nose; if meconium present, repeat several times
Deliver upper shoulder, then lower shoulder
Deliver remainder of the baby
Clamp and cut umbilical cord
If multiple births, repeat steps
Deliver placenta
4. Attempt vascular access
5. Patient hypoperfusing? No: continue general patient care. Yes:
administer 500 mL NS or LR; repeat as needed not to exceed 2,000
mL
6. Transport to appropriate facility
◉ Childbirth/Labor Limb presentation
Answer: 1. General adult assessment
2. Pregnant patient with signs of impending delivery
3. Place patient in left lateral recumbent position
, 4. Attempt vascular access
5. Patient hypoperfusing? No: continue general patient care. Yes:
administer 500 mL NS or LR; repeat as needed not to exceed 2,000
mL
6. Transport to appropriate facility
◉ Childbirth/Labor Breech presentation
Answer: 1. General Adult assessment
2. Pregnant patient with signs of impending delivery
3. support body of baby during delivery of head
4. attempt vascular access
5. patient hypoperfusing? No: continue general patient care. Yes:
administer 500 mL NS or LR; repeat as needed not to exceed 2,000
mL
6. Transport to appropriate facility
◉ Childbirth/Labor Cord presentation
Answer: 1. General adult assessment
2. pregnant patient with signs of impending delivery
3. position the patient in Trendelenburg and slightly on left side
wrap cord and keep it moist
insert gloved hand to lift the baby off cord; obtain and document
cord pulse
CONTENT QUESTIONS AND ANSWERS
COMPLETE SET
◉ Adult chest pain signs and symptoms
Answer: CP, pressure, ache, vise-like pain, tight; locations,
substernal, epigastric, arm, jaw, neck, shoulder; radiation of pain;
pale diaphoresis; shortness of breath; nausea, vomiting, dizziness;
time of onset
◉ Adult chest pain differential
Answer: trauma versus medical; anginal versus MI; pericarditis;
pulmonary embolism; asthma, COPD; pneumothorax; aortic
dissection or aneurysm; GE reflux or hiatal hernia; esophageal
spasm; chest injury or pain; pleural pain; drug overdose
◉ Adult chest pain pearls
Answer: Recommended exam: mental status, skin, HEENT, heart,
lungs, abdomen, back, extremities, neuro
Diabetics, geriatrics, and femal patients often have atypical pain
Nitroglycerin is contraindicated in any patient with hypotension,
bradycardia, or tachycardia in the absence of heart failure and
evidence of right ventricular infarction
,◉ Childbirth/Labor Normal presentation
Answer: 1. General adult assessment
2. Pregnant patient with signs of impending delivers
3. Puncture amniotic sac if not already broken
Deliver and support the head
Suction mouth, then nose; if meconium present, repeat several times
Deliver upper shoulder, then lower shoulder
Deliver remainder of the baby
Clamp and cut umbilical cord
If multiple births, repeat steps
Deliver placenta
4. Attempt vascular access
5. Patient hypoperfusing? No: continue general patient care. Yes:
administer 500 mL NS or LR; repeat as needed not to exceed 2,000
mL
6. Transport to appropriate facility
◉ Childbirth/Labor Limb presentation
Answer: 1. General adult assessment
2. Pregnant patient with signs of impending delivery
3. Place patient in left lateral recumbent position
, 4. Attempt vascular access
5. Patient hypoperfusing? No: continue general patient care. Yes:
administer 500 mL NS or LR; repeat as needed not to exceed 2,000
mL
6. Transport to appropriate facility
◉ Childbirth/Labor Breech presentation
Answer: 1. General Adult assessment
2. Pregnant patient with signs of impending delivery
3. support body of baby during delivery of head
4. attempt vascular access
5. patient hypoperfusing? No: continue general patient care. Yes:
administer 500 mL NS or LR; repeat as needed not to exceed 2,000
mL
6. Transport to appropriate facility
◉ Childbirth/Labor Cord presentation
Answer: 1. General adult assessment
2. pregnant patient with signs of impending delivery
3. position the patient in Trendelenburg and slightly on left side
wrap cord and keep it moist
insert gloved hand to lift the baby off cord; obtain and document
cord pulse
