EMS Protocols Exam 2025 Questions and
Answers
Initial assessment of a woman about to deliver - ANS 1) Name, age, expected due date
2) First baby or not? If it is her first, you prbly have more time until delivery, so you can
transport.
3) Have labor pains started?
4) Has your water broken?
5) Has vaginal bleeding begun?
6) Are you on any medications for the pregnancy?
7) Do you feel like you need to go to the bathroom?
8) Time contractions...if contractions are lasting 30 seconds to 1 minute or if the contractions
are less than 2-3 minutes apart then birth is imminent! No transport! Prepare for delivery!
9) Examine vagina for crowning...if so, birth is imminent! No transport! Prepare for delivery!
10) Take mother's vital signs
Preparing mother for delivery - ANS 1) Control scene (PRIVACY!)
2) PPE...surgical gloves, gowns, caps, face masks, and goggles
3) Place mother on ambulance stretcher (backboard)
4) Elevate buttocks with blankets or pillow
5) Remove patient's clothing...put one blanket underneath her body...drape one blanket over
her upper body for privacy and warmth...drape one blanket over each leg
6) Place 1 person at the mother's head (dad)...he should be alert to help her turn her head if
she vomits
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, 7) Have obstetric kit ready
What is in the obstetric kit? - ANS 1) Several pairs of sterile surgical gloves
2) towels and sheets for the mother
3) 1 dozen 2x2 (or 4x4) pads for wiping and drying the baby
4) 1 bulb syringe...for suctioning the baby
5) Cord clamps or hemostats to clamp the umbilical cord
6) 1 pair of surgical scissors to cut the cord
7) 1 baby blanket
8) Several sanitary napkins to absorb blood and other fluids
9) plastic bag
Patient manners during the delivery - ANS 1) encourage her to relax between contractions
(keep timing her contractions)
2) Encourage her not to strain unless she feels like she must
3) Remind her that the pending bowel movement is normal, and is caused by the baby moving
into her birth canal
4) Encourage her to breathe deeply through her mouth...she might feel better if she pants, but
discourage her from breathing so rapidly that she hyperventilates
5) If her "bag of waters" breaks remind her that this is normal
Assisting the mother with delivery - ANS 1) Someone always at mother's head monitoring
vital signs and being alert for vomiting
2) Do NOT touch the vagina except to assist with delivery
3) As the baby's head crowns, apply a slight pressure on the sides of the head with your
fingertips to prevent an explosive delivery...be careful NOT to put any pressure on the
fontanelles and do NOT pull on the baby's head
4) If the amniotic sac is not broken when the head is delivered, puncture the sac with a
finger...the amniotic fluid should be clear...examine the amniotic fluid for meconium staining...if
meconium is present, be prepared to suction immediately!
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
Answers
Initial assessment of a woman about to deliver - ANS 1) Name, age, expected due date
2) First baby or not? If it is her first, you prbly have more time until delivery, so you can
transport.
3) Have labor pains started?
4) Has your water broken?
5) Has vaginal bleeding begun?
6) Are you on any medications for the pregnancy?
7) Do you feel like you need to go to the bathroom?
8) Time contractions...if contractions are lasting 30 seconds to 1 minute or if the contractions
are less than 2-3 minutes apart then birth is imminent! No transport! Prepare for delivery!
9) Examine vagina for crowning...if so, birth is imminent! No transport! Prepare for delivery!
10) Take mother's vital signs
Preparing mother for delivery - ANS 1) Control scene (PRIVACY!)
2) PPE...surgical gloves, gowns, caps, face masks, and goggles
3) Place mother on ambulance stretcher (backboard)
4) Elevate buttocks with blankets or pillow
5) Remove patient's clothing...put one blanket underneath her body...drape one blanket over
her upper body for privacy and warmth...drape one blanket over each leg
6) Place 1 person at the mother's head (dad)...he should be alert to help her turn her head if
she vomits
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, 7) Have obstetric kit ready
What is in the obstetric kit? - ANS 1) Several pairs of sterile surgical gloves
2) towels and sheets for the mother
3) 1 dozen 2x2 (or 4x4) pads for wiping and drying the baby
4) 1 bulb syringe...for suctioning the baby
5) Cord clamps or hemostats to clamp the umbilical cord
6) 1 pair of surgical scissors to cut the cord
7) 1 baby blanket
8) Several sanitary napkins to absorb blood and other fluids
9) plastic bag
Patient manners during the delivery - ANS 1) encourage her to relax between contractions
(keep timing her contractions)
2) Encourage her not to strain unless she feels like she must
3) Remind her that the pending bowel movement is normal, and is caused by the baby moving
into her birth canal
4) Encourage her to breathe deeply through her mouth...she might feel better if she pants, but
discourage her from breathing so rapidly that she hyperventilates
5) If her "bag of waters" breaks remind her that this is normal
Assisting the mother with delivery - ANS 1) Someone always at mother's head monitoring
vital signs and being alert for vomiting
2) Do NOT touch the vagina except to assist with delivery
3) As the baby's head crowns, apply a slight pressure on the sides of the head with your
fingertips to prevent an explosive delivery...be careful NOT to put any pressure on the
fontanelles and do NOT pull on the baby's head
4) If the amniotic sac is not broken when the head is delivered, puncture the sac with a
finger...the amniotic fluid should be clear...examine the amniotic fluid for meconium staining...if
meconium is present, be prepared to suction immediately!
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
