SANTA CLARA COUNTY EMS PARAMEDIC
PROTOCOL TEST EXAM PREP QUESTIONS
AND ANSWERS STUDY GUIDE 2026
◉ Preparing mother for delivery. Answer: 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
7) Have obstetric kit ready
◉ What is in the obstetric kit?. Answer: 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. Answer: 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. Answer: 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
PROTOCOL TEST EXAM PREP QUESTIONS
AND ANSWERS STUDY GUIDE 2026
◉ Preparing mother for delivery. Answer: 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
7) Have obstetric kit ready
◉ What is in the obstetric kit?. Answer: 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. Answer: 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. Answer: 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
