SNHD Paramedic Protocols Practice Test

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What is the delivery process for a pregnant patient with a normal presentation?

Suction mouth only, then deliver baby; deliver placenta; no cautions

Deliver the head before rupturing the amniotic sac

Deliver the baby without puncturing the amniotic sac if not broken

Puncture amniotic sac if not already broken; Deliver and support head; Suction mouth, then nose; if meconium is 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

The delivery process in a normal birth follows a careful, stepwise sequence to protect the airway, reduce trauma, and ensure after-delivery care is completed. If the amniotic sac isn’t broken, puncture it to let fluid out and help the baby breathe. Support the head as it delivers, guiding it gently rather than pulling. After the head is out, suction the mouth first, then the nose to clear the airway before the baby takes breaths. If meconium is present, suctioning may need to be repeated to reduce the risk of aspiration. Deliver the anterior (upper) shoulder first, then the posterior (lower) shoulder, followed by the rest of the body. Once the baby is delivered, clamp and cut the umbilical cord. If there are multiple births, repeat the steps for each infant. Then deliver the placenta and complete the third stage of labor, including monitoring and uterus massage as needed to prevent hemorrhage.