CDC Health, Safety & Nutrition 3 — Questions and Answers
Question 1: Under OSHA's Bloodborne Pathogen standards applicable to childcare, which body fluid is considered a bloodborne pathogen risk requiring universal precautions?
- Urine
- Saliva without visible blood
- Blood and bloody body fluids (Correct answer)
- Nasal secretions
Correct answer: Blood and bloody body fluids
Universal precautions specifically apply to blood and body fluids visibly contaminated with blood, as these carry the highest risk of bloodborne pathogen transmission.
Question 2: A caregiver notices a child is not breathing and has no pulse. After calling 911, what should the caregiver do next?
- Place the child in the recovery position and wait for EMS
- Begin CPR appropriate for the child's age (Correct answer)
- Administer rescue breaths only, not chest compressions
- Run to find the child's emergency medication
Correct answer: Begin CPR appropriate for the child's age
After calling 911, a trained caregiver should immediately begin age-appropriate CPR (compressions and rescue breaths) until EMS arrives.
Question 3: Which CACFP-approved food best meets the grain component requirement for a toddler's lunch?
- White rice crackers
- Whole-grain bread (Correct answer)
- Flavored corn puffs snack
- Sweetened granola bar
Correct answer: Whole-grain bread
CACFP guidelines emphasize whole-grain-rich foods for the grain component, making whole-grain bread the best choice.
Question 4: A childcare center must maintain indoor temperatures between which range during occupied hours according to most licensing standards?
- 55–65°F
- 65–75°F (Correct answer)
- 76–85°F
- 86–95°F
Correct answer: 65–75°F
Most state childcare licensing standards require indoor temperatures to be maintained between 65°F and 75°F for children's comfort and health.
Question 5: When a child with a known peanut allergy attends the center, which practice is MOST important?
- Banning all nuts from the building and maintaining an updated allergy action plan (Correct answer)
- Simply reminding other parents not to send nut products
- Keeping an EpiPen only in the director's office for quick access
- Labeling the allergic child's cubby with a nut warning
Correct answer: Banning all nuts from the building and maintaining an updated allergy action plan
A comprehensive approach including an allergen-free environment and an individualized emergency action plan provides the greatest protection for children with severe allergies.
Question 6: What is the minimum recommended contact time for a bleach solution (1 tablespoon bleach per quart of water) to effectively disinfect a diaper changing table?
- 5 seconds
- 30 seconds
- 2 minutes (Correct answer)
- 5 minutes
Correct answer: 2 minutes
A bleach disinfectant solution must remain wet on the surface for at least 2 minutes to effectively kill pathogens on diaper changing tables.
Question 7: Which condition requires a child to be excluded from group care until symptoms have resolved or a healthcare provider clears their return?
- A mild runny nose with clear discharge
- A temperature of 99.0°F (37.2°C)
- Strep throat until 24 hours after antibiotic treatment begins (Correct answer)
- A healing scrape with a bandage
Correct answer: Strep throat until 24 hours after antibiotic treatment begins
Strep throat requires exclusion until the child has been on antibiotics for at least 24 hours and is fever-free, to prevent spreading the infection.
CDC Health, Safety & Nutrition 3
Under OSHA's Bloodborne Pathogen standards applicable to childcare, which body fluid is considered a bloodborne pathogen risk requiring universal precautions?