CNM Health & Safety Protocols & Emergency Procedures 2 — Questions and Answers
Question 1: A child in your care develops a fever of 104°F (40°C). What is the most appropriate immediate action?
- Give the child a cold bath immediately
- Administer ibuprofen and contact the parents (Correct answer)
- Apply ice packs directly to the child's skin
- Ignore it and monitor for 24 hours
Correct answer: Administer ibuprofen and contact the parents
A fever of 104°F warrants immediate parental notification and age-appropriate fever reducer like ibuprofen (for children over 6 months), while monitoring the child closely.
Question 2: When performing CPR on an infant, what is the correct compression-to-breath ratio?
- 15:2
- 30:2 (Correct answer)
- 5:1
- 10:2
Correct answer: 30:2
The American Heart Association recommends a 30:2 compression-to-breath ratio for single-rescuer infant CPR.
Question 3: A child is stung by a bee and begins to show signs of hives, wheezing, and swelling of the lips. What condition is this and what should you do first?
- Mild allergic reaction — apply hydrocortisone cream
- Anaphylaxis — use epinephrine auto-injector and call 911 (Correct answer)
- Heat rash — move child indoors and give water
- Asthma attack — use the child's rescue inhaler
Correct answer: Anaphylaxis — use epinephrine auto-injector and call 911
Hives, wheezing, and facial swelling following a sting indicate anaphylaxis, which requires immediate epinephrine administration and emergency services.
Question 4: Which of the following is the safest sleep environment for an infant under 12 months?
- A soft mattress with a bumper pad and a blanket
- A firm, flat surface with no loose bedding in a separate crib (Correct answer)
- Co-sleeping with a caregiver to monitor breathing
- A reclining infant seat angled at 30 degrees
Correct answer: A firm, flat surface with no loose bedding in a separate crib
The AAP recommends a firm, flat sleep surface with no loose objects to reduce the risk of SIDS and suffocation.
Question 5: A child swallows an unknown household chemical. After calling Poison Control (1-800-222-1222), what should you NOT do?
- Have the container ready to describe the substance
- Induce vomiting to remove the substance (Correct answer)
- Keep the child calm and monitor for symptoms
- Follow Poison Control's specific instructions
Correct answer: Induce vomiting to remove the substance
Inducing vomiting after chemical ingestion can cause additional chemical burns to the esophagus and is contraindicated unless specifically directed by Poison Control.
Question 6: What is the correct first aid response for a child with a nosebleed?
- Tilt the head back and pinch the bridge of the nose
- Have the child sit upright, lean slightly forward, and pinch the soft part of the nose (Correct answer)
- Lay the child flat and apply ice to the forehead
- Pack the nostril tightly with cotton and tilt head back
Correct answer: Have the child sit upright, lean slightly forward, and pinch the soft part of the nose
Leaning forward prevents swallowing blood, while pinching the soft part of the nose applies pressure to the bleeding vessels.
Question 7: When should a nanny manager update the emergency contact list for children in care?
- Only when a child first enrolls
- At the beginning of each school year
- Whenever family circumstances change and at least every 6 months (Correct answer)
- Every two years during contract renewal
Correct answer: Whenever family circumstances change and at least every 6 months
Emergency contact information should be reviewed whenever family circumstances change (e.g., new address, divorce, new phone) and verified at minimum every six months.
CNM Health & Safety Protocols & Emergency Procedures 2
A child in your care develops a fever of 104°F (40°C).
What is the most appropriate immediate action?