CNM Health & Safety Protocols & Emergency Procedures 3 — Questions and Answers
Question 1: A toddler is found unresponsive in a backyard pool. After removing the child from the water, what is the correct order of actions?
- Check for breathing, call 911, begin CPR if needed (Correct answer)
- Drain water from lungs by holding child upside down, then call 911
- Call 911, wait for paramedics before starting CPR
- Wrap the child in a towel and drive to the nearest hospital
Correct answer: Check for breathing, call 911, begin CPR if needed
The correct sequence is to check responsiveness and breathing, activate emergency services (911), and immediately begin CPR if the child is not breathing.
Question 2: Which of the following items should be stored in a locked cabinet or out of children's reach in any childcare setting?
- Bandages and gauze
- Children's multivitamins, over-the-counter medications, and cleaning products (Correct answer)
- Spare diapers and wipes
- Craft supplies like crayons and construction paper
Correct answer: Children's multivitamins, over-the-counter medications, and cleaning products
All medications (including vitamins) and cleaning products must be secured in locked or inaccessible storage to prevent accidental ingestion.
Question 3: During a fire evacuation, a 3-year-old refuses to move and begins crying. What is the best approach?
- Leave the child and evacuate the other children first
- Take time to calm the child before evacuating
- Physically carry the child out while calmly reassuring them (Correct answer)
- Tell the child to follow when they are ready
Correct answer: Physically carry the child out while calmly reassuring them
In a fire emergency, nannies must physically remove uncooperative children while maintaining a calm tone to prevent panic and ensure everyone exits safely.
Question 4: What does the acronym RICE stand for in first aid for sprains?
- Rest, Ice, Compression, Elevation (Correct answer)
- Reduce, Immobilize, Cool, Elevate
- Rest, Immobilize, Circulate, Extend
- Rinse, Ice, Compress, Evaluate
Correct answer: Rest, Ice, Compression, Elevation
RICE (Rest, Ice, Compression, Elevation) is the standard initial treatment for soft-tissue injuries like sprains to reduce swelling and pain.
Question 5: A child in your care has a known peanut allergy with a prescribed epinephrine auto-injector. The child eats something containing peanuts but shows no symptoms yet. What should you do?
- Wait to see if symptoms develop before taking action
- Give an antihistamine like Benadryl and monitor the child
- Administer the epinephrine, call 911, and contact the parents (Correct answer)
- Have the child drink milk to neutralize the allergen
Correct answer: Administer the epinephrine, call 911, and contact the parents
For a known severe allergen exposure, guidelines recommend proactive epinephrine administration and calling 911, as anaphylaxis can develop rapidly even without immediate symptoms.
Question 6: What is the minimum recommended ratio of child-to-first-aid-kit supplies that a nanny manager should ensure is maintained?
- One large kit per household regardless of number of children
- One kit per child in care
- One fully stocked kit accessible per care location with regular inventory checks (Correct answer)
- A basic kit checked annually
Correct answer: One fully stocked kit accessible per care location with regular inventory checks
Best practice is maintaining one fully stocked kit at each care location with regular supply checks to ensure completeness and that nothing is expired.
Question 7: When a child has a seizure, which action is INCORRECT?
- Clear the area of hard or sharp objects
- Put something in the child's mouth to prevent tongue biting (Correct answer)
- Time the duration of the seizure
- Turn the child on their side after convulsions stop
Correct answer: Put something in the child's mouth to prevent tongue biting
Placing objects in a seizing child's mouth is dangerous and can cause injury to the child or caregiver; the tongue cannot actually be swallowed.
CNM Health & Safety Protocols & Emergency Procedures 3
A toddler is found unresponsive in a backyard pool.
After removing the child from the water, what is the correct order of actions?