CPN Child Health & Medical Care Flashcards

A child in your care develops a temperature of 100.4°F (38°C) rectally. What is this classified as?

Answer: Fever

A rectal temperature of 100.4°F (38°C) or higher is the clinical definition of fever in infants and children.

When should a nanny seek emergency medical care for a child with a fever without hesitation?

Answer: Fever in an infant under 3 months, any temperature at or above 100.4°F rectally

Fever in infants under 3 months is a medical emergency because their immune systems cannot fight serious infections effectively.

A child with asthma begins wheezing and their rescue inhaler (albuterol) is prescribed. What is the nanny's correct action?

Answer: Administer the prescribed rescue inhaler as directed and monitor closely

A rescue inhaler is the prescribed first-line treatment for acute asthma symptoms, and the nanny should administer it as directed in the care plan.

Which is the correct method to take a temperature in a child under 3 years for the most accurate reading?

Answer: Rectal thermometer

Rectal temperature is the gold standard for accuracy in young children because it directly measures core body temperature.

What is the correct dosing principle for over-the-counter children's acetaminophen?

Answer: Dose is based on the child's weight, not age

Acetaminophen dosing is weight-based to ensure safety and effectiveness; using age alone can result in under- or over-dosing.

A parent leaves prescription medication for their child with no written instructions. What should a nanny do?

Answer: Contact the parent to get written or clearly confirmed instructions before administering any medication

Professional nannies must have clear, written authorization and dosing instructions from parents before administering any prescription medication.