CPN CPN Child Health & Medical Care 2 — Questions and Answers
Question 1: Which of the following is a warning sign of dehydration in a toddler that requires prompt medical attention?
- Mild crankiness and decreased appetite
- No wet diaper for 6-8 hours, dry mouth, and sunken eyes (Correct answer)
- Runny nose and low-grade fever
- Increased thirst and normal urination
Correct answer: No wet diaper for 6-8 hours, dry mouth, and sunken eyes
No wet diaper for 6-8 hours combined with dry mouth and sunken eyes are classic signs of significant dehydration requiring medical evaluation.
Question 2: What is the standard protocol when a child has a febrile seizure (seizure caused by fever)?
- Restrain the child to prevent injury during the seizure
- Place something in the child's mouth to prevent tongue biting
- Keep the child safe from injury, time the seizure, and call 911 if it lasts more than 5 minutes (Correct answer)
- Give fever-reducing medication immediately during the seizure
Correct answer: Keep the child safe from injury, time the seizure, and call 911 if it lasts more than 5 minutes
During a febrile seizure, the nanny should protect the child from harm, time the event, and call 911 if it exceeds 5 minutes or does not stop.
Question 3: A child develops a widespread rash, hives, and swelling of the lips after eating. What condition does this suggest?
- Contact dermatitis
- Chickenpox
- Anaphylaxis (Correct answer)
- Heat rash
Correct answer: Anaphylaxis
Hives, widespread rash, and swelling of the lips or face after eating are classic signs of anaphylaxis requiring immediate epinephrine and emergency services.
Question 4: What is the key reason nannies should keep an updated list of a child's medications, allergies, and medical conditions?
- To share with other parents at playdates
- To ensure accurate information is available in an emergency when parents may not be reachable (Correct answer)
- To fulfill a standard employment contract requirement
- To report to child protective services annually
Correct answer: To ensure accurate information is available in an emergency when parents may not be reachable
An updated medical information sheet ensures emergency responders and caregivers have life-saving details when parents are unreachable.
Question 5: A child with Type 1 diabetes in your care appears shaky, pale, and confused. What condition do these symptoms suggest?
- Hyperglycemia (high blood sugar)
- Hypoglycemia (low blood sugar) (Correct answer)
- Diabetic ketoacidosis
- An anxiety attack
Correct answer: Hypoglycemia (low blood sugar)
Shakiness, pallor, and confusion in a child with diabetes are classic signs of hypoglycemia (low blood sugar) requiring immediate treatment.
Question 6: When a child requires daily prescription medication for a chronic condition, what documentation should a nanny maintain?
- A verbal agreement with the parents is sufficient
- A signed medication authorization form with dose, time, and route of administration (Correct answer)
- A text message from the parent with instructions
- Notes on a personal smartphone only
Correct answer: A signed medication authorization form with dose, time, and route of administration
A signed medication authorization form protects both the child and the nanny by documenting exactly what was administered, when, and by whose authorization.
CPN CPN Child Health & Medical Care 2
Which of the following is a warning sign of dehydration in a toddler that requires prompt medical attention?