OAE Early Childhood Education Health, Safety, and Nutrition 3 — Questions and Answers
Question 1: A 4-year-old complains of stomach pain and has had two episodes of vomiting. The teacher should FIRST:
- Offer the child crackers and water and continue the school day
- Contact the family and follow the center's illness exclusion policy (Correct answer)
- Administer an antacid from the first-aid kit
- Have the child lie down in the classroom and check in hourly
Correct answer: Contact the family and follow the center's illness exclusion policy
Vomiting is a common exclusion criterion; teachers must notify families promptly and follow established health policies.
Question 2: Which of the following is the MOST appropriate sleep safety practice for infants in a childcare setting?
- Place infants on their sides to prevent choking
- Use a firm, flat surface with no loose bedding, bumpers, or soft objects in the sleep area (Correct answer)
- Allow soft blankets if the room temperature is below 68°F
- Let infants sleep in bouncer seats if they fall asleep there
Correct answer: Use a firm, flat surface with no loose bedding, bumpers, or soft objects in the sleep area
Safe infant sleep follows the ABCs: Alone, on their Back, in a Crib with a firm flat surface and no soft items to reduce SIDS risk.
Question 3: Which nutrient is MOST important to emphasize in the diets of toddlers aged 1–3 to support rapid brain development?
- Vitamin C
- Iron and omega-3 fatty acids (Correct answer)
- Sodium
- Refined carbohydrates
Correct answer: Iron and omega-3 fatty acids
Iron supports cognitive development and oxygen transport, while omega-3 fatty acids (DHA/EPA) are critical for brain and eye development in early childhood.
Question 4: A teacher notices a child has a bruise in an unusual location (e.g., torso, back) that does not match the child's explanation. What is the teacher's legal obligation?
- Document the observation and discuss it with parents at pickup
- Report the concern immediately to the appropriate child protective services agency (Correct answer)
- Consult a colleague and wait one week to see if more signs appear
- Keep the observation confidential to protect the family's privacy
Correct answer: Report the concern immediately to the appropriate child protective services agency
Early childhood teachers are mandated reporters required by law to report suspected child abuse or neglect to child protective services promptly.
Question 5: Which of the following playground surfaces is MOST effective at reducing injury from falls?
- Asphalt
- Packed dirt
- Engineered wood fiber or rubber mulch at appropriate depth (Correct answer)
- Grass
Correct answer: Engineered wood fiber or rubber mulch at appropriate depth
Loose-fill materials such as engineered wood fiber or rubber mulch, installed at the CPSC-recommended depth, provide the best impact attenuation for playground falls.
Question 6: During a fire drill, a teacher's FIRST priority should be:
- Gathering student portfolios and emergency contact binders
- Ensuring all children exit quickly and calmly in an orderly line (Correct answer)
- Calling the fire department before evacuating
- Searching the building to confirm all rooms are empty
Correct answer: Ensuring all children exit quickly and calmly in an orderly line
Life safety is paramount; children must be evacuated quickly and calmly before any administrative tasks are performed.
Question 7: According to USDA Child and Adult Care Food Program (CACFP) guidelines, which beverage is recommended for children aged 2 and older instead of whole milk?
- Chocolate whole milk
- Low-fat (1%) or fat-free milk (Correct answer)
- Flavored milk with added sugar
- 100% fruit juice as the primary beverage
Correct answer: Low-fat (1%) or fat-free milk
CACFP updated guidelines recommend low-fat (1%) or fat-free unflavored milk for children 2 years and older to reduce saturated fat intake.
A 4-year-old complains of stomach pain and has had two episodes of vomiting.
The teacher should FIRST: