CCP Health Safety & Nutrition 3 — Questions and Answers
Question 1: A childcare facility experiences a suspected norovirus outbreak affecting multiple children. What is the priority control measure?
- Administer antiviral medication to all children
- Enforce strict handwashing and sanitize contaminated surfaces with bleach solution (Correct answer)
- Close all windows to prevent airborne spread
- Separate ill children into a different classroom only
Correct answer: Enforce strict handwashing and sanitize contaminated surfaces with bleach solution
Norovirus spreads via fecal-oral route and contaminated surfaces; rigorous handwashing and disinfecting with bleach-based solutions are the most effective control measures.
Question 2: When setting up an outdoor play area, what is the recommended depth of impact-absorbing material (such as wood chips) under play equipment with a fall height of 6 feet?
- 3 inches
- 6 inches
- 9 inches (Correct answer)
- 12 inches
Correct answer: 9 inches
CPSC guidelines recommend at least 9 inches of loose-fill material like wood chips or sand under equipment with a fall height of up to 7 feet.
Question 3: Which vitamin deficiency is most commonly associated with rickets in young children?
- Vitamin A
- Vitamin B12
- Vitamin C
- Vitamin D (Correct answer)
Correct answer: Vitamin D
Vitamin D deficiency leads to inadequate calcium absorption and causes rickets, characterized by soft and weakened bones in children.
Question 4: A 4-year-old child is choking and cannot cough, speak, or breathe. What intervention should a childcare provider immediately perform?
- Perform 5 back blows followed by 5 abdominal thrusts (Correct answer)
- Lay the child down and perform chest compressions
- Sweep the mouth with a finger to remove the object
- Call 911 and wait for paramedics to arrive
Correct answer: Perform 5 back blows followed by 5 abdominal thrusts
For a conscious child over 1 year with a complete airway obstruction, the Red Cross recommends 5 back blows followed by 5 abdominal thrusts (Heimlich maneuver).
Question 5: According to the AAP, at what age should whole cow's milk replace breast milk or formula as the primary drink?
- 6 months
- 9 months
- 12 months (Correct answer)
- 18 months
Correct answer: 12 months
The American Academy of Pediatrics recommends transitioning to whole cow's milk at 12 months of age, as infants' kidneys and digestive systems are sufficiently mature by then.
Question 6: Which of the following is a correct safe sleep practice for infants under 12 months in a childcare setting?
- Placing the infant on their stomach to prevent choking
- Using a firm, flat sleep surface with no loose bedding (Correct answer)
- Allowing soft bumper pads to prevent head injury
- Positioning infants on their side to reduce SIDS risk
Correct answer: Using a firm, flat sleep surface with no loose bedding
Safe sleep guidelines require infants to sleep on their back on a firm, flat, uncluttered surface; bumpers, pillows, and soft objects increase SIDS risk.
Question 7: What is the appropriate dilution ratio for a bleach sanitizing solution used on food contact surfaces in childcare facilities?
- 1 tablespoon bleach per gallon of water (Correct answer)
- 1/4 cup bleach per gallon of water
- 1 cup bleach per gallon of water
- 1 tablespoon bleach per quart of water
Correct answer: 1 tablespoon bleach per gallon of water
For sanitizing food contact surfaces, the CDC recommends approximately 1 tablespoon (about 200 ppm) of unscented bleach per gallon of water.
CCP Health Safety & Nutrition 3
A childcare facility experiences a suspected norovirus outbreak affecting multiple children.
What is the priority control measure?