Child Development Associate (CDA) Credential

A toddler in your care is found unresponsive and not breathing. You have called 911. What is the correct compression-to-ventilation ratio for infant/child CPR by a single rescuer?

• A30 compressions to 2 breaths
• B15 compressions to 2 breaths
• C10 compressions to 1 breath
• D5 compressions to 1 breath

Which of the following is the MOST important step in preventing the spread of illness in an early childhood program?

• ARequiring children to wear masks indoors
• BWashing hands with soap and water for at least 20 seconds
• CUsing hand sanitizer instead of soap when sinks are unavailable
• DKeeping sick children in a separate room within the facility

A child care provider notices a bottle of cleaning solution left on a low shelf accessible to toddlers. According to health and safety best practices, what is the BEST immediate action?

• ATell the children not to touch the bottle
• BMove the cleaning solution to a locked cabinet out of reach
• CPlace a warning sticker on the bottle at child's eye level
• DDilute the solution before returning it to the low shelf

When conducting a daily safety check of the outdoor play area, which hazard should receive the HIGHEST priority for removal before children use the space?

• AA patch of wet grass from overnight dew
• BA broken piece of equipment with sharp edges and exposed hardware
• CA sandbox that needs new sand added
• DA swing that squeaks but functions normally

A 4-year-old child in your group has a severe peanut allergy. Another child brings peanut-butter crackers to snack. Which action BEST demonstrates safe practice?

• AAllow the allergic child to sit at a separate table away from the snack
• BHave all children wash hands before and after snack; remove peanut-butter crackers and su…
• CMonitor the allergic child closely and administer antihistamine if symptoms appear
• DNotify the parents of both children and take no further action that day

According to standard child care safety guidelines, at what minimum height must fall-zone surfacing extend around climbing structures to cushion falls?

• A2 feet in all directions
• B6 feet in all directions
• C10 feet in all directions
• D15 feet in all directions

A child care worker is preparing infant formula in a shared kitchen area. Which of the following practices violates safe food handling principles?

• AUsing bottled water that has been brought to a rolling boil
• BPreparing formula for several infants simultaneously in a large batch
• CLabeling each bottle with the infant's name, date, and time
• DDiscarding any formula remaining after a feeding within 1 hour

During fire drill preparation, which practice is MOST effective for ensuring young children respond appropriately in an actual emergency?

• AShowing children photos of fire emergencies to motivate them to take drills seriously
• BPracticing the drill at the same time each week so children learn the routine
• CConducting drills at varied times and conditions so children generalize the response
• DExplaining the drill only to children who are old enough to understand the danger

A provider notices a child has unexplained bruising in multiple locations on the torso and upper arms. The child says, "My daddy hit me." What is the provider's legal and ethical obligation?

• AContact the child's mother privately to discuss the bruising before involving authorities
• BDocument the observation and report to the appropriate child protective services agency
• CConfront the father at pickup and document his response
• DConsult with the program director and wait one week to see if additional signs appear

Which immunization is recommended by the CDC as a routine vaccination for all children starting at age 2 months?

• AHPV vaccine (Gardasil)
• BDTaP (diphtheria, tetanus, and acellular pertussis)
• CVaricella vaccine
• DMMR (measles, mumps, rubella)

A toddler who normally has a good appetite refuses breakfast and is clinging to the caregiver. His cheeks are flushed. What is the MOST appropriate first response?

• AEncourage him to eat a small amount and monitor his behavior
• BTake his temperature and note other symptoms; contact parents if temperature is elevated
• CIsolate him immediately and send him home without notifying parents until pickup
• DGive him children's ibuprofen from the first-aid kit to reduce any possible fever

To reduce the risk of sudden infant death syndrome (SIDS), caregivers should always place infants to sleep in which position?

• AOn their side with a rolled towel behind their back for support
• BOn their stomach to strengthen neck and shoulder muscles
• COn their back on a firm, flat, uncluttered sleep surface
• DIn a slightly reclined position in an infant bouncer

A child returns from the bathroom and you notice she did not wash her hands. She is about to join the snack table. What should you do?

• AAllow her to sit down since handwashing is primarily important before toileting
• BQuietly remind her to wash her hands before touching food and escort her back to the sink
• CUse a wipe to clean her hands at the table to avoid disrupting the group
• DAsk another child to remind her about handwashing to reinforce peer learning

When a toddler is bitten by another child at a child care center, which action should the caregiver take FIRST?

• AIdentify and discipline the child who bit
• BWash the bite wound with soap and water, apply antiseptic, and comfort the injured child
• CImmediately call both sets of parents before providing any first aid
• DComplete an incident report without providing first aid, then notify the director