Medication Management in Child Care
Part Two
Due August 31, 2017
*A passing score is 80 points. All questions must be answered.
First and Last Name:Position:
Child Care Name:
STARS Number:
(required for STARS credit)
Print Email: / PLEASE PRINT CLEARLY
Phone number:
What type of child care: Are you a:
Family/Home Child CareCenter Child Care
School Age Care
Preschool Program
Other: / New Provider
Experienced Provider
Number of years in profession:
*** Please return completed test by email to or by mail to:
Snohomish Health District
Attn: Child Care Health Outreach
3020 Rucker Avenue, Ste 202
Everett, WA 98201
I read and understand the above statements and instructions. (2 points)
Pre TestBEFORE you read the course materials and answer these 5 true or false questions. This section of this answer sheet will not be graded because the questions are repeated in the test.
This section is a requirement for all STARs approved classes.
1. T F The expiration date on the prescription is the date that the medication should be discarded or thrown away.
2. T F If the prescription label does not have information regarding side effects the parent must get these and give a copy to the child care provider.
3. T F Over-the-Counter (OTC) medications for children are safe because they have all been studied on children under 5 years of age.
4. T F Teething gels are very safe when their main ingredient is benzocaine.
5. T F Using two or more medications that have the same generic name can be harmful.
Pause and Reflect#1 Reading Over-the-Counter (OTC) Drug Facts
Take an OTC medication that you have at home, at child care, or one on the store
shelf. Look at the Drug Facts label. Answer the following questions:
1. / What is the main ingredient of the medicine?2. / What is this medication used for?
3. / List one side effect of this medication.
#2 Your Experience with Measuring
What has been your experience with measuring out doses of liquid medicines?
4.#3 Who Do You Call?
Read each of the following scenarios. Who will you call if that were to happen? Write the letter(s) that matches who you would call. You may need to make more than one call. The first one is done for you. Review pages 32-34 for help with this question.
Who Do I Call? / I’m going to call...5. Example: Timmy was given Amy’s medicine. / A, B, C. D / A. Call 911 for help*
6. AJ’s OTC diaper ointment was put on his elbow. / B. Call Poison Control*
7. Ms. Linda forgot to give the baby her medicine / C. Call my Licensor*
8. Ana was given two pills instead of one. / D. Call the Child’s Parent*
9. Ms. Linda spilled the antibiotic on the floor.
10. Lexi vomited her medicine. / *After calling, remember to document.
True and False and Multiple Choice
11. T F Caring for Our Children states that “any caregiver/teacher who administers medication can complete any training that includes how to fill out the proper paperwork and how to store the medication” and the “training can be done by a co worker.”
12. T F Reviewing the WAC regulations on medications is an example of a
comprehensive medication training.
Where can you find the answers to the following questions?
Read the question and then look at the drug facts labels pictured above. Pick a letter from the column on the right that corresponds to the Drug Facts label section where you can find the answer. The first one, question 13, is done for you.
Questions: / Drug Facts Section13. Example: Should I store it in the fridge? / F / A. Warnings
14. Will it help with a runny nose? / B. Directions
15. Does it have alcohol or food dyes in it? / C. Uses
16. How much do I give? / D. Inactive Ingredients
17. Are there any side effects? / E. Active Ingredients
18. What is the main ingredient? / F. Other Information
19. T F Milliliter or mL is a unit of measurement used to measure liquids.
20. T F If the prescription label does not have information regarding side effects, the parent must get these and give a copy to the child care provider.
21. T F It is acceptable for the frequency to be stated “as needed” on the prescription.
22. How much medicine is in the cup shown at the right?
a. 4 teaspoons
b. 4 tablespoons
c. This is NOT an appropriate measuring device.
23. When measuring out liquid medication, the device should be checked by holding
it at / level.24. Which one is not a good measuring device for giving liquid medications?
a. medicine dropper c. oral syringe
b. baker’s teaspoon d. dosing spoon
25. T F After the expiration date a medication may start to lose its effectiveness and may not work as well.
26. T F It is acceptable to open capsules and mix them with the child’s applesauce if the doctor’s prescription says it is okay to do.
27. T F Medications labelled with the phrase ‘extended release’ need to be cut or crushed to be absorbed into the body.
28. T F OTC medications for children are safe because they have all been studied on children under 5 years of age.
29. T F Teething gels are safe when their main ingredient is benzocaine.
Use the following scenario to answer question 30:
Adam is taking this prescription medication (pictured on the right) at child care. The parent fills out an authorization form and asks Ms. Linda to also give him children’s pain relief medication (pictured bottom right). While Ms. Linda is reviewing the medication label and the child’s medication file with the parent, she stops and tells the parent that she is not comfortable giving both medications at the same time. She asks the parent to talk to the pediatrician.
30. Why do you think Ms. Linda is not comfortable giving both of these medications? (choose one answer only)
a. They are both oral medications.
b. They both contain aspirin.
c. Because child may get too much acetaminophen.
d. The medication is expired.
31. One of the abbreviations for Acetaminophen is
a. APAP c. acemin
b. AAP d. Tylenol
32. T F Taking two or more medications that have the same generic name can be harmful if taken at the same time.
33. T F The American Academy of Pediatrics recommends that cough and cold medications NOT be used in children under the age of 6 because they can be a health risk.
34. T F Baby aspirin can be used in infants 6 months and up.
35. T F The generic name acetylsalicylic acid is the same as ASA and aspirin.
36. T F When a child spits out or vomits a dose of medication, it may always be repeated as long as you wait 30 minutes before giving another dose.
37. T F It is acceptable for a child care provider to pinch a child’s nose to get him to open his mouth.
38. T F Side effects are known effects and will go away if the medication is stopped.
39. T F A child could be having a drug allergy if he gets hives and red, itchy patches on his skin within an hour after taking his medicine.
40. T F Symptoms of anaphylaxis are dangerous, but 911 does not have to be called until the child is having trouble breathing.
41. Check all of the symptoms that can be common side effects of medications?
a. upset stomach
b. diarrhea
c. dry mouth
d. difficulty breathing
42. Check all of the symptoms that can be associated with a mild drug allergy :
a. fever
b. runny nose
c. itchy, watery eyes
d. lump in the throat
43. T F Forgetting to give a dose is not an error as long as the parent is notified with a phone call within 24 hours.
44. T F If a child takes another child’s inhaler, a child care should call poison control first and then 911.
45. When calling the Poison Control Help Line you should have (choose all that apply)
a. the medication container
b. the child’s current weight
c. information about other medications the child is on
d. the parent’s permission first
46. T F A parent should be notified about any problem that the child has with a medication.
47. Choose all the situations that should be documented on the Incident/Injury Report:
a. I gave too much medicine
b. I gave a child someone else’s medication
c. Jimmy spit out his medicine
d. the ear drops were put in the child’s eyes
48. List one good reason why child care providers should document well when a problem occurs related to a medication.
49. Name an FDA article that you would consider sharing with parents.
50. (Optional)
Will you be using any information from this class to make any changes or to improve your child care policy and procedures? If so, explain:
Do you have any comments about the class? Was the class useful? Ways to make it better?
END OF TEST ~ Thank you for taking this class.
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