Rourke Baby Record - Injury Prevention

Question 1

What is the leading cause of death of Canadian children and youth?

Answer 1

unintentional injuries

Most of these preventable injuries are caused by motor vehicle collisions, suffocation, drowning, fire, poisoning, and falls. Unexplained injuries (e.g. fractures, burns), sentinel injuries, or injuries that do not fit the rationale provided or developmental stage raise concern for child maltreatment.

Question 2

Where should children under 13 sit in the car

Answer 2

in the back seat

Question 3

For car seat safety when should a child be moved up a car seat stage

Answer 3

once height AND weight limits are reached

Question 4

Infants and toddlers should be in a ____ car seat

Answer 4

rear facing

Question 5

Children who weigh at least 10kg should be in a ___ car seat

Answer 5

foward facing car seat with harness

Question 6

Children who weigh at least 18kg should be in a ____

Answer 6

booster seat

Question 7

Children less than 13 yeares old who are taller than 145cm (4’9”) should be___

Answer 7

using lap and shoulder belt in the rear seat

Question 8

If a car seat is in a collision it should be ____

Answer 8

replaced

Question 9

How old should a child be to operate a snowmobile/ATV

Answer 9

16+

even for youth models

Question 10

When should bike helmets be replaced

Answer 10

after impact from fall or >5 years old

Question 11

fyi

Bath safety: Never leave a young child unsupervised in the bath.
Water safety: Recommend adult supervision, training for adults, 4-sided pool fencing with self-closing and-latching gates, lifejackets, swimming lessons, and boating safety to decrease the risk of drowning.

Question 12

Where should infants sleep for first 6 months

Answer 12

in parents room in crib, craddle, bassinet

Question 13

What should be inside the crib

Answer 13

nothing. No soft objects, loose bedding etc

Question 14

How should infants be positioned for sleep

Answer 14

on back, flat, on firm surface

Counsel parents on the dangers of other contributory risk factors for SIDS such as bed sharing in parents’ bed; sleeping on a sofa or cushioned chair or in a car seat or swing; overheating; maternal smoking, 2nd hand smoke, alcohol, or illicit or sedating drug use.

Question 15

What is positional plagiocephaly

Answer 15

• when a baby develops a flat spot on one side of the head or the whole back of the head.
• It happens when a baby sleeps in the same position most of the time or because of problems with the neck muscles that result in a head-turning preference.

sleep positioners should not be used

Question 16

What can be done to prevent positional plagiocephaly

Answer 16

While supine for sleep, the orientation of the infant’s head should be varied to prevent positional plagiocephaly.

Question 17

When should infants have tummy time

Answer 17

once umbilical cord stump has detached

Question 18

How is a baby swaddled

Answer 18

placed supine with free movement of hips and legs with head uncovered

Question 19

When is swaddling contraindicated

Answer 19

once baby shows signs of attempting to roll

Question 20

What risks increase if swaddle is not applied correctly

Answer 20

• SIDS
• hyperthermia
• development of hip dysplasia

Question 21

Should pacifiers be used

Answer 21

yes for 1st year of life

shows decreased risk of sids

Question 22

In which children should pacifier use be restricted?

Answer 22

chronic or recurrent otitis edia

Question 23

When should pacifier use be initated

Answer 23

once beastfeeding is well established

Question 24

Should baby walkers be used to prevent infant falls

Answer 24

no- banned in Canada

Question 25

Where should smoke detectors be installed

Answer 25

on every level of the home

Question 26

How should the hot water temp be set to prevent burns

Answer 26

<49C