When Should Texas Health Steps Medical

Checkups be Done?

Initial medical checkups are due within 30 days after the child
enters DFPS custody and annually around the child's birthday.

Checkups are required more often for children under age three:
o

Newborn, 3-5 days, 2 weeks

2, 4, 6, 9, 12, 15, and 18 months

2 and 2 years

Reminder: The child must receive a timely Texas Health Steps Checkup
by a Texas Health Steps provider. Sick visits and follow-ups do not count
3 - Medical care
Page

When Should Texas Health Steps Dental

Checkups be Done?

Initial dental checkups are due within 60 days after the child enters
DFPS custody (when the child is six months of age or older).

Ongoing checkups are due every six months.

Part 1 - Transporting Children Safely in Child

Care
1) Child passenger safety is important because:
A. Children need to be kept quiet in the vehicle.
Motor vehicle crashes are the leading cause of death for
B.
children ages 3 and up.
C. Many children will not stay in their safety seats.
D. Parents need more information in this area.
2) The lap portion of the seat belt in a vehicle does not fit small children well
because:
Toddlers have a small pelvis that is not developed until
A.
puberty.
B. The lap belt is too wide for children.
C. Children will not keep the lap belt in place.
D. Children do not sit still while traveling in the vehicle.
3) The main reason child safety seats were developed was to:
A. Prevent ejection from the vehicle
B. Prevent crash forces from being evenly distributed
Distribute crash forces to the strongest parts of the childs
C.
body.
D. Keep children from touching dangerous objects in the vehicle.
4) Rear-facing seats are needed for infants because:
A. They help the infant to ride more comfortably.
Infants do not have a bone structure strong enough to
B.
withstand crash forces.
C. Infants cannot stand to ride forward-facing.
D. Infants fit better in rear-facing seats.
5) Infants should be rear-facing until:
A. They weigh 20 pounds.
B. They are one year old.
C. They are too big for their infant seat.
They are at least one year old and 20 pounds, longer rearD.

facing to age two or more is recommended.

6) The harness system that offers the best protection is:
A harness attached to a shield that comes down over the front
A.
of the child.
B. A harness that protects in three places.
C. A five-point harness system.
D. A harness that does not interfere with the comfort of the child.
7) When a child outgrows a forward-facing convertible seat, he/she should be
moved to:
A. A booster seat.
B. A combination seat if the child is still under 40 pounds.
C. The child is ready for the lap/shoulder belt in the vehicle.
D. A booster seat with a shield.
8) Children are ready to use the lap/shoulder belt of the vehicle when:
A. They are five years old.
B. They have outgrown their harness system.
C. They are 49" tall.
D. They will stay in place while the vehicle is in operation.
9) In a forward-facing convertible seat, the correct harness slot to use is:
A. The slot that is at or below the childs shoulders.
B. The middle slot.
The slot that is at or above the childs shoulders, usually one
C.
of the upper slots in a forward-facing convertible..
D. The slot that comes closest to the childs shoulders.
10) In a rear-facing seat, the harness straps should be:
A. At or above the childs shoulders.
B. Just at shoulder level.
C. Always in the lowest slots.
D. At or below the childs shoulders.
11) Securing a child in a rear-facing seat in front of an air bag is dangerous
because:
A. Air bags are unpredictable.
B. The air bag may interfere with the angle of the seat.

C. The childs head is in the deployment zone of the air bag.

The rear-facing seat can interfere with the air bag
D.
deployment.
12) A child who is 21 pounds and 9 months old should be properly restrained in:
A. A forward-facing seat in the back seat.
B. A rear-facing seat in the back seat.
C. A booster seat with a shoulder/lap belt.
D. A combination seat with a five-point harness.
13) Children should be correctly restrained in the back seat until:
A. They are 40 pounds.
B. They are over 5 years old.
C. They are approximately 8 years old and 49
D. They are at least 13 years old.
14) A retainer clip should be placed:
A. Near the childs neck.
B. Across the chest at armpit level.
C. Over the childs abdomen.
D. At waist level.
15) When a child outgrows a forward-facing convertible seat but is still under 40
pounds, he/she can usually be moved to:
A. A booster seat with a lap/shoulder belt.
B. The lap/shoulder belt in the vehicle.
C. A backless booster.
D. A combination seat with a removable five-point harness.
16) The safest place for a child to ride is usually:
A. The seat that has no air bag.
B. The center of the back seat.
C. Any seating place in the back seat.
D. An outboard position in the back seat.
17) A locking latch plate can be used to securely install a child safety seat
because:
A. It is designed to lock into the buckle.

B.

It has a locking bar inside the latch plate that keeps the
webbing from coming loose.

C. It has a switch on it that can convert it to locking mode.

D. It is sewn onto the webbing.
18) A switchable retractor can secure a child safety seat when:
A. The latch plate is locked into the buckle.
B. It is left in the ELR (Emergency Locking Retractor) mode.
All the webbing is pulled out and the retractor switches from
C.
ELR to Automatic Locking Retractor mode.
D. A locking clip is added.
19) If a child safety seat comes with LATCH, you should:
A. Always install the seat using the LATCH system.
Install only in a position in the vehicle that is equipped with
B.
LATCH.
Install using LATCH or the safety belt system in the vehicle,
C.
depending on which system gives you the most secure
installation.
Install with both the LATCH system and the vehicle safety belt
D.
system.
20) You should not use a car seat that:
A. Is missing parts or labels
B. Is more than 6 years old
C. Has been in a crash
D. All of the above.
21) It is important to complete the registration card and mail it to the
manufacturer because:
A. The manufacturer may have special offers for purchasers.
The manufacturer may need to contact the purchaser to
B.
report a recall.
C. The registration card is needed for the guarantee.
D. Child safety seats must always be registered.
22) The reason that most parents have difficulty installing a child safety seat
correctly is that:
A. It is very difficult to do without expert assistance.
They do not read the instruction book that comes with the
B.
child safety seat.

C.

There is much confusing information distributed about child

safety seats.

D. There are too many different seats manufactured.

23) Children are at great risk from the heat in a car because a child's body
temperature rises how many times faster than an adult's?
A. Two times faster.
B. Three to five times faster.
C. Nine times faster
D. Twenty times faster.
24) Backovers that are caused by vehicle blind spots can be prevented by:
A. Backing up more slowly.
A five second walk around the vehicle before getting in and
B.
starting the engine.
C. Adjusting side mirrors
D. Calling out that you are about to move the vehicle.
25) This online course prepares the student to:
A. Help parents with their child safety seat installations.
B. Be a child safety seat technician.
C. Assist others with installations in their personal vehicles.
Be knowledgeable about which child safety seat to use when
D.
transporting

Part 1 - Transporting Children Safely in Child

Care
Congratulations!
You have successfully completed the course and final exam requirements.
Score

Certificate Price

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$ 14.00

Pay later from your Certificate page.

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Correct
1)
Child
passenger
safety
is
important
because:
Correct: Motor vehicle crashes are the leading cause of death for children ages 3 and
up.
Correct
2) The lap portion of the seat belt in a vehicle does not fit small children well because:
Correct: Toddlers have a small pelvis that is not developed until puberty.
Correct
3) The main reason child safety
Correct: Prevent ejection from the vehicle

seats

were

developed

was

to:

Correct
4)
Rear-facing
seats
are
needed
for
infants
because:
Correct: Infants do not have a bone structure strong enough to withstand crash forces.
Correct
5)
Infants
should
be
rear-facing
until:
Correct: They are at least one year old and 20 pounds, longer rear-facing to age two or
more is recommended.
Incorrect
The
harness
system
that
offers
the
best
protection
is:
Incorrect : Correct answer is c. See section titled, Selecting the Correct Child Safety
Seat, Rear-facing Convertible Seat.
Correct
7) When a child outgrows a forward-facing convertible seat, he/she should be moved to:
Correct: A combination seat if the child is still under 40 pounds.

Correct
8) Children are ready to use the lap/shoulder belt of the vehicle when:
Correct: They are 49" tall.
Correct
9) In a forward-facing convertible seat, the correct harness slot to use is:
Correct: The slot that is at or above the childs shoulders, usually one of the upper slots
in a forward-facing convertible..
Incorrect
In
a
Incorrect :

rear-facing

seat,

the

harness

straps

should

be:

Correct
11) Securing a child in a rear-facing seat in front of an air bag is dangerous because:
Correct: The childs head is in the deployment zone of the air bag.
Correct
12) A child who is 21 pounds and 9 months old should be properly restrained in:
Correct: A rear-facing seat in the back seat.
Incorrect
Children
should
be
correctly
restrained
in
the
back
seat
until:
Incorrect : Correct answer is d. See section titled Securing the Child Safety Seat In the
Vehicle, Where Is the Safest Place for a Child to Ride?
Correct
14)
A
retainer
clip
Correct: Across the chest at armpit level.

should

be

placed:

Correct
15) When a child outgrows a forward-facing convertible seat but is still under 40
pounds,
he/she
can
usually
be
moved
to:
Correct: A combination seat with a removable five-point harness.

Correct
16)
The
safest
place
for
Correct: The center of the back seat.

child

to

ride

is

usually:

Correct
17) A locking latch plate can be used to securely install a child safety seat because:
Correct: It has a locking bar inside the latch plate that keeps the webbing from coming
loose.
Incorrect
A
switchable
retractor
can
secure
a
child
safety
seat
when:
Incorrect : Correct answer is c. See section titled, Securing the Child Safety Seat in the
Vehicle, Three Types of Retractors(3).
Correct
19)
If
a
child
safety
seat
comes
with
LATCH,
you
should:
Correct: Install using LATCH or the safety belt system in the vehicle, depending on
which system gives you the most secure installation.
Correct
20)
Correct: All of the above.
Correct
21) It is important to complete the registration card and mail it to the manufacturer
because:
Correct: The manufacturer may need to contact the purchaser to report a recall.
Correct
22) The reason that most parents have difficulty installing a child safety seat correctly is
that:
Correct: They do not read the instruction book that comes with the child safety seat.
Correct
23) Children are at great risk from the heat in a car because a child's body temperature
rises
how
many
times
faster
than
an
adult's?
Correct: Three to five times faster.

Correct
24) Backovers that are caused by vehicle blind spots can be prevented by:
Correct: A five second walk around the vehicle before getting in and starting the engine.
Incorrect
This
online
course
prepares
the
Incorrect : Correct answer is d. See section titled, Introduction.
SABRINA

student

to: