Outdoor Air Quality: What Child Care Providers Should Know

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1 Outdoor Air Quality: What Child Care Providers Should Know Name: First and Last Position: Child Care Name and Location: STARS Number: (required for STARS credit) print clearly Phone number: Pause and Reflect Activities / Final Test Due September 30, 2018 What type of child care: Are you a: Family/Home Child Care New Provider Center Child Care Experienced Provider School Age Care Preschool Program Number of years in profession: Other: Please return completed test by to ChildCareClass@snohd.org or by mail to: Snohomish Health District Attn: Child Care Health Outreach Program 3020 Rucker Avenue, Ste. 104 Everett, WA After you send in the test, we will reply to you and tell you that we received your test. If you do not get a reply from us within 3 working days for or 1 week for US mail, please let us know. Your STARs credits may be entered into MERIT before you receive your certificate. Your tests will be processed by October 15, Thank you for your patience. Please do tests individually. Tests that appear to be copied or altered will NOT be accepted. DO NOT leave any questions unanswered. Follow directions carefully. Unless otherwise noted, each answer is worth 2 points. Please feel free to contact us if you have any questions regarding the class material or questions about the test. We would be happy to help you! Call (425) I have read and understand the above statements and instructions.

2 Pause and Reflect #1 Outdoor Playtime Think about the time you spend with children outside each day and then answer these questions. (10 pts total) 1. How many times a day, on average, do you take full time children age 1 and older outside? 2 pts less than once a day 1x per day 2x per day more than 2x per day 2. Do you take infants outside? 2 pts Yes, always Yes, in good weather only No 3. What are three of the children s favorite activities to do outside? i. 1 pt ii. 1 pt iii. 1 pt 4. What is the biggest challenge to taking children outside? 3 pts Pause and Reflect #2 Air Quality Index Visit one of the air quality monitoring websites provided (such as airnow.gov). Answer the following questions. (8 pts total) 1. Which website did you visit? 2 pts U.S. Environmental Protection Agency Puget Sound Clean Air Agency Washington State Department of Ecology Washington State Department of Health Smoke Blog Other: 2. What was the AQI or WAQA for today (number between 0 and 500)? 2 pts 3. Which color category does it fall into? 2 pts Green Yellow Orange Red Purple Maroon 4. Is it safe for all the children to go outside? 2 pts Yes, all the children can go outside No, children with asthma or respiratory conditions need to stay inside No, all children must stay inside

3 Pause and Reflect #3 Active Play Indoors Share one indoor gross motor or active play activity that the children in your care enjoy. 4 pts Final Test A. True/False Questions (2 pts each) 1. T F Rescue medications, such as asthma inhalers, always need to be kept locked up. 2. T F Children with asthma should have a plan of care in place that has been signed by a health care provider. 3. T F If the air quality is poor and you need to keep the children inside, they should be allowed to watch television all day. 4. T F It is recommended that children in child care spend time outdoors every day. 5. T F Children are considered a sensitive group when looking at the Air Quality Index chart. 6. T F Exposure to air pollution can worsen asthma and cause acute bronchitis. 7. T F The WAQA (Washington Air Quality Advisory) shows health effect warnings at a lower fine particulate pollution level than the AQI (Air Quality Index). 8. T F Toddlers and preschoolers should have minutes total of moderate to vigorous physical activity each day. 9. T F In the Puget Sound region, almost half of the greenhouse gases produced are a result of vehicle emissions. 10. T F One way to protect children from smoke is to use a mask. 11. T F Children s bodies are just like adult bodies, only smaller. 12. T F Individuals who are at risk for heart problems may be affected more significantly by certain types of air pollution.

4 B. Finish the Chart (2 pts each blank) Write one of the following colors on each of the blanks in the chart below: Yellow, Purple, Red, Maroon, Green, Orange Air Quality Index Color Good AQI of 0-50 Meaning and Range Moderate AQI of Unhealthy for Sensitive Groups AQI of Unhealthy AQI of Very Unhealthy AQI of Hazardous AQI of Write the correct air pollutant or its abbreviation in the blank in the chart below: Carbon monoxide (CO) Ground-level ozone (O3) Sulfur dioxide (SO2) Particulate matter (PM) Lead (Pb) Air Pollutant Description Small airborne particles and liquid droplets that can be inhaled into the lungs. Formed due to chemical reactions that occur to air pollutants in sunlight and a major component of smog. Even in small amounts is toxic to the nervous system, especially in early childhood. A colorless, odorless gas that is released when something burns. A gas that can enter the air from power plants burning fossil fuels, diesel engines, and other industrial sources; can come from volcanic eruptions.

5 C. Multiple Choice Questions (2 pts each) Choose the BEST answer 13. When heavy wildfire smoke is in the air, which of the following should you NOT do? vacuum keep windows closed dust with a damp cloth stay inside 14. A child with a pollen allergy or hay fever needs to wear a mask outside have an individual plan of care carry a box of tissues at all times stay home until the fever goes away 15. The tiny air sacs in the lungs are called... bronchi alveoli mucous diaphragms 16. Relative to adults, children are more likely to breathe through their... nose skin mouth asthma inhaler 17. AQI stands for Ambient Quotient Index All Quiet Inside Air Quality Inside Air Quality Index Choose ALL that apply 18. During an asthma episode, a person may experience difficulty breathing a rash coughing wheezing 19. Fire smoke can create outdoor air problems in summer months in winter months 20. Under which AQI conditions is it okay to take young children outside to play? Red Green Orange Maroon

6 21. If air quality conditions indicate that children should stay indoors, it is still important that children have a chance for active indoor activity gross motor play vigorous movement opportunities D. Fill in the Blank 22. The Air Quality Index for the Unhealthy or red range goes from 151 to. 2 pts 23. Particles larger than micrometers don t usually reach the lungs but can irritate the eyes, nose and throat. 2 pts 24. List 3 reasons that children are more vulnerable to air pollution than adults: i. 2 pts ii. iii. 2 pts 2 pts 25. The hair-like projections that line parts of the airway are called. 2 pts 26. How many Criteria Air Pollutants are there? 2 pts 27. To reduce children s exposure to vehicle emission pollution, parents should be restricted from near the child care building or outdoor play area. 2 pts 28. Write 1 new thing you learned in this course: 2 pts Thank you for taking this class.

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