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An Evidence-Based Pediatric Fall Risk Assessment Tool for Home Health Practice

Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional: February 2011 - Volume 29 - Issue 2 - p 105–107
doi: 10.1097/NHH.0b013e31820cb0bd
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An Evidence-Based Pediatric Fall Risk Assessment for Home Health Practice TEST INSTRUCTIONS

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GENERAL PURPOSE: To present registered professional nurses with the details that led to the development and implementation of a fall risk assessment tool that helps nurses identify age-specific risks for falls and interventions.

LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to:

  1. Outline the prevalence of, risk factors for, and outcomes of pediatric falls.
  2. Plan the appropriate interventions to prevent pediatric falls.

1. How do falls rank as a common cause of pediatric injury?

a. first

b. second

c. third

d. fourth

2. Among infants under the age of one year, falls most often injure the

a. back and neck.

b. chest and abdomen.

c. arms and legs.

d. face and head.

3. Which childhood age group demonstrates the highest rate of injury?

a. three to 17 months

b. 18 to 36 months

c. three to six years

d. six to 12 years

4. Most fall-related injuries affecting infants and toddlers occur

a. outdoors.

b. at home.

c. in day care facilities.

d. in inpatient settings.

5. To date, pediatric fall risk assessment tools have focused on

a. the outdoors.

b. homes.

c. day care facilities.

d. inpatient settings.

6. According to the Child Health Corporation of America, fall risk assessment tools developed and validated for adults

a. work well enough with children.

b. can be modified for pediatric use.

c. are unreliable predictors of fall risk in children.

d. should have an additional section to address pediatric falls.

7. Cooper and Nolt describe an inpatient pediatric assessment tool that incorporates the classification of all infants as having a fall risk that is

a. low.

b. moderate.

c. high.

d. factor-dependent.

8. In an adaptation of Graf's General Risk Assessment for Pediatric -Inpatient Falls scale, the Children's Hospital of Denver developed a scored fall risk assessment tool under the acronym "I'm Safe, " with the I representing

a. impairment.

b. independence.

c. injury history.

d. infection.

9. Of the following, falls among -children under the age of two years are most often a result of

a. developmental delays.

b. parental abuse.

c. inadequate parental education.

d. adult supervisory lapses.

10. What percentage of infants who were dropped by caregivers -required hospitalization?

a. 10%

b. 20%

c. 30%

d. 40%

11. According to Dedoukou and -colleagues, the highest rate of hospitalizations for infants is for falls from

a. beds.

b. cribs.

c. changing tables.

d. infant swings.

12. Walkers and strollers have been associated with what percentage of fall-related injuries of young children involving stairways?

a. 64%

b. 76%

c. 83%

d. 92%

13. According to Flavin and -colleagues, the top priority for preventing falls of young -children who are mobile is

a. safety straps.

b. parent education.

c. safety barriers.

d. direct supervision.

14. Pediatric slip and trip incidents peak at which age?

a. one year

b. two years

c. three years

d. four years

15. The most effective way to -eliminate pediatric falls -associated with stairs is to

a. apply slip-resistant strips to stair treads.

b. have children wear rubber-soled shoes when navigating stairs.

c. install and use approved safety gates.

d. teach children to climb stairs only with an adult present.

16. When using the pediatric fall risk assessment tool -developed at the author's facility, nurses implement interventions when obtaining how many negative responses for a specific -developmental stage?

a. one

b. two

c. three

d. four



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