{
  "module": "103.10",
  "title": "103.10 Newborns, Infants and Young Children",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "What are the ABCs of safe sleep?",
        "options": [
          "Alone, Back, Crib",
          "Awake, Belly, Couch",
          "Arms, Blanket, Car seat",
          "Always, Bed, Cuddle"
        ],
        "correct": 0,
        "explanation": "Babies should sleep alone, on their back, in a crib or bassinet."
      },
      {
        "question": "Until what age should babies sleep on their back?",
        "options": [
          "3 months",
          "6 months",
          "Their first birthday",
          "Age 3"
        ],
        "correct": 2,
        "explanation": "Back sleeping is advised for every sleep until the first birthday."
      },
      {
        "question": "A 6-week-old has a temperature of 100.6 F. What should the CHW do?",
        "options": [
          "Suggest a fever medicine dose",
          "Wait a day and check again",
          "Help the family call the provider now or go to the ER",
          "Tell the parent to add a blanket"
        ],
        "correct": 2,
        "explanation": "A fever of 100.4 F or higher in a baby under 3 months needs medical care right away."
      },
      {
        "question": "Which formula practice is safe?",
        "options": [
          "Adding extra water to make it last",
          "Warming bottles in the microwave",
          "Saving a half-finished bottle for the next day",
          "Mixing water and powder exactly as the label says"
        ],
        "correct": 3,
        "explanation": "Follow the label; extra water, microwaving and reusing old bottles can harm babies."
      },
      {
        "question": "A parent is worried her 20-month-old is not walking. Which referral fits best?",
        "options": [
          "Help Me Grow Early Intervention",
          "Adult protective services",
          "The local high school",
          "A weight loss program"
        ],
        "correct": 0,
        "explanation": "Help Me Grow offers free Early Intervention evaluations for children under 3."
      },
      {
        "question": "For a concerned parent of a 4-year-old, where can they ask for a free evaluation?",
        "options": [
          "The Board of Nursing",
          "The local public school district",
          "Help Me Grow Early Intervention",
          "The pharmacy"
        ],
        "correct": 1,
        "explanation": "Children 3 and older are evaluated through the local public school district."
      },
      {
        "question": "Which children does Ohio require to have lead tests at ages 1 and 2?",
        "options": [
          "Only children in new homes",
          "Only children with symptoms",
          "Children on Medicaid and in high-risk ZIP codes",
          "No children"
        ],
        "correct": 2,
        "explanation": "Ohio requires testing at ages 1 and 2 for children on Medicaid and in high-risk ZIP codes."
      },
      {
        "question": "On a home visit you find a baby asleep on a couch with a sleeping parent. What should the CHW do?",
        "options": [
          "Leave without saying anything",
          "Kindly explain the danger and help plan safe sleep",
          "Report the parent to police",
          "Tell the parent to add pillows"
        ],
        "correct": 1,
        "explanation": "Kind, clear teaching and practical help like a crib keep the baby safe."
      },
      {
        "question": "A father asks which vaccines his child should skip. What is the best CHW response?",
        "options": [
          "Tell him which ones to skip",
          "Tell him vaccines are not your concern",
          "Give him a list from social media",
          "Listen, then connect him with the child's provider"
        ],
        "correct": 3,
        "explanation": "Vaccine decisions belong to families and providers; CHWs listen and connect."
      },
      {
        "question": "Why is lead poisoning called an upstream problem?",
        "options": [
          "It comes mostly from old housing and paint, not parent choices",
          "It only affects rich families",
          "It is caused by vaccines",
          "It cannot be prevented"
        ],
        "correct": 0,
        "explanation": "Lead comes mainly from old paint in housing built before 1978, a housing and policy issue."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "Until what age should babies sleep on their back?",
        "options": [
          "3 months",
          "6 months",
          "Their first birthday",
          "Age 3"
        ],
        "correct": 2,
        "explanation": "Back sleeping is advised for every sleep until the first birthday."
      },
      {
        "question": "Which formula practice is safe?",
        "options": [
          "Adding extra water to make it last",
          "Warming bottles in the microwave",
          "Saving a half-finished bottle for the next day",
          "Mixing water and powder exactly as the label says"
        ],
        "correct": 3,
        "explanation": "Follow the label; extra water, microwaving and reusing old bottles can harm babies."
      },
      {
        "question": "Why is lead poisoning called an upstream problem?",
        "options": [
          "It comes mostly from old housing and paint, not parent choices",
          "It only affects rich families",
          "It is caused by vaccines",
          "It cannot be prevented"
        ],
        "correct": 0,
        "explanation": "Lead comes mainly from old paint in housing built before 1978, a housing and policy issue."
      },
      {
        "question": "A parent is worried her 20-month-old is not walking. Which referral fits best?",
        "options": [
          "Help Me Grow Early Intervention",
          "Adult protective services",
          "The local high school",
          "A weight loss program"
        ],
        "correct": 0,
        "explanation": "Help Me Grow offers free Early Intervention evaluations for children under 3."
      },
      {
        "question": "For a concerned parent of a 4-year-old, where can they ask for a free evaluation?",
        "options": [
          "The Board of Nursing",
          "The local public school district",
          "Help Me Grow Early Intervention",
          "The pharmacy"
        ],
        "correct": 1,
        "explanation": "Children 3 and older are evaluated through the local public school district."
      },
      {
        "question": "A father asks which vaccines his child should skip. What is the best CHW response?",
        "options": [
          "Tell him which ones to skip",
          "Tell him vaccines are not your concern",
          "Give him a list from social media",
          "Listen, then connect him with the child's provider"
        ],
        "correct": 3,
        "explanation": "Vaccine decisions belong to families and providers; CHWs listen and connect."
      },
      {
        "question": "Which children does Ohio require to have lead tests at ages 1 and 2?",
        "options": [
          "Only children in new homes",
          "Only children with symptoms",
          "Children on Medicaid and in high-risk ZIP codes",
          "No children"
        ],
        "correct": 2,
        "explanation": "Ohio requires testing at ages 1 and 2 for children on Medicaid and in high-risk ZIP codes."
      },
      {
        "question": "What are the ABCs of safe sleep?",
        "options": [
          "Alone, Back, Crib",
          "Awake, Belly, Couch",
          "Arms, Blanket, Car seat",
          "Always, Bed, Cuddle"
        ],
        "correct": 0,
        "explanation": "Babies should sleep alone, on their back, in a crib or bassinet."
      },
      {
        "question": "On a home visit you find a baby asleep on a couch with a sleeping parent. What should the CHW do?",
        "options": [
          "Leave without saying anything",
          "Kindly explain the danger and help plan safe sleep",
          "Report the parent to police",
          "Tell the parent to add pillows"
        ],
        "correct": 1,
        "explanation": "Kind, clear teaching and practical help like a crib keep the baby safe."
      },
      {
        "question": "A 6-week-old has a temperature of 100.6 F. What should the CHW do?",
        "options": [
          "Suggest a fever medicine dose",
          "Wait a day and check again",
          "Help the family call the provider now or go to the ER",
          "Tell the parent to add a blanket"
        ],
        "correct": 2,
        "explanation": "A fever of 100.4 F or higher in a baby under 3 months needs medical care right away."
      }
    ]
  }
}