Introduction
Test Your Knowledge
Understanding the Importance of Child Passenger Safety
Understanding Proper Child Restraint and Prevention Milestones
Patient/Parent Education
Resources
What Did You Learn?
   
PRE-MODULE QUESTIONNAIRE

Before we begin, we'd like to get some demographic information about you and test your existing knowledge....

Identification. Although your responses are anonymous, we need to link your responses before and after using the module for evaluation purposes.

Last 4 digits of SSN

Sex

Male
Female

Profession

Medical Student
Nursing Student
Practicing Physician
Other (please specify):

Graduation Date/Anticipated Graduation Date (include past and future years)

Specialty

Have you attended a lecture or received training specific to injury prevention in the last 3 years?

Yes
No

1. Which of the following statements most accurately describes the impact of motor vehicle crashes on children in the US?

Motor vehicle crashes are the leading cause of death for all children over the age of two.
Far more children die from disease-related causes than motor vehicle crashes.
An average of 50 children in the US are killed each day in motor vehicle crashes.
Motor vehicle crashes rank very low as a cause of death and injury among children of all ages.

2. Child passenger restraint laws are uniform across the US.

True
False

3. What percentage of children under the age of 15 killed in motor vehicle crashes are completely unrestrained?

10%
30%
50%
75%

4. Which of the following statements indicates a child can be safely restrained by a lap and shoulder belt?

The lap belt fits securely across the abdomen and the shoulder belt is positioned across the chest.
The child has outgrown the forward-facing child seat.
The state law indicates a child no longer has to use child restraints.
The lap belt fits securely across the upper thighs/lower hips and the shoulder belt is positioned across the chest.

5. When can a child move to the front seat of a vehicle?

Once a child is tall enough to use the lap/shoulder belt.
Once a child is over the age of 13.
Once a child is forward-facing.

6. Are you currently aware of services available to refer patients having problems installing child restraints (car seats)?

Yes
No