Review Oral Health in Pediatrics

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Oral Health in Pediatrics

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Total Questions : 10

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Question 1:

A nurse is educating parents about infant oral health. Which of the following practices should the nurse recommend to promote good oral hygiene in infants?

A. Avoid cleaning the baby's gums until teeth start to erupt B. Clean the baby's gums with a soft, damp cloth after each feeding C. Use a fluoride toothpaste for cleaning even before teeth erupt D. Introduce sugary snacks to encourage saliva production

Answer and Explanation

Choice A:

Cleaning the baby's gums is important even before teeth erupt to remove bacteria and establish good oral hygiene habits.

Choice B:

Cleaning the baby's gums with a soft, damp cloth after each feeding helps remove plaque and bacteria, promoting good oral health.

Choice C:

Fluoride toothpaste should not be used until the child is old enough to spit out the toothpaste, typically around age 2-3.

Choice D:

Introducing sugary snacks can contribute to tooth decay and is not a recommended practice for infant oral health.

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Question 2:

A toddler has multiple cavities. Which beverage choice is likely contributing to the tooth decay?

A. Milk B. Water C. Fruit juice D. Herbal tea

Answer and Explanation

Choice A:

Milk, especially when consumed in moderation and with good oral hygiene, is not typically a significant contributor to tooth decay.

Choice B:

Water does not contain sugars and is not a cause of tooth decay.

Choice C:

Fruit juice often contains natural sugars that can contribute to tooth decay, especially if consumed frequently or in large quantities.

Choice D:

Herbal tea without added sugars is a low-risk beverage for tooth decay.

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Question 3:

A parent asks about teething remedies for their infant. Which recommendation by the nurse is appropriate for teething discomfort?

A. Rubbing whiskey on the baby's gums B. Providing a chilled teething ring or clean, damp cloth for the baby to chew on C. Offering hard candies to suck on D. Applying aspirin directly to the baby's gums

Answer and Explanation

Choice A:

Rubbing whiskey on the baby's gums is unsafe and not recommended due to the risks associated with alcohol consumption in infants.

Choice B:

Providing a chilled teething ring or clean, damp cloth for the baby to chew on can help soothe teething discomfort by providing gentle pressure on the gums.

Choice C:

Offering hard candies to suck on is not appropriate for infants and can pose a choking hazard.

Choice D:

Applying aspirin directly to the baby's gums is not recommended due to the risk of Reye's syndrome in children.

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Question 4:

A school nurse is conducting a dental screening for elementary school children. Which finding requires further evaluation by a dentist?

A. Slightly crooked teeth with no signs of gum disease B. Permanent teeth erupting behind baby teeth without signs of looseness C. Slight overbite with no difficulty in biting or chewing D. Severe tooth decay and cavities in multiple teeth

Answer and Explanation

Choice A:

Slightly crooked teeth with no signs of gum disease may not require immediate dental intervention.

Choice B:

Permanent teeth erupting behind baby teeth without signs of looseness may indicate normal shedding of baby teeth.

Choice C:

A slight overbite without difficulty in biting or chewing may not be a cause for concern.

Choice D:

Severe tooth decay and cavities in multiple teeth require immediate evaluation and treatment by a dentist to prevent further complications.

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Question 5:

A parent asks about the appropriate age for their child to start using fluoride toothpaste. What is the nurse's best response?

A. 6 months B. 1 year C. 2 years D. 3 years

Answer and Explanation

Choice A:

Starting at 6 months, the child can use fluoride toothpaste, but only a smear or rice-sized amount is recommended until the child is older.

Choice B:

Starting at 6 months, the child can use fluoride toothpaste, but only a smear or rice-sized amount is recommended until the child is older.

Choice C:

Starting at 2 years, a pea-sized amount of fluoride toothpaste can be used for effective oral hygiene.

Choice D:

Starting at 2 years, a pea-sized amount of fluoride toothpaste can be used for effective oral hygiene.

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Question 6:

A nurse is teaching a parent about preventing baby bottle tooth decay. Which advice should the nurse include in the teaching?

A. Fill the baby's bottle with sugary drinks before bedtime B. Allow the baby to fall asleep with a bottle filled with formula or milk C. Clean the baby's teeth with a fluoride toothpaste after each feeding D. Offer a pacifier dipped in honey to soothe the baby to sleep

Answer and Explanation

Choice A:

Sugary drinks (e.g., juice, soda) increase the risk of tooth decay by feeding bacteria that produce acid, leading to enamel erosion.

Choice B:

Prolonged exposure to milk or formula in the mouth while sleeping allows sugars to pool around the teeth, promoting decay (a condition known as "bottle mouth syndrome").

Choice C:

Cleaning the baby's teeth with fluoride toothpaste after feedings helps prevent cavities by strengthening enamel and reducing bacterial buildup.

Choice D:

Honey should never be given to infants under 1 year due to the risk of botulism. Additionally, coating a pacifier with any sugary substance increases tooth decay risk.

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Question 7:

A nurse is providing oral hygiene instructions to parents of a toddler. Which statement by the parent indicates a need for further teaching?

A. "I will help my child brush their teeth using a pea-sized amount of fluoride toothpaste." B. "I will teach my child to spit out the toothpaste after brushing." C. "I will let my child sleep with a bottle of juice to comfort them during the night." D. "I will supervise my child while they brush their teeth until they are about 6 years old."

Answer and Explanation

Choice A:

Using a pea-sized amount of fluoride toothpaste is appropriate for toddlers to prevent excessive ingestion of fluoride.

Choice B:

Teaching the child to spit out the toothpaste after brushing helps minimize fluoride intake and is a good practice.

Choice C:

Letting the child sleep with a bottle of juice can lead to baby bottle tooth decay and should be avoided.

Choice D:

Supervising the child while they brush their teeth until they are about 6 years old ensures proper brushing technique and effective oral hygiene.

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Question 8:

A parent asks the nurse about thumb-sucking in their preschooler. What advice should the nurse provide?

A. Encourage the child to continue thumb-sucking as it provides comfort B. Offer rewards and incentives to stop thumb-sucking behavior C. Ignore the behavior, as most children naturally outgrow thumb-sucking D. Apply a bitter-tasting solution on the child's thumb to discourage sucking

Answer and Explanation

Choice A:

Encouraging the child to continue thumb-sucking is not advised, as prolonged thumb-sucking can lead to dental problems.

Choice B:

Offering rewards and incentives can be helpful, but it is essential to address the underlying cause and provide positive reinforcement.

Choice C:

Ignoring the behavior might not be effective in all cases, especially if the child continues thumb-sucking beyond an age where it could impact dental development.

Choice D:

Applying a bitter-tasting solution on the child's thumb can deter thumb-sucking by making the habit less pleasurable, which may encourage the child to stop the behavior.

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Question 9:

A nurse is counseling parents about the use of baby teethers. Which type of teether is appropriate for soothing teething discomfort?**

A. Teether filled with sugary syrup B. Rubber or silicone teether that can be chilled C. Small, hard candies attached to a string D. Teether made of soft, plush fabric

Answer and Explanation

Choice A:

Teether filled with sugary syrup is not appropriate, as it can promote tooth decay and should be avoided.

Choice B:

Rubber or silicone teethers that can be chilled provide a soothing sensation and gentle pressure on the gums, helping to alleviate teething discomfort.

Choice C:

Small, hard candies attached to a string are not suitable for infants and can pose a choking hazard.

Choice D:

Teethers made of soft, plush fabric are not effective for teething discomfort, as they do not provide the necessary pressure on the gums.

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Question 10:

A nurse is educating parents about the importance of regular dental check-ups for their child. What should the nurse emphasize as a primary benefit of these check-ups?

A. Early detection and prevention of dental problems B. Teaching children proper brushing techniques C. Providing fluoride treatments at each visit D. Administering dental sealants to prevent cavities

Answer and Explanation

Choice A:

Regular dental check-ups allow for early detection and prevention of dental problems, helping to address issues before they become more serious.

Choice B:

Teaching children proper brushing techniques is important, but it is a part of daily oral hygiene practices and not the primary benefit of regular dental check-ups.

Choice C:

Providing fluoride treatments at each visit can be beneficial, but it is not the sole purpose of regular dental check-ups.

Choice D:

Administering dental sealants is a preventive measure to prevent cavities, but it is not typically done at every dental check-up and may not be necessary for every child.

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Oral Health in Pediatrics

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