Week 4 – Ch. 20, 30, 31, 37
A. If the child is still drinking milk from a
CHAPTER 20. DENTAL AND ORAL bottle
HEALTH
A 4yearold child who has had extensive
1. A 9monthold infant has developed dental surgery to treat dental caries has
two teeth since the 6month checkup. white spot lesions on the primary teeth.
The local water supply contains fluoride. How often should this child receive
What will the primary care pediatric fluoride varnish
nurse practitioner do to promote applications?
healthy dentition at this visit?
A. Annually
A. Apply sodium fluoride varnish to the B. Twice yearly
infant's teeth. C. Every 3 to 6 months
B. Encourage the parents to make an D. Every month
initial dental appointment. C. Every 3 to 6 months
C. Prescribe oral fluoride
supplementation. The parents of a formula fed newborn
D. Teach the parents how to brush the report that they get their drinking water
infant's teeth with fluoride toothpaste. from a well. What will the primary care
A. Apply sodium fluoride varnish to the pediatric nurse practitioner recommend
infant's teeth. to provide adequate fluoride for this
infant?
2. What will the primary care pediatric
nurse practitioner recommend to the A. Giving the infant a fluoride
parent of an infant who is teething who supplement
asks about comfort measures? B. Testing the fluoride level of their
water source
A. Administer oral ibuprofen or apply C. Using bottled water to prepare the
topical salicylates. infant's formula
B. Apply a topical anesthetic such a D. Using powdered formula with added
benzocaine to the gums. fluoride
C. Give the infant a cold teething ring or B. Testing the fluoride level of their water
wet washcloth to chew. source
D. Try Baby Orajel on the infant's gums
several times daily. 6. What will the primary care pediatric
C. Give the infant a cold teething ring or wet nurse practitioner teach the parent of
washcloth to chew. an infant about cleaning the child's
teeth?
3. An 18monthold child has horizontal,
bright white lines along the upper gum A. To allow the child to control the
line of the teeth. What is the most amount of toothpaste used
important question the primary care B. To choose a toothpaste with a mint
pediatric nurse practitioner will ask the flavor
child's parents? C. To use a smear of toothpaste and not
to rinse the mouth
A. If the child is still drinking milk from D. To use a toothpaste containing
a bottle whitening agents
B. If the child or the parents are C. To use a smear of toothpaste and not to
brushing the teeth rinse the mouth
C. If they are brushing the child's teeth
twice daily A parent asks about ways to promote
D. If they have taken the child to a dental health in schoolage children
dentist while on a family vacation that are
, convenient while camping and
picnicking. What will the pediatric A. Chlorhexidine gluconate
nurse practitioner recommend? B. Diphenhydramine and Maalox
C. Oral acyclovir
A. Getting fluoride varnish treatments D. Topical antiviral medication
prior to vacations A. Chlorhexidine gluconate
B. Giving the children fluoridated water
after meals During a well child exam, the primary
C. Having the children use a care pediatric nurse practitioner notes
chlorhexidine gluconate oral rinse yellowish white serpentine bordered
D. Offering gum containing xylitol after lesions on the anterior portion of a
meals child's tongue. What will the nurse
Offering gum containing xylitol after meals practitioner do?
An adolescent has localized bleeding of A. Order chlorhexidine gluconate rinses
the gums when brushing the teeth. An to treat the lesions.
exam of the mouth reveals the presence B. Prescribe oral acyclovir to shorten
of plaque and calculus on the teeth, the course of the disease.
which are not loose. What will the C. Reassure the parent that these are
primary care pediatric nurse benign lesions. Correct
practitioner recommend? D. Refer the child to a pediatric dentist
for evaluation.
A. Consistently brushing and flossing Reassure the parent that these are benign
the teeth twice daily lesions.
B. Referral to an oral surgeon for
treatment 4yearold child who has asthma has teeth
C. Rinsing the mouth daily with with smooth, cuppedout teeth on the
chlorhexidine gluconate chewing surfaces. Which is the most
D. Using a xylitolcontaining gum after likely explanation for this finding?
meals
A. Consistently brushing and flossing the A. Bruxism
teeth twice daily B. Bulimia
C. Decreased saliva
A schoolage child has had herpes D. Gastroesophageal reflux
stomatitis for a week and continues to D. Gastroesophageal reflux
complain of pain. What will the primary
care pediatric nurse practitioner 13. An adolescent female reports facial
recommend? pain and frequent popping of her jaw.
An exam reveals unilateral tender facial
A. Administration of a topical antiviral muscles and a deviation of the mandible
medication to the affected side with opening of the
B. Taking oral acyclovir for 5 to 7 days mouth. What will the primary care
C. Topical application of pediatric nurse practitioner do?
diphenhydramine and Maalox
D. Using a chlorhexidine gluconate rinse A. Recommend ice packs, NSAIDs, and a
C. Topical application of diphenhydramine soft diet.
and Maalox B. Refer to a pediatric mental health
specialist.
A child has several shallow mucosal C. Refer to an orthodontist for a
lesions on the buccal mucosa and surgical intervention.
tongue that are surrounded with an D. Suggest obtaining Botox injection
erythematous halo and covered by treatments
yellow plaques. What will the primary A. Recommend ice packs, NSAIDs, and a
care pediatric nurse practitioner soft diet.
recommend?
A. If the child is still drinking milk from a
CHAPTER 20. DENTAL AND ORAL bottle
HEALTH
A 4yearold child who has had extensive
1. A 9monthold infant has developed dental surgery to treat dental caries has
two teeth since the 6month checkup. white spot lesions on the primary teeth.
The local water supply contains fluoride. How often should this child receive
What will the primary care pediatric fluoride varnish
nurse practitioner do to promote applications?
healthy dentition at this visit?
A. Annually
A. Apply sodium fluoride varnish to the B. Twice yearly
infant's teeth. C. Every 3 to 6 months
B. Encourage the parents to make an D. Every month
initial dental appointment. C. Every 3 to 6 months
C. Prescribe oral fluoride
supplementation. The parents of a formula fed newborn
D. Teach the parents how to brush the report that they get their drinking water
infant's teeth with fluoride toothpaste. from a well. What will the primary care
A. Apply sodium fluoride varnish to the pediatric nurse practitioner recommend
infant's teeth. to provide adequate fluoride for this
infant?
2. What will the primary care pediatric
nurse practitioner recommend to the A. Giving the infant a fluoride
parent of an infant who is teething who supplement
asks about comfort measures? B. Testing the fluoride level of their
water source
A. Administer oral ibuprofen or apply C. Using bottled water to prepare the
topical salicylates. infant's formula
B. Apply a topical anesthetic such a D. Using powdered formula with added
benzocaine to the gums. fluoride
C. Give the infant a cold teething ring or B. Testing the fluoride level of their water
wet washcloth to chew. source
D. Try Baby Orajel on the infant's gums
several times daily. 6. What will the primary care pediatric
C. Give the infant a cold teething ring or wet nurse practitioner teach the parent of
washcloth to chew. an infant about cleaning the child's
teeth?
3. An 18monthold child has horizontal,
bright white lines along the upper gum A. To allow the child to control the
line of the teeth. What is the most amount of toothpaste used
important question the primary care B. To choose a toothpaste with a mint
pediatric nurse practitioner will ask the flavor
child's parents? C. To use a smear of toothpaste and not
to rinse the mouth
A. If the child is still drinking milk from D. To use a toothpaste containing
a bottle whitening agents
B. If the child or the parents are C. To use a smear of toothpaste and not to
brushing the teeth rinse the mouth
C. If they are brushing the child's teeth
twice daily A parent asks about ways to promote
D. If they have taken the child to a dental health in schoolage children
dentist while on a family vacation that are
, convenient while camping and
picnicking. What will the pediatric A. Chlorhexidine gluconate
nurse practitioner recommend? B. Diphenhydramine and Maalox
C. Oral acyclovir
A. Getting fluoride varnish treatments D. Topical antiviral medication
prior to vacations A. Chlorhexidine gluconate
B. Giving the children fluoridated water
after meals During a well child exam, the primary
C. Having the children use a care pediatric nurse practitioner notes
chlorhexidine gluconate oral rinse yellowish white serpentine bordered
D. Offering gum containing xylitol after lesions on the anterior portion of a
meals child's tongue. What will the nurse
Offering gum containing xylitol after meals practitioner do?
An adolescent has localized bleeding of A. Order chlorhexidine gluconate rinses
the gums when brushing the teeth. An to treat the lesions.
exam of the mouth reveals the presence B. Prescribe oral acyclovir to shorten
of plaque and calculus on the teeth, the course of the disease.
which are not loose. What will the C. Reassure the parent that these are
primary care pediatric nurse benign lesions. Correct
practitioner recommend? D. Refer the child to a pediatric dentist
for evaluation.
A. Consistently brushing and flossing Reassure the parent that these are benign
the teeth twice daily lesions.
B. Referral to an oral surgeon for
treatment 4yearold child who has asthma has teeth
C. Rinsing the mouth daily with with smooth, cuppedout teeth on the
chlorhexidine gluconate chewing surfaces. Which is the most
D. Using a xylitolcontaining gum after likely explanation for this finding?
meals
A. Consistently brushing and flossing the A. Bruxism
teeth twice daily B. Bulimia
C. Decreased saliva
A schoolage child has had herpes D. Gastroesophageal reflux
stomatitis for a week and continues to D. Gastroesophageal reflux
complain of pain. What will the primary
care pediatric nurse practitioner 13. An adolescent female reports facial
recommend? pain and frequent popping of her jaw.
An exam reveals unilateral tender facial
A. Administration of a topical antiviral muscles and a deviation of the mandible
medication to the affected side with opening of the
B. Taking oral acyclovir for 5 to 7 days mouth. What will the primary care
C. Topical application of pediatric nurse practitioner do?
diphenhydramine and Maalox
D. Using a chlorhexidine gluconate rinse A. Recommend ice packs, NSAIDs, and a
C. Topical application of diphenhydramine soft diet.
and Maalox B. Refer to a pediatric mental health
specialist.
A child has several shallow mucosal C. Refer to an orthodontist for a
lesions on the buccal mucosa and surgical intervention.
tongue that are surrounded with an D. Suggest obtaining Botox injection
erythematous halo and covered by treatments
yellow plaques. What will the primary A. Recommend ice packs, NSAIDs, and a
care pediatric nurse practitioner soft diet.
recommend?
