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1. A 5-year-old child is hit in the face with a baseball C Refer the child to a den-
bat and is brought to the clinic by a parent. An exam tist immediately for fur-
reveals three avulsed front teeth. Radiologic studies ther examination.
are negative for facial fractures. What is the recom-
mended treatment?
A. Prescribe tetracycline 4.4 mg/kg twice daily for 7 to
10 days.
B. Refer the child to a dentist for reimplantation of the
avulsed teeth.
C Refer the child to a dentist immediately for further
examination.
D Remove the teeth, place them in saline, and refer
the child to a dentist
2. A 9-month-old infant has developed two teeth since A. Apply sodium fluo-
the 6month ride varnish to the infant's
checkup. The local water supply contains fluoride. teeth
What will the primary care pediatric nurse practitioner
do to promote healthy dentition at this visit?
A. Apply sodium fluoride varnish to the infant's teeth.
B. Encourage the parents to make an initial dental
appointment.
C. Prescribe oral fluoride supplementation.
D. Teach the parents how to brush the infant's teeth
with fluoride
toothpaste.
3. What will the primary care pediatric nurse practitioner C. Give the infant a cold
recommend to the parent of an infant who is teething teething ring or wet wash-
who asks about comfort measures? cloth to chew
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A. Administer oral ibuprofen or apply topical salicy-
lates.
B. Apply a topical anesthetic such a benzocaine to the
gums.
C. Give the infant a cold teething ring or wet washcloth
to chew.
D. Try Baby Orajel on the infant's gums several times
daily.
4. An 18-month-old child has horizontal, bright white A. If the child is still drink-
lines along the upper gum line of the teeth. What is ing milk from a bottle
the most important question the primary care pedi-
atric nurse practitioner will ask the child's parents?
A. If the child is still drinking milk from a bottle
B. If the child or the parents are brushing the teeth
C. If they are brushing the child's teeth twice daily
D. If they have taken the child to a dentist
5. A 4-year-old child who has had extensive dental C. Every 3 to 6 months
surgery to treat dental caries has white spot lesions on
the primary teeth. How often should this child receive
fluoride varnish applications?
A. Annually
B. Twice yearly
C. Every 3 to 6 months
D. Every month
6. The parents of a formula-fed newborn report that they B. Testing the fluoride level
get their drinking water from a well. What will the of their water source
primary care pediatric nurse practitioner recommend
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to provide adequate fluoride for this infant?
A. Giving the infant a fluoride supplement
B. Testing the fluoride level of their water source
C. Using bottled water to prepare the infant's formula
D. Using powdered formula with added fluoride
7. What will the primary care pediatric nurse practitioner C. To use a smear of tooth-
teach the parent of an infant about cleaning the child's paste and not to rinse the
teeth? mouth
A. To allow the child to control the amount of tooth-
paste used
B. To choose a toothpaste with a mint flavor
C. To use a smear of toothpaste and not to rinse the
mouth
D. To use a toothpaste containing whitening agents
8. A parent asks about ways to promote dental health in D. Offering gum contain-
school age children while on a family vacation that are ing xylitol after meals
convenient while camping and picnicking. What will
the pediatric nurse practitioner recommend?
A. Getting fluoride varnish treatments prior to vaca-
tions
B. Giving the children fluoridated water after meals
C. Having the children use a chlorhexidine gluconate
oral rinse
D. Offering gum containing xylitol after meals
9. An adolescent has localized bleeding of the gums A. Consistently brushing
when brushing the teeth. An exam of the mouth re- and flossing the teeth
veals the presence of plaque and calculus on the twice daily
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teeth, which are not loose. What will the primary care
pediatric nurse practitioner recommend?
A. Consistently brushing and flossing the teeth twice
daily
B. Referral to an oral surgeon for treatment
C. Rinsing the mouth daily with chlorhexidine glu-
conate
D. Using a xylitol-containing gum after meals
10. A school age child has had herpes stomatitis for a C. Topical application
week and continues to complain of pain. What will of diphenhydramine and
the primary care pediatric nurse practitioner recom- Maalox
mend?
A. Administration of a topical antiviral medication
B. Taking oral acyclovir for 5 to 7 days
C. Topical application of diphenhydramine and
Maalox
D. Using a chlorhexidine gluconate rinse
11. A child has several shallow mucosal lesions on the A. Chlorhexidine glu-
buccal mucosa and tongue that are surrounded with conate
an erythematous halo and covered by yellow plaques.
What will the primary care pediatric nurse practitioner
recommend?
A. Chlorhexidine gluconate
B. Diphenhydramine and Maalox
C. Oral acyclovir
D. Topical antiviral medication
12.