A 23-year-old pregnant woman is advised by her nurse practitioner to have a dental checkup. The patient asks why it is important to see the dentist while she is pregnant. Which of the following is the appropriate response?
"Your oral health can provide clues about your overall health."
"Taking care of your oral health now can help prevent dental problems in your baby as he develops teeth."
"You don't want to have any dental issues pop up during your pregnancy that you won't be able to take care of."
"It is just a good idea in general to always take care of your teeth."
The Correct Answer is B
Choice A reason: While oral health can reflect overall health, the primary concern in pregnancy is minimizing maternal cariogenic bacteria to reduce early childhood caries risk in the infant.
Choice B reason: Proper maternal oral care reduces cariogenic bacteria and supports healthy dental development in the infant. This advice is evidence-based and directly addresses the patient’s question about pregnancy-specific importance.
Choice C reason: This statement is vague and fear-based. While avoiding untreated dental problems is important, it does not provide the direct rationale linking maternal oral health to fetal outcomes.
Choice D reason: General dental care advice does not address the pregnancy-specific benefit, making it less precise for this patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Specific phobia involves intense fear of a particular object or situation, but the patient’s fear is generalized to multiple everyday situations, not one isolated trigger.
Choice B reason: Adjustment disorder involves emotional or behavioral symptoms in response to a stressor but does not typically include intense avoidance of multiple situations with panic-like symptoms.
Choice C reason: PTSD involves re-experiencing trauma, avoidance, hyperarousal, and negative mood, usually linked to a traumatic event. While COVID-19 exposure may be stressful, her symptoms are primarily avoidance-based rather than trauma re-experiencing.
Choice D reason: Agoraphobia is characterized by anxiety or panic in situations where escape is difficult or help may be unavailable, such as public transportation, stores, or being outside the home. The patient’s avoidance of leaving her house and fear of “not being able to escape” aligns closely with agoraphobia.
Correct Answer is D
Explanation
Choice A reason: Physical therapy is a first-line, noninvasive option for managing OA symptoms.
Choice B reason: Corticosteroid injections can reduce pain and inflammation for moderate OA, making this an appropriate treatment option.
Choice C reason: Partial or total knee replacement may be considered for patients with progressive symptoms not responding to conservative measures.
Choice D reason: Hyaluronic acid injections are not routinely recommended for moderate OA due to limited evidence of efficacy, making this option incorrect in standard care recommendations.
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