Pregnancy and Women’s Oral Health Clinical Case #3

Quiz Summary

0 of 3 Questions completed

Questions:

You have already completed the quiz before. Hence you can not start it again.

Quiz is loading…

You must sign in or sign up to start the quiz.

You must first complete the following:

Results

Quiz complete. Results are being recorded.

Results

0 of 3 Questions answered correctly

Your time:

You have reached 0 of 0 point(s), (0)

Current
Review
Answered
Correct
Incorrect

Question 1 of 3

1. Question
Anna is a 25-year-old pregnant woman who visits her patient-centered medical home for an initial prenatal visit. You take an oral health history and learn that her last dental visit was one year ago. Anna states, “I am afraid to see the dentist, it’s not safe for my baby”. You check Anna’s mouth and notice that her gums are mildly swollen and red, and her teeth have some plaque buildup.

What message should the primary care clinician communicate to Anna?
- “Periodontitis and bacteremia may cause infection of the uterus.” Primary care clinicians should organize and communicate information with patients in a way that is understandable. Furthermore, the more likely relationship of periodontitis and poor pregnancy outcomes (e.g. preterm birth) is a result of systemic inflammation.
- “You are right, seeing a dentist during pregnancy is not safe. It is best to wait until after your baby is born.” Primary care clinicians should use best available evidence to inform care decisions, and maintain professional competence in one’s practice. Primary care clinicians should reassure women that oral health care is safe throughout pregnancy.
- "Let me reassure you that oral health care is safe during pregnancy. I encourage you to see a dentist as soon as you can. Do you need help finding a dentist?"
- “Here is a brochure that explains why you should see a dentist.” Primary care clinicians should respect the dignity of patients and take time to develop a trusting relationship. Primary care clinicians should advise pregnant women about oral health care, reassure them that oral health care is safe throughout pregnancy, and take the time to ensure that women understand the information shared with them.
Correct

Incorrect
Question 2 of 3

2. Question
One month later, Anna returns for her monthly check-up. During the clinic visit you notice that Anna is nervous and fidgeting. You take the time to ask her, ” What questions or concerns are on your mind”? Anna tells you that she followed your advice and tried to schedule to see her dentist. Her dentist refuses to see her until after her baby is born. Anna states, “I am confused and don’t know what to believe.”

To address Anna’s oral health care concern, how should the primary care clinician respond to Anna?
- “You can look on the Internet and decide what to do.” Primary care clinicians share accountability with patients and health professionals relevant to prevention and health care outcomes.
- “Your dentist is wrong and you should really consider finding a new dentist.” Primary care clinicians demonstrate high standards of ethical conduct, and act with integrity in relationships with patients and other health care team members.
- “I still recommend that you see the dentist, so you will have to decide what you think you should do.” Primary care clinicians engage in shared patient-centered problem-solving and in a proper PCMH the primary care provider acts as a resource of evidence-based information and coordinates care with other providers.
- "With your permission, I can discuss this with your dentist."
Correct

Incorrect
Question 3 of 3

3. Question
With Anna’s permission, you contact her dentist to discuss the patient’s oral health care needs. During the discussion, you learn that the dentist did not receive a great deal of training in prenatal oral health care and is not aware of the recent guidelines emphasizing oral health care as an important component of a healthy pregnancy. You take this opportunity to inform the dentist about the evidence-based guidelines on oral health care in pregnancy.

To work in collaboration with the dentist to address Anna’s oral health care needs, how should a primary care clinician respond to the dentist?
- "Let's discuss these evidence-based guidelines together".
- “The information I am sending will prove that your practices are out-dated.” This statement may contribute to interprofessional conflict. Primary care clinicians express their knowledge and opinions in a clear and respectful manner.
- “If you do not reconsider how you practice, I am afraid that I will have to refer Anna to another dentist.” This statement may contribute to interprofessional conflict. Primary care clinicians communicate with other health care professionals in a way that supports a team approach to health promotion and disease prevention. Helping a patient to find an alternative specialist should be a last resort and should be done respectfully.
- “It is important to keep up on the latest research”. This statement may contribute to interprofessional conflict. Primary care clinicians communicate with other health care professionals in a way that supports a team approach to health promotion and disease prevention. Helping a patient to find an alternative specialist should be a last resort and should be done respectfully.
Correct

Incorrect

Pregnancy and Women’s Oral Health

Pregnancy and Women’s Oral Health Clinical Case #3

Quiz Summary

Information

Results

Results

Categories

1. Question

2. Question

3. Question