Final Exam - Page 1 Flashcards

1
Q

What are the three breastfeeding laws in Connecticut?

A
  • You have the right to breastfeed at work.
  • You have the right to breastfeed in public.
  • You cannot lose your job for pumping or breastfeeding at work.
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2
Q

What are the 4 major developmental stages in oral health?

A
  • Conception to age 3.
  • Primary Dentition years 3 to 6
  • Transitional years 6-12
  • Adolescence
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3
Q

Conception to age 3

A
  • Prevention must be initiated before or at onset of the first tooth
  • Visit the dentist near time of first tooth eruption
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4
Q

Primary Dentition Years 3 to 6

A

-This stage is critical
-This stage is the foundation for healthy permanent teeth
-Eating and speaking are facilitated during this stage
-

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5
Q

Transitional Years 6 to 12

A
  • Permanent teeth start growing at age 6
  • Upper and lower 6-year old molar teeth come in
  • Children losing and gaining teeth for next 5 to 7 years
  • Oral hygiene becomes responsibility of child
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6
Q

Adolescence

A
  • Establishment of permanent teeth
  • Some adolescence may have eruption of third molars or wisdom teeth
  • Critical stage for good prevention
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7
Q

What are the three oral health problems in childhood?

A
  • Dental carries
  • Periodontal Disease
  • Malocclusions
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8
Q

What are dental carries?

A
  • It is an infectious transmissible disease (bacteria in dental plaque metabolizes sugars and carbs from our diet)
  • It is estimated that 24-28% of all children especially in poverty areas experience early childhood carries (ECC)
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9
Q

What is periodontal disease?

A

Periodontal disease includes gingivitis and periodontitis. Both are disease of the gums. Gingivitis is when the the gums become red swollen and bleed when brushing. Periodontitis is disease of the gums and supports the bone. Brushing and flossing are preventative measures for both diseases.

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10
Q

What is malocclusions?

A

It is the improper alignment of the jaws and teeth. Occurs as a result of sucking on fingers, hand, and pacifiers. Also occurs during primary tooth loss and a shift of teeth occurs.

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11
Q

What are some prevention strategies for dental carries?

A
  • Developing a dental home
  • Having a dentally healthy diet
  • Tooth Brushing
  • Flouride use
  • Dental sealants
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12
Q

What is a dentally health diet?

A
  • Eliminate bottles at bedtime
  • Clean child’s teeth and gums with a soft bristle toothbrush
  • Rid bottle use after 1 year of age
  • Avoid excessive or frequent access to milk or sugary drinks
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13
Q

How does transmission from mother to child happen with dental carries?

A

Mothers should not put anything into their mouths then into their childs mouths. If a mother has poor dental health they can transmit those germs to their child. (ie. pacifiers, bottles, etc)

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14
Q

How much toothpaste should you use for children 0-3?

A

A smear

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15
Q

How much toothpaste should you use for a child 3-6?

A

A pea size amount

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16
Q

What does the ACA state about dental care?

A

Dental benefits are an “essential health benefit” for children, not adults.

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17
Q

What are the healthy people 2020 goals regarding health disparities?

A
  • Achieve health equity
  • Eliminate health disparities
  • Improve the health status of all groups
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18
Q

What is a health disparity?

A

A particular type of health difference that is closely linked to social, economic, and/or environmental disadvantage

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19
Q

What is a health equity?

A

The attainment of the highest level of health for all people

20
Q

What goal was developed on the ACA to address health disparities?

A

Improve data collection on race, ethnicity, gender, geographic location, SES, language, and disability status to detect and monitor trends on health disparities.

21
Q

What does aggregation of data do?

A

It masks the heterogeneity within the groups meaning that within the group there is excess morbidity and mortality.

22
Q

Give an example of what aggregate data does.

A

When data from the Asian ethnic population is dis aggregated into its ethnic nationality the groups excess morbidity and mortality become evident for infant mortality.

23
Q

What causes health disparities?

A
  • Poverty
  • Level of Education
  • Inadequate access to health care
  • Lack of health insurance
  • Societal discrimination
  • Treatment and prevention of serious diseases
24
Q

What are the contributors to health disparities?

A
  • Health behaviors

- Healthcare access

25
Q

Which environmental agency doesn’t regulate chemical ingredients of cosmetics and personal care products?

A

Food and Drug Administration. They are also not required to meet and safety standards and can be marketed without toxicity testing.

26
Q

List and explain all the regulatory agencies.

A
  • EPA: Regulates how chemicals are used not how toxic they are. Chemicals sold as pesticides are only required by the EPA to undergo minimal toxic testing before marketing is allowed
  • Consumer Product Safety Commission: Responsible for ensuring consumer products are safe
  • FDA: New drugs and medical devices must meet safety standards required by the FDA
27
Q

What are the three different types of exposures and explain.

A
  • Pervasive exposure: General environmental exposure - air, food, and water
  • Extensive exposure: Exposure to several chemicals simultaneously -chemicals found in cord blood, placenta, breast milk, urine, and blood (metals, pesticides, etc)
  • Intensive exposure: Exposure to high levels to environmental chemicals - three levels
28
Q

What are the two federal policies on nutrition and explain.

A
  • Dietary Guidelines for Americans: Use of dietary reference intake in school meal programs and SNAP
  • Food Guide: consumer information that advises people about their food selection over course of the day
29
Q

How does stress impact the body?

A

The fight and flight response damages other organs/cell and changes your brain. Can cause cholesterol plaque build up in the arteries and together increase chances of heart attack or stroke. Can also affect the function of gut bacteria which can impact digestion and create poor health. Chronic stress can also affect the function of immune cells making it easier to develop infections and slow the rate the you health. In order to live a longer life you need to curb chronic stress.

30
Q

Theme one MCH Environmental Health

A

Children’s exposure to environmental chemicals is pervasive, extensive, and intensive

31
Q

Theme two MCH Environmental Health

A

Limited understanding of how environmental exposures affect women and children

32
Q

Theme three MCH Environmental Health

A

Environmental chemical exposures have a severe adverse impact.

33
Q

Theme four MCH Environmental Health

A

Preventing the introduction of chemicals into the environment

34
Q

Theme five MCH Environmental Health

A

Regulation of environmental chemicals failed to protect health

35
Q

Theme six MCH Environmental Health

A

Disparities in exposure health outcomes

36
Q

Theme seven MCH Environmental Health

A

Ignorance and misinformation about children’s environmental health

37
Q

Theme eight MCH Environmental Health

A

Grassroots activism and community based advocacy

38
Q

Theme nine MCH Environmental Health

A

Current approaches to MCH Environmental health by govt, industry, and org.

39
Q

What is the hispanic paradox?

A

Hispanics have a lower mortality rate than the national average despite economic challenges, less access, and discrimination. Paradox evident among Mexican, Cuban, and central american women. This is because of things such as close-knit family structures

40
Q

What is the oxymoron regarding hunger in the 1920’s and 1930’s?

A

In the 1920’s the government had large food surpluses but in the 1930’s it all rotted and people were hungry regardless of the food supply because it wasn’t properly distributed.

41
Q

What was the first federal food assistance program?

A

The Red Cross

42
Q

What is the select committee on nutrition and human needs?

A

They were charged to eliminate hunger. They expanded food assistance for families, children, and the older population. Initiated WIC program and home delivered meal programs. Also expanded school lunch programs.

43
Q

Discuss the initiation of the food stamp program.

A

Kennedy Administration developed pilot food stamps program in 1961. 1964 the program became permanent. 1966 the school breakfast program was established.

44
Q

What age is breastfeeding optimal in?

A

Exclusive breastfeeding until 6 months with no other form of milk or food and be breast feed until at least 1 year.

45
Q

What are some barriers to breast feeding?

A
  • No encouragement of support from PCP or sig other
  • Educational information reinforce concerns
  • Hospital policies - free formula gifts and separating child from mother