A 14-year-old pregnant patient comes for dental cleaning. Her parents are with her but do not know she is pregnant. What should you do?

Correct answer: A. Perform the cleaning and advise her to be honest with her parents

• A. ✅ Correct. Perform the dental cleaning (safe during pregnancy with appropriate precautions) and advise the patient to disclose her pregnancy to her parents. This preserves confidentiality while encouraging responsible disclosure.
• B. ❌ Refusing treatment abandons the patient without justification.
• C. ❌ Delegating the breach of confidentiality to staff is equally inappropriate.
• D. ❌ Disclosing a minor's confidential reproductive health information without her consent violates patient confidentiality.

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