Qualified Medication Aides (QMA) Practice Exam

In what position should a G-tube resident be while brushing their teeth?

1. Supine position

2. Sitting upright

3. Semi or Fowler's position

4. Prone position

The correct answer is: Semi or Fowler's position

When assisting a G-tube resident with brushing their teeth, the most appropriate position is semi or Fowler's position. This orientation not only helps to ensure that any potential aspiration is minimized but also provides comfort and support during the activity. Semi-Fowler's position, which typically involves the patient sitting with their upper body elevated at about a 30 to 45-degree angle, facilitates easier swallowing and reduces the risk of choking, which is particularly important for individuals with feeding tubes. Being in this position allows the resident to maintain control over their gag reflex while also promoting good oral hygiene. This positioning can help prevent the backflow of stomach contents into the mouth while brushing, ensuring a safer environment for oral care. In contrast, being in a supine position, where the resident lies flat on their back, may pose a greater risk for aspiration during oral hygiene activities. The prone position, which involves lying on the stomach, is not suitable for this task due to clearance and accessibility issues associated with brushing teeth. Thus, semi or Fowler's position is the optimal choice for performing dental care in G-tube residents.