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In some contexts, a person waives their right to free speech. Like, for example, when someone voluntarily undertakes the role of protecting kids from abuse through their employment. Further the first amendment isn't a universal protection of all speech. The Supreme Court has long recognized reasonable restrictions on that right to speech: governments do not impeed your right to speech by preventing you from blocking a fire exit by speaking, your speech rights does not protect distributing child porn, etc.
The majority, but not all. Add a religiously fundamentalist teacher's beliefs into it, and things can get scary.
Yes, but teaching is not one of those professions. Medical professionals actually the only ones I know of bound by law to not speak. Lawyers are "protected" by law, but not actually bound. If they do speak they can be disbarrred, but not jailed I believe. Teachers are mandatory reporters, which compells them to speak, but nothing in law says what they can't say. And yes, there are some exceptions against free speach, but if you look at them, they generally are things that endanger multiple people at one time. Like shouting fire in a crowded theater. So those don't apply here. Also, those cases it is clear that the restriction only prevents a downside. In this case, there could be upsides. A child who hasn't told thier parents and is struggling with it, but who's parents could be supportive. In that case, not being allowed to tell them could cause harm. So it isn't cut and dry like the others.
As for the bad teachers, yes, I addressed that in the next sentence or two after the quote you gave.