Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, Nan M. Gaylord
Burns Pediatric Primary Care 8th Edition
MCQ Study Guide & Practice Test Bank
1. A 4-month-old infant is seen for a well visit. The caregiver
asks what to expect next month as the infant begins
reaching and grasping more intentionally. Which action
by the clinician best illustrates anticipatory guidance?
A. Order developmental genetic testing now.
B. Teach caregiver safe toy selection and choking-hazard
avoidance.
C. Schedule a referral to early intervention services
immediately.
, D. Start iron supplementation regardless of feeding
history.
Correct answer: B.
Rationale: Anticipatory guidance prepares families for
predictable developmental changes and related safety issues
(toy safety, choking risks). Genetic testing (A) and early
intervention referral (C) are indicated only with specific
concerns, not routine expectation. Routine iron without
assessment (D) is not anticipatory guidance.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
2. Which statement best distinguishes primary care from
primary prevention in pediatric practice?
A. Primary care provides only episodic treatment;
primary prevention is delivered in hospitals.
B. Primary care blends diagnosis, management,
continuity, and preventive counseling; primary
prevention focuses on interventions to avert disease
before it occurs.
C. Primary care is the same as public health; primary
prevention is the same as specialty care.
D. Primary care only performs immunizations; primary
prevention covers growth monitoring.
Correct answer: B.
Rationale: Primary care is continuous and comprehensive—
,managing illness and delivering prevention/health promotion
(anticipatory guidance). Primary prevention specifically refers
to measures that prevent disease (e.g., immunizations). Other
options mischaracterize roles.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
3. A 15-year-old with chronic asthma has begun asking
about transition to adult care. Which plan best reflects a
developmentally appropriate transition approach?
A. Immediately discharge from pediatric clinic at age 16.
B. Begin transition planning early, assess self-
management skills, and create a stepwise transfer plan
with the family.
C. Transfer care only when the patient requests it.
D. Continue pediatric care indefinitely without assessing
readiness.
Correct answer: B.
Rationale: Transition is gradual: assess readiness, develop self-
management, involve family, and coordinate transfer. Sudden
discharge (A), waiting passively (C), or no assessment (D) are
inconsistent with effective transition practices.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
, 4. Which description best represents the two-generation
(dual patient) concept in pediatric primary care?
A. Treat the child while ignoring parental health because
it’s outside pediatric scope.
B. Address both child health needs and
parental/caregiver wellness because caregiver health
directly impacts the child’s outcomes.
C. Provide only parenting classes without clinical
assessment of caregivers.
D. Focus exclusively on genetic risks shared in the family.
Correct answer: B.
Rationale: The two-generation approach recognizes caregivers’
physical and mental health affect child health; clinician
addresses both as appropriate. Options A and D are too
narrow; C ignores clinical aspects of caregiver health.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
5. During a well visit you screen for adverse childhood
experiences (ACEs). Which action is the highest priority if
a caregiver discloses current household violence that
threatens child safety?
A. Document the disclosure and plan to reassess at the
next annual visit.
B. Provide anticipatory guidance about development and
leave the rest to social services.
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, Nan M. Gaylord
Burns Pediatric Primary Care 8th Edition
MCQ Study Guide & Practice Test Bank
1. A 4-month-old infant is seen for a well visit. The caregiver
asks what to expect next month as the infant begins
reaching and grasping more intentionally. Which action
by the clinician best illustrates anticipatory guidance?
A. Order developmental genetic testing now.
B. Teach caregiver safe toy selection and choking-hazard
avoidance.
C. Schedule a referral to early intervention services
immediately.
, D. Start iron supplementation regardless of feeding
history.
Correct answer: B.
Rationale: Anticipatory guidance prepares families for
predictable developmental changes and related safety issues
(toy safety, choking risks). Genetic testing (A) and early
intervention referral (C) are indicated only with specific
concerns, not routine expectation. Routine iron without
assessment (D) is not anticipatory guidance.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
2. Which statement best distinguishes primary care from
primary prevention in pediatric practice?
A. Primary care provides only episodic treatment;
primary prevention is delivered in hospitals.
B. Primary care blends diagnosis, management,
continuity, and preventive counseling; primary
prevention focuses on interventions to avert disease
before it occurs.
C. Primary care is the same as public health; primary
prevention is the same as specialty care.
D. Primary care only performs immunizations; primary
prevention covers growth monitoring.
Correct answer: B.
Rationale: Primary care is continuous and comprehensive—
,managing illness and delivering prevention/health promotion
(anticipatory guidance). Primary prevention specifically refers
to measures that prevent disease (e.g., immunizations). Other
options mischaracterize roles.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
3. A 15-year-old with chronic asthma has begun asking
about transition to adult care. Which plan best reflects a
developmentally appropriate transition approach?
A. Immediately discharge from pediatric clinic at age 16.
B. Begin transition planning early, assess self-
management skills, and create a stepwise transfer plan
with the family.
C. Transfer care only when the patient requests it.
D. Continue pediatric care indefinitely without assessing
readiness.
Correct answer: B.
Rationale: Transition is gradual: assess readiness, develop self-
management, involve family, and coordinate transfer. Sudden
discharge (A), waiting passively (C), or no assessment (D) are
inconsistent with effective transition practices.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
, 4. Which description best represents the two-generation
(dual patient) concept in pediatric primary care?
A. Treat the child while ignoring parental health because
it’s outside pediatric scope.
B. Address both child health needs and
parental/caregiver wellness because caregiver health
directly impacts the child’s outcomes.
C. Provide only parenting classes without clinical
assessment of caregivers.
D. Focus exclusively on genetic risks shared in the family.
Correct answer: B.
Rationale: The two-generation approach recognizes caregivers’
physical and mental health affect child health; clinician
addresses both as appropriate. Options A and D are too
narrow; C ignores clinical aspects of caregiver health.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
5. During a well visit you screen for adverse childhood
experiences (ACEs). Which action is the highest priority if
a caregiver discloses current household violence that
threatens child safety?
A. Document the disclosure and plan to reassess at the
next annual visit.
B. Provide anticipatory guidance about development and
leave the rest to social services.
