8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A pediatric primary care nurse practitioner (PNP) is seeing a healthy 2-
month-old infant for a routine well-child visit. Which activity best
reflects the role of pediatric primary care?
A. Providing ongoing preventive care, developmental surveillance,
immunizations, and caregiver education
B. Managing the infant exclusively during hospitalization for
bronchiolitis
C. Performing emergency surgery for pyloric stenosis
D. Providing intensive care management following cardiac surgery
Correct Answer: A. Providing ongoing preventive care, developmental
surveillance, immunizations, and caregiver education
Rationale:
Pediatric primary care emphasizes comprehensive, continuous, family-
centered healthcare that includes health promotion, disease
prevention, developmental surveillance, immunizations, early
identification of health concerns, and caregiver education. The goal is to
optimize health across childhood while coordinating specialty care
when needed.
Why the Other Options Are Incorrect:
A. Correct.
B. Hospital management of acute illness is primarily the responsibility
of inpatient providers rather than primary care.
, C. Surgical management requires a pediatric surgeon and is outside the
scope of routine primary care.
D. Intensive postoperative management occurs in specialty and critical
care settings rather than primary care.
Question 2
Question:
During a clinic visit, parents ask what distinguishes primary prevention
from pediatric primary care. Which example represents primary
prevention?
A. Administering scheduled childhood immunizations
B. Diagnosing asthma after pulmonary function testing
C. Referring a child with scoliosis to an orthopedic specialist
D. Managing complications of type 1 diabetes after hospitalization
Correct Answer: A. Administering scheduled childhood immunizations
Rationale:
Primary prevention consists of interventions that prevent disease
before it occurs. Immunizations, injury prevention counseling, nutrition
education, and anticipatory guidance are classic examples of primary
prevention delivered within pediatric primary care.
Why the Other Options Are Incorrect:
A. Correct.
B. Diagnosis after disease develops represents secondary prevention.