Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Pediatric Primary Care — 20-Question MCQ Test Bank
Question 1
Question:
A pediatric primary care nurse practitioner is explaining the difference
between primary care and primary prevention to a group of nursing
students. Which example best represents primary care?
A. Administering an age-appropriate vaccine to prevent measles
B. Counseling parents about bicycle helmet use
C. Evaluating a child with persistent cough and determining the
appropriate management plan
D. Teaching adolescents strategies to avoid tobacco and vaping products
Correct Answer: C. Evaluating a child with persistent cough and
determining the appropriate management plan
Rationale:
Primary care encompasses ongoing, accessible healthcare that includes
evaluation, diagnosis, treatment, health maintenance, and coordination
of care. Primary prevention specifically focuses on preventing disease or
injury before it occurs, such as immunization and anticipatory safety
counseling.
Why the Other Options Are Incorrect:
A. Immunization is a classic example of primary prevention because it
reduces the likelihood of developing a vaccine-preventable disease.
B. Bicycle helmet counseling is an injury-prevention intervention and
therefore represents primary prevention.
D. Counseling to prevent tobacco or vaping use is a preventive health
, intervention rather than evaluation and management of an existing
condition.
Question 2
Question:
A 7-year-old child presents for a routine health examination. The
parents report no current concerns. Which action best reflects the role
of a pediatric primary care provider during this visit?
A. Focus only on conditions reported by the parents
B. Perform preventive screening and provide anticipatory guidance
appropriate for the child's developmental stage
C. Refer the child to a specialist because preventive care requires
specialized assessment
D. Limit the examination to obtaining the child's vital signs
Correct Answer: B. Perform preventive screening and provide
anticipatory guidance appropriate for the child's developmental stage
Rationale:
Pediatric primary care includes comprehensive preventive assessment
even when a child appears healthy. Developmentally appropriate
screening, health promotion, risk assessment, immunization review, and
anticipatory guidance are central components of well-child care.
Why the Other Options Are Incorrect:
A. Limiting care to parental concerns can miss developmental,
behavioral, safety, and preventive needs.
C. Routine pediatric primary care is designed to address preventive and
developmental needs without automatically requiring specialty referral.
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Pediatric Primary Care — 20-Question MCQ Test Bank
Question 1
Question:
A pediatric primary care nurse practitioner is explaining the difference
between primary care and primary prevention to a group of nursing
students. Which example best represents primary care?
A. Administering an age-appropriate vaccine to prevent measles
B. Counseling parents about bicycle helmet use
C. Evaluating a child with persistent cough and determining the
appropriate management plan
D. Teaching adolescents strategies to avoid tobacco and vaping products
Correct Answer: C. Evaluating a child with persistent cough and
determining the appropriate management plan
Rationale:
Primary care encompasses ongoing, accessible healthcare that includes
evaluation, diagnosis, treatment, health maintenance, and coordination
of care. Primary prevention specifically focuses on preventing disease or
injury before it occurs, such as immunization and anticipatory safety
counseling.
Why the Other Options Are Incorrect:
A. Immunization is a classic example of primary prevention because it
reduces the likelihood of developing a vaccine-preventable disease.
B. Bicycle helmet counseling is an injury-prevention intervention and
therefore represents primary prevention.
D. Counseling to prevent tobacco or vaping use is a preventive health
, intervention rather than evaluation and management of an existing
condition.
Question 2
Question:
A 7-year-old child presents for a routine health examination. The
parents report no current concerns. Which action best reflects the role
of a pediatric primary care provider during this visit?
A. Focus only on conditions reported by the parents
B. Perform preventive screening and provide anticipatory guidance
appropriate for the child's developmental stage
C. Refer the child to a specialist because preventive care requires
specialized assessment
D. Limit the examination to obtaining the child's vital signs
Correct Answer: B. Perform preventive screening and provide
anticipatory guidance appropriate for the child's developmental stage
Rationale:
Pediatric primary care includes comprehensive preventive assessment
even when a child appears healthy. Developmentally appropriate
screening, health promotion, risk assessment, immunization review, and
anticipatory guidance are central components of well-child care.
Why the Other Options Are Incorrect:
A. Limiting care to parental concerns can miss developmental,
behavioral, safety, and preventive needs.
C. Routine pediatric primary care is designed to address preventive and
developmental needs without automatically requiring specialty referral.
