Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 4-year-old child is brought to a pediatric primary care clinic for a
scheduled well-child visit. The child has no current symptoms or known
medical problems. Which action best represents primary care?
A. Administering an antibiotic for bacterial otitis media
B. Providing routine developmental surveillance and anticipatory
guidance
C. Referring the child for surgery after identification of appendicitis
D. Treating dehydration caused by acute gastroenteritis
Correct Answer: B. Providing routine developmental surveillance and
anticipatory guidance
Rationale:
Primary care involves ongoing, comprehensive healthcare that
addresses health maintenance, development, prevention, early
identification of concerns, and management of common conditions.
Developmental surveillance and anticipatory guidance during a well-
child visit are central components of pediatric primary care.
Why the Other Options Are Incorrect:
A. Antibiotic treatment for an existing infection is management of an
acute illness rather than the best example of routine primary care.
C. Surgical referral for appendicitis represents specialty or higher-level
care for an acute condition.
D. Treating significant dehydration addresses an acute illness and may
require urgent management rather than routine preventive primary
care.
, Question 2
Question:
A pediatric primary care provider discusses the difference between
primary prevention and primary care with a group of nursing students.
Which statement by a student demonstrates correct understanding?
A. “Primary prevention and primary care are interchangeable terms.”
B. “Primary prevention focuses only on treating illnesses before they
become severe.”
C. “Primary care is a broad healthcare approach, while primary
prevention specifically aims to prevent disease or injury before it
occurs.”
D. “Primary prevention is provided only in specialty clinics.”
Correct Answer: C. “Primary care is a broad healthcare approach,
while primary prevention specifically aims to prevent disease or injury
before it occurs.”
Rationale:
Primary care encompasses accessible, continuing, comprehensive care
that includes prevention, health promotion, assessment, diagnosis,
treatment, and follow-up. Primary prevention is narrower and focuses
on preventing the onset of disease or injury through interventions such
as immunization, safety counseling, and health education.
Why the Other Options Are Incorrect:
A. The terms are related but are not interchangeable because primary
care includes much more than prevention.
B. Preventing disease before it develops is the focus of primary
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 4-year-old child is brought to a pediatric primary care clinic for a
scheduled well-child visit. The child has no current symptoms or known
medical problems. Which action best represents primary care?
A. Administering an antibiotic for bacterial otitis media
B. Providing routine developmental surveillance and anticipatory
guidance
C. Referring the child for surgery after identification of appendicitis
D. Treating dehydration caused by acute gastroenteritis
Correct Answer: B. Providing routine developmental surveillance and
anticipatory guidance
Rationale:
Primary care involves ongoing, comprehensive healthcare that
addresses health maintenance, development, prevention, early
identification of concerns, and management of common conditions.
Developmental surveillance and anticipatory guidance during a well-
child visit are central components of pediatric primary care.
Why the Other Options Are Incorrect:
A. Antibiotic treatment for an existing infection is management of an
acute illness rather than the best example of routine primary care.
C. Surgical referral for appendicitis represents specialty or higher-level
care for an acute condition.
D. Treating significant dehydration addresses an acute illness and may
require urgent management rather than routine preventive primary
care.
, Question 2
Question:
A pediatric primary care provider discusses the difference between
primary prevention and primary care with a group of nursing students.
Which statement by a student demonstrates correct understanding?
A. “Primary prevention and primary care are interchangeable terms.”
B. “Primary prevention focuses only on treating illnesses before they
become severe.”
C. “Primary care is a broad healthcare approach, while primary
prevention specifically aims to prevent disease or injury before it
occurs.”
D. “Primary prevention is provided only in specialty clinics.”
Correct Answer: C. “Primary care is a broad healthcare approach,
while primary prevention specifically aims to prevent disease or injury
before it occurs.”
Rationale:
Primary care encompasses accessible, continuing, comprehensive care
that includes prevention, health promotion, assessment, diagnosis,
treatment, and follow-up. Primary prevention is narrower and focuses
on preventing the onset of disease or injury through interventions such
as immunization, safety counseling, and health education.
Why the Other Options Are Incorrect:
A. The terms are related but are not interchangeable because primary
care includes much more than prevention.
B. Preventing disease before it develops is the focus of primary
