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 7-year-old child is seen in the pediatric primary care clinic
for a routine follow-up visit for moderate persistent asthma. The
pediatric nurse practitioner (PNP) reviews the child’s current medication
regimen and works with the family to update the written asthma action
plan for home and school use. This intervention is best classified as
which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention
Correct Answer: C. Tertiary prevention
Rationale: Tertiary prevention focuses on managing an existing,
diagnosed disease or condition to prevent complications, minimize
disability, and promote optimal functioning. Updating an asthma action
plan helps prevent acute exacerbations and emergency department
visits, which is the hallmark of tertiary prevention in chronic disease
management.
Why the Other Options Are Incorrect:
A. Primary prevention aims to prevent a disease or injury before it
occurs (e.g., immunizations), which does not apply to an already
diagnosed condition.
, B. Secondary prevention involves early detection and screening of
asymptomatic disease (e.g., lead screening), not the management of a
known chronic illness.
D. Primordial prevention focuses on preventing the development of risk
factors in the first place, typically at a population or policy level, rather
than managing an existing individual diagnosis.
Question 2
Question: During a 6-month well-child visit, an infant presents with
mild weight deceleration on the growth chart. The mother appears
exhausted, avoids eye contact, and tearfully mentions she is struggling
to cope since the baby was born. Which action by the PNP best reflects
the "two-generation" or "dual patient" approach to pediatric primary
care?
A. Immediately refer the infant to a pediatric gastroenterologist for a
feeding evaluation.
B. Focus the visit entirely on the infant’s feeding schedule and calorie
counts to ensure weight gain.
C. Assess the mother for postpartum depression while simultaneously
evaluating the infant’s feeding and growth.
D. Advise the mother to return in one month for a weight check before
initiating any further interventions.
Correct Answer: C. Assess the mother for postpartum depression while
simultaneously evaluating the infant’s feeding and growth.
Rationale: The two-generation approach recognizes that the health and
well-being of the caregiver are inextricably linked to the health
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question: A 7-year-old child is seen in the pediatric primary care clinic
for a routine follow-up visit for moderate persistent asthma. The
pediatric nurse practitioner (PNP) reviews the child’s current medication
regimen and works with the family to update the written asthma action
plan for home and school use. This intervention is best classified as
which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention
Correct Answer: C. Tertiary prevention
Rationale: Tertiary prevention focuses on managing an existing,
diagnosed disease or condition to prevent complications, minimize
disability, and promote optimal functioning. Updating an asthma action
plan helps prevent acute exacerbations and emergency department
visits, which is the hallmark of tertiary prevention in chronic disease
management.
Why the Other Options Are Incorrect:
A. Primary prevention aims to prevent a disease or injury before it
occurs (e.g., immunizations), which does not apply to an already
diagnosed condition.
, B. Secondary prevention involves early detection and screening of
asymptomatic disease (e.g., lead screening), not the management of a
known chronic illness.
D. Primordial prevention focuses on preventing the development of risk
factors in the first place, typically at a population or policy level, rather
than managing an existing individual diagnosis.
Question 2
Question: During a 6-month well-child visit, an infant presents with
mild weight deceleration on the growth chart. The mother appears
exhausted, avoids eye contact, and tearfully mentions she is struggling
to cope since the baby was born. Which action by the PNP best reflects
the "two-generation" or "dual patient" approach to pediatric primary
care?
A. Immediately refer the infant to a pediatric gastroenterologist for a
feeding evaluation.
B. Focus the visit entirely on the infant’s feeding schedule and calorie
counts to ensure weight gain.
C. Assess the mother for postpartum depression while simultaneously
evaluating the infant’s feeding and growth.
D. Advise the mother to return in one month for a weight check before
initiating any further interventions.
Correct Answer: C. Assess the mother for postpartum depression while
simultaneously evaluating the infant’s feeding and growth.
Rationale: The two-generation approach recognizes that the health and
well-being of the caregiver are inextricably linked to the health
