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 pediatric nurse practitioner is educating the parents of a 2-
month-old infant during a well-child visit. Which of the following
interventions is an example of primary prevention?
A. Administering the diphtheria, tetanus, and acellular pertussis (DTaP)
vaccine
B. Screening the infant for developmental dysplasia of the hip
C. Referring the infant to early intervention services for a suspected
speech delay
D. Prescribing an albuterol inhaler for an infant with recurrent
wheezing
Correct Answer: A. Administering the diphtheria, tetanus, and acellular
pertussis (DTaP) vaccine Rationale: Primary prevention aims to prevent
disease or injury before it ever occurs. Immunizations are a classic and
highly effective example of primary prevention, as they protect the child
from contracting specific infectious diseases.
Why the Other Options Are Incorrect: B. Screening for developmental
dysplasia of the hip is an example of secondary prevention, which
focuses on early detection and diagnosis.
C. Referring to early intervention is tertiary prevention, as it involves
managing and rehabilitating an existing condition to prevent further
disability.
, D. Prescribing an albuterol inhaler is tertiary prevention, as it manages
an established chronic condition to prevent acute exacerbations and
complications.
Question 2
Question: During a 6-month well-child visit, the mother appears
tearful, reports feeling constantly overwhelmed, and states she has not
been sleeping since the infant was born. The infant’s physical
examination and growth parameters are entirely normal. What is the
most appropriate initial action by the pediatric primary care provider?
A. Focus solely on the infant’s developmental milestones to ensure the
child is on track.
B. Assess the mother for postpartum depression and provide
appropriate resources and referrals.
C. Schedule the infant for a pediatric neurology referral due to the
mother's reported stress.
D. Advise the mother to return to the clinic only when she feels better
and more rested.
Correct Answer: B. Assess the mother for postpartum depression and
provide appropriate resources and referrals.
Rationale: Pediatric care operates on the "two-generation" or "dual
patient" concept, recognizing that the child’s health and development
are intrinsically linked to the caregiver’s physical and mental well-being.
Addressing maternal mental health is a critical component of
comprehensive 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 pediatric nurse practitioner is educating the parents of a 2-
month-old infant during a well-child visit. Which of the following
interventions is an example of primary prevention?
A. Administering the diphtheria, tetanus, and acellular pertussis (DTaP)
vaccine
B. Screening the infant for developmental dysplasia of the hip
C. Referring the infant to early intervention services for a suspected
speech delay
D. Prescribing an albuterol inhaler for an infant with recurrent
wheezing
Correct Answer: A. Administering the diphtheria, tetanus, and acellular
pertussis (DTaP) vaccine Rationale: Primary prevention aims to prevent
disease or injury before it ever occurs. Immunizations are a classic and
highly effective example of primary prevention, as they protect the child
from contracting specific infectious diseases.
Why the Other Options Are Incorrect: B. Screening for developmental
dysplasia of the hip is an example of secondary prevention, which
focuses on early detection and diagnosis.
C. Referring to early intervention is tertiary prevention, as it involves
managing and rehabilitating an existing condition to prevent further
disability.
, D. Prescribing an albuterol inhaler is tertiary prevention, as it manages
an established chronic condition to prevent acute exacerbations and
complications.
Question 2
Question: During a 6-month well-child visit, the mother appears
tearful, reports feeling constantly overwhelmed, and states she has not
been sleeping since the infant was born. The infant’s physical
examination and growth parameters are entirely normal. What is the
most appropriate initial action by the pediatric primary care provider?
A. Focus solely on the infant’s developmental milestones to ensure the
child is on track.
B. Assess the mother for postpartum depression and provide
appropriate resources and referrals.
C. Schedule the infant for a pediatric neurology referral due to the
mother's reported stress.
D. Advise the mother to return to the clinic only when she feels better
and more rested.
Correct Answer: B. Assess the mother for postpartum depression and
provide appropriate resources and referrals.
Rationale: Pediatric care operates on the "two-generation" or "dual
patient" concept, recognizing that the child’s health and development
are intrinsically linked to the caregiver’s physical and mental well-being.
Addressing maternal mental health is a critical component of
comprehensive pediatric primary care.
