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 presents for a routine visit with no current
symptoms. The pediatric primary care provider reviews immunization
status, growth, developmental progress, nutrition, sleep, oral health,
and safety practices. Which intervention best represents primary care
rather than primary prevention?
A. Counseling the family about using a properly fitted car seat
B. Administering an age-appropriate immunization
C. Evaluating a new concern about delayed language development
D. Teaching the parents to store medications in a locked cabinet
Correct Answer: C. Evaluating a new concern about delayed language
development
Rationale: Primary care encompasses comprehensive, ongoing health
services, including assessment and management of existing concerns,
preventive services, developmental surveillance, and coordination of
care. Evaluating possible language delay involves assessment of an
identified concern and determining whether further evaluation or
referral is needed. Primary prevention is specifically directed toward
preventing disease or injury before it occurs.
Why the Other Options Are Incorrect:
A. Car-seat counseling is a primary prevention activity because it is
intended to prevent injury before an accident occurs.
B. Immunization is a classic primary prevention intervention because it
reduces the risk of vaccine-preventable disease.
, D. Medication-safety counseling is primary prevention because it aims
to prevent accidental poisoning or medication-related injury.
Question 2
Question: A parent asks which healthcare professional is generally best
positioned to provide ongoing comprehensive primary care for a
healthy child from infancy through adolescence. Which response is
most appropriate?
A. Pediatric primary care provider
B. Pediatric surgeon
C. Emergency department physician
D. Pediatric hospitalist
Correct Answer: A. Pediatric primary care provider
Rationale: Pediatric primary care providers are responsible for
longitudinal care, including health promotion, preventive services,
developmental assessment, diagnosis and management of common
conditions, anticipatory guidance, and coordination of specialty
services. Specialists and hospital-based clinicians provide important
focused or episodic care but generally do not replace the continuity of
primary care.
Why the Other Options Are Incorrect:
B. A pediatric surgeon provides specialized surgical evaluation and
treatment rather than comprehensive ongoing 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 presents for a routine visit with no current
symptoms. The pediatric primary care provider reviews immunization
status, growth, developmental progress, nutrition, sleep, oral health,
and safety practices. Which intervention best represents primary care
rather than primary prevention?
A. Counseling the family about using a properly fitted car seat
B. Administering an age-appropriate immunization
C. Evaluating a new concern about delayed language development
D. Teaching the parents to store medications in a locked cabinet
Correct Answer: C. Evaluating a new concern about delayed language
development
Rationale: Primary care encompasses comprehensive, ongoing health
services, including assessment and management of existing concerns,
preventive services, developmental surveillance, and coordination of
care. Evaluating possible language delay involves assessment of an
identified concern and determining whether further evaluation or
referral is needed. Primary prevention is specifically directed toward
preventing disease or injury before it occurs.
Why the Other Options Are Incorrect:
A. Car-seat counseling is a primary prevention activity because it is
intended to prevent injury before an accident occurs.
B. Immunization is a classic primary prevention intervention because it
reduces the risk of vaccine-preventable disease.
, D. Medication-safety counseling is primary prevention because it aims
to prevent accidental poisoning or medication-related injury.
Question 2
Question: A parent asks which healthcare professional is generally best
positioned to provide ongoing comprehensive primary care for a
healthy child from infancy through adolescence. Which response is
most appropriate?
A. Pediatric primary care provider
B. Pediatric surgeon
C. Emergency department physician
D. Pediatric hospitalist
Correct Answer: A. Pediatric primary care provider
Rationale: Pediatric primary care providers are responsible for
longitudinal care, including health promotion, preventive services,
developmental assessment, diagnosis and management of common
conditions, anticipatory guidance, and coordination of specialty
services. Specialists and hospital-based clinicians provide important
focused or episodic care but generally do not replace the continuity of
primary care.
Why the Other Options Are Incorrect:
B. A pediatric surgeon provides specialized surgical evaluation and
treatment rather than comprehensive ongoing primary care.
