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 parent brings a 4-year-old child to a pediatric primary care
clinic for a routine visit. The child is healthy, has no current symptoms,
and has been meeting developmental milestones. Which activity best
represents primary prevention?
A. Evaluating a child for persistent wheezing
B. Administering an age-appropriate immunization
C. Referring a child with delayed speech for evaluation
D. Monitoring blood pressure after an abnormal screening result
Correct Answer: B. Administering an age-appropriate immunization
Rationale: Primary prevention aims to prevent disease or injury before
it occurs. Immunization is a classic primary-prevention intervention
because it reduces the risk of developing vaccine-preventable illness in
an otherwise healthy child.
Why the Other Options Are Incorrect:
A. Evaluating persistent wheezing addresses an existing or suspected
health problem and is therefore part of diagnosis and treatment rather
than primary prevention.
C. Referral for delayed speech follows identification of a developmental
concern and represents evaluation or early intervention.
D. Monitoring an abnormal screening result addresses an identified risk
or potential condition rather than preventing its initial occurrence.
Question 2
, Question: A 7-year-old child presents for a well-child visit. The parent
reports that the child has difficulty concentrating at school and
frequently loses classroom materials. Which action by the pediatric
primary care provider is most appropriate initially?
A. Immediately prescribe stimulant medication
B. Recommend that the school repeat the child's grade
C. Obtain a comprehensive history and assess the child's functioning
across settings
D. Reassure the parent that attention problems are always
developmentally normal
Correct Answer: C. Obtain a comprehensive history and assess the
child's functioning across settings
Rationale: Pediatric primary care assessment should begin with a
comprehensive evaluation rather than an immediate treatment
decision. Attention concerns should be explored in multiple
environments, including home and school, while considering
developmental, behavioral, psychosocial, and medical contributors.
Why the Other Options Are Incorrect:
A. Medication should not be initiated solely from a brief parental report
without an appropriate assessment.
B. Grade retention is not an initial response to an attention concern and
does not establish the cause of the child's difficulties.
D. Persistent functional impairment should be evaluated rather than
dismissed as normal development.
Question 3
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question: A parent brings a 4-year-old child to a pediatric primary care
clinic for a routine visit. The child is healthy, has no current symptoms,
and has been meeting developmental milestones. Which activity best
represents primary prevention?
A. Evaluating a child for persistent wheezing
B. Administering an age-appropriate immunization
C. Referring a child with delayed speech for evaluation
D. Monitoring blood pressure after an abnormal screening result
Correct Answer: B. Administering an age-appropriate immunization
Rationale: Primary prevention aims to prevent disease or injury before
it occurs. Immunization is a classic primary-prevention intervention
because it reduces the risk of developing vaccine-preventable illness in
an otherwise healthy child.
Why the Other Options Are Incorrect:
A. Evaluating persistent wheezing addresses an existing or suspected
health problem and is therefore part of diagnosis and treatment rather
than primary prevention.
C. Referral for delayed speech follows identification of a developmental
concern and represents evaluation or early intervention.
D. Monitoring an abnormal screening result addresses an identified risk
or potential condition rather than preventing its initial occurrence.
Question 2
, Question: A 7-year-old child presents for a well-child visit. The parent
reports that the child has difficulty concentrating at school and
frequently loses classroom materials. Which action by the pediatric
primary care provider is most appropriate initially?
A. Immediately prescribe stimulant medication
B. Recommend that the school repeat the child's grade
C. Obtain a comprehensive history and assess the child's functioning
across settings
D. Reassure the parent that attention problems are always
developmentally normal
Correct Answer: C. Obtain a comprehensive history and assess the
child's functioning across settings
Rationale: Pediatric primary care assessment should begin with a
comprehensive evaluation rather than an immediate treatment
decision. Attention concerns should be explored in multiple
environments, including home and school, while considering
developmental, behavioral, psychosocial, and medical contributors.
Why the Other Options Are Incorrect:
A. Medication should not be initiated solely from a brief parental report
without an appropriate assessment.
B. Grade retention is not an initial response to an attention concern and
does not establish the cause of the child's difficulties.
D. Persistent functional impairment should be evaluated rather than
dismissed as normal development.
Question 3
