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 6-year-old child is brought to a pediatric primary care clinic
for a scheduled well-child visit. The child has no acute complaints, and
the parent reports that the child has been healthy. Which activity best
represents primary care rather than primary prevention?
A. Reviewing the child's growth pattern and assessing for
developmental concerns
B. Teaching the parent to use a properly installed booster seat
C. Recommending routine physical activity to reduce future
cardiovascular risk
D. Discussing strategies to prevent accidental poisoning in the home
Correct Answer: A. Reviewing the child's growth pattern and assessing
for developmental concerns
Rationale: Primary care encompasses ongoing comprehensive
healthcare, including assessment, surveillance, diagnosis, management,
and coordination of care. Reviewing growth and development during a
well-child encounter is part of the child's ongoing primary care. The
other choices are preventive interventions intended to reduce the
likelihood of injury or disease.
Why the Other Options Are Incorrect:
B. Booster-seat counseling is a preventive intervention designed to
reduce injury risk before an injury occurs. It is an example of primary
prevention within pediatric care.
C. Promoting physical activity to reduce future health risks is a health-
promotion and primary-prevention strategy rather than the broader
function of primary care.
, D. Poison-prevention counseling is anticipatory guidance intended to
prevent an adverse event and therefore represents primary prevention.
Question 2
Question: A parent asks why a child with no current health complaint
needs to see a pediatric primary care provider regularly. Which
response by the provider is most appropriate?
A. "Routine visits are mainly needed to obtain school forms and update
immunizations."
B. "Routine visits allow us to identify health or developmental concerns
early and provide preventive and ongoing care."
C. "Children rarely develop serious conditions, so these visits are
primarily for reassurance."
D. "Routine visits are necessary mainly because children cannot
accurately describe their own symptoms."
Correct Answer: B. "Routine visits allow us to identify health or
developmental concerns early and provide preventive and ongoing
care."
Rationale: Pediatric primary care is proactive as well as problem-
focused. Regular encounters provide opportunities to monitor growth
and development, assess risk, provide anticipatory guidance, detect
emerging concerns, promote health, and coordinate care when
necessary.
Why the Other Options Are Incorrect:
A. Forms and immunizations may be addressed during visits, but they
do not represent the full purpose of 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 6-year-old child is brought to a pediatric primary care clinic
for a scheduled well-child visit. The child has no acute complaints, and
the parent reports that the child has been healthy. Which activity best
represents primary care rather than primary prevention?
A. Reviewing the child's growth pattern and assessing for
developmental concerns
B. Teaching the parent to use a properly installed booster seat
C. Recommending routine physical activity to reduce future
cardiovascular risk
D. Discussing strategies to prevent accidental poisoning in the home
Correct Answer: A. Reviewing the child's growth pattern and assessing
for developmental concerns
Rationale: Primary care encompasses ongoing comprehensive
healthcare, including assessment, surveillance, diagnosis, management,
and coordination of care. Reviewing growth and development during a
well-child encounter is part of the child's ongoing primary care. The
other choices are preventive interventions intended to reduce the
likelihood of injury or disease.
Why the Other Options Are Incorrect:
B. Booster-seat counseling is a preventive intervention designed to
reduce injury risk before an injury occurs. It is an example of primary
prevention within pediatric care.
C. Promoting physical activity to reduce future health risks is a health-
promotion and primary-prevention strategy rather than the broader
function of primary care.
, D. Poison-prevention counseling is anticipatory guidance intended to
prevent an adverse event and therefore represents primary prevention.
Question 2
Question: A parent asks why a child with no current health complaint
needs to see a pediatric primary care provider regularly. Which
response by the provider is most appropriate?
A. "Routine visits are mainly needed to obtain school forms and update
immunizations."
B. "Routine visits allow us to identify health or developmental concerns
early and provide preventive and ongoing care."
C. "Children rarely develop serious conditions, so these visits are
primarily for reassurance."
D. "Routine visits are necessary mainly because children cannot
accurately describe their own symptoms."
Correct Answer: B. "Routine visits allow us to identify health or
developmental concerns early and provide preventive and ongoing
care."
Rationale: Pediatric primary care is proactive as well as problem-
focused. Regular encounters provide opportunities to monitor growth
and development, assess risk, provide anticipatory guidance, detect
emerging concerns, promote health, and coordinate care when
necessary.
Why the Other Options Are Incorrect:
A. Forms and immunizations may be addressed during visits, but they
do not represent the full purpose of pediatric primary care.
