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 presents to a pediatric clinic for a scheduled health
supervision visit. The child has no acute complaints. During the visit, the
provider reviews growth, development, school performance, nutrition,
sleep, safety, and immunization status. Which description best explains
why this encounter is an example of pediatric primary care?
A. It is limited to treatment of an established disease.
B. It focuses only on preventing infectious diseases.
C. It integrates preventive, developmental, and health-promotion
services with ongoing care.
D. It is primarily intended to determine whether hospitalization is
necessary.
Correct Answer: C. It integrates preventive, developmental, and
health-promotion services with ongoing care.
Rationale:
Pediatric primary care is broader than treating illness. It includes health
supervision, prevention, anticipatory guidance, developmental
monitoring, screening, diagnosis and treatment when needed, and
coordination of care across childhood and adolescence. This
comprehensive orientation is a defining feature of pediatric primary
care.
Why the Other Options Are Incorrect:
A. Primary care addresses acute and chronic health problems but is not
limited to established disease treatment.
, B. Infectious-disease prevention is only one component of pediatric
preventive care and does not encompass the full scope of primary care.
D. Determining the need for hospitalization is associated with acute
management and is not the primary purpose of a routine primary care
encounter.
Question 2
Question:
A parent states, “We only need to bring our child to the clinic when
something is wrong.” Which response by the pediatric primary care
provider is most appropriate?
A. “That approach is reasonable as long as your child rarely becomes
ill.”
B. “Routine visits help us monitor health and development and identify
concerns before they become more serious.”
C. “Primary care visits are mainly required for school documentation.”
D. “Preventive visits are unnecessary after early childhood.”
Correct Answer: B. “Routine visits help us monitor health and
development and identify concerns before they become more
serious.”
Rationale:
A central purpose of pediatric primary care is maintaining health rather
than simply treating illness. Ongoing preventive visits provide
opportunities to assess growth and development, perform age-
appropriate screening, provide anticipatory guidance, and identify
emerging concerns.
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 presents to a pediatric clinic for a scheduled health
supervision visit. The child has no acute complaints. During the visit, the
provider reviews growth, development, school performance, nutrition,
sleep, safety, and immunization status. Which description best explains
why this encounter is an example of pediatric primary care?
A. It is limited to treatment of an established disease.
B. It focuses only on preventing infectious diseases.
C. It integrates preventive, developmental, and health-promotion
services with ongoing care.
D. It is primarily intended to determine whether hospitalization is
necessary.
Correct Answer: C. It integrates preventive, developmental, and
health-promotion services with ongoing care.
Rationale:
Pediatric primary care is broader than treating illness. It includes health
supervision, prevention, anticipatory guidance, developmental
monitoring, screening, diagnosis and treatment when needed, and
coordination of care across childhood and adolescence. This
comprehensive orientation is a defining feature of pediatric primary
care.
Why the Other Options Are Incorrect:
A. Primary care addresses acute and chronic health problems but is not
limited to established disease treatment.
, B. Infectious-disease prevention is only one component of pediatric
preventive care and does not encompass the full scope of primary care.
D. Determining the need for hospitalization is associated with acute
management and is not the primary purpose of a routine primary care
encounter.
Question 2
Question:
A parent states, “We only need to bring our child to the clinic when
something is wrong.” Which response by the pediatric primary care
provider is most appropriate?
A. “That approach is reasonable as long as your child rarely becomes
ill.”
B. “Routine visits help us monitor health and development and identify
concerns before they become more serious.”
C. “Primary care visits are mainly required for school documentation.”
D. “Preventive visits are unnecessary after early childhood.”
Correct Answer: B. “Routine visits help us monitor health and
development and identify concerns before they become more
serious.”
Rationale:
A central purpose of pediatric primary care is maintaining health rather
than simply treating illness. Ongoing preventive visits provide
opportunities to assess growth and development, perform age-
appropriate screening, provide anticipatory guidance, and identify
emerging concerns.
