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 (PNP) explains the purpose of pediatric
primary care to a parent of a 6-year-old child. Which statement best
describes pediatric primary care?
A. Care focused primarily on treating acute illnesses after they develop
B. First-contact, continuous, comprehensive, coordinated care that
includes prevention and management of health conditions
C. Care limited to routine immunizations and annual physical
examinations
D. Specialty care provided only after referral from a hospital
Correct Answer: B. First-contact, continuous, comprehensive,
coordinated care that includes prevention and management of health
conditions
Rationale:
Pediatric primary care encompasses much more than treatment of
acute illness. It includes health supervision, anticipatory guidance,
developmental monitoring, screening, prevention, diagnosis and
treatment of acute and chronic disorders, and coordination or referral
when more specialized care is needed. The American Academy of
Pediatrics describes pediatric primary health care as accessible,
continuous, comprehensive, coordinated, and family-centered.
Why the Other Options Are Incorrect:
A. Acute illness treatment is only one component of pediatric primary
care and does not capture its preventive and longitudinal functions.
, C. Immunizations and physical examinations are important components
but represent only part of the broader scope of primary care.
D. Specialty care is not synonymous with primary care; the primary care
clinician often coordinates referrals when specialty evaluation is
indicated.
Question 2
Question:
Which intervention is the best example of primary prevention during a
pediatric primary care visit?
A. Providing physical therapy after a child develops a gait abnormality
B. Treating a child with confirmed streptococcal pharyngitis with an
appropriate antibiotic
C. Counseling parents about appropriate use of a child restraint system
before an injury occurs
D. Referring a child with persistent wheezing to a pediatric
pulmonologist
Correct Answer: C. Counseling parents about appropriate use of a
child restraint system before an injury occurs
Rationale:
Primary prevention aims to prevent disease or injury before it occurs.
Injury-prevention counseling, immunization, health education, and
strategies that reduce exposure to known risks are classic examples.
Primary care is the setting in which many such interventions are
delivered, but primary care itself is broader than primary prevention.
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 (PNP) explains the purpose of pediatric
primary care to a parent of a 6-year-old child. Which statement best
describes pediatric primary care?
A. Care focused primarily on treating acute illnesses after they develop
B. First-contact, continuous, comprehensive, coordinated care that
includes prevention and management of health conditions
C. Care limited to routine immunizations and annual physical
examinations
D. Specialty care provided only after referral from a hospital
Correct Answer: B. First-contact, continuous, comprehensive,
coordinated care that includes prevention and management of health
conditions
Rationale:
Pediatric primary care encompasses much more than treatment of
acute illness. It includes health supervision, anticipatory guidance,
developmental monitoring, screening, prevention, diagnosis and
treatment of acute and chronic disorders, and coordination or referral
when more specialized care is needed. The American Academy of
Pediatrics describes pediatric primary health care as accessible,
continuous, comprehensive, coordinated, and family-centered.
Why the Other Options Are Incorrect:
A. Acute illness treatment is only one component of pediatric primary
care and does not capture its preventive and longitudinal functions.
, C. Immunizations and physical examinations are important components
but represent only part of the broader scope of primary care.
D. Specialty care is not synonymous with primary care; the primary care
clinician often coordinates referrals when specialty evaluation is
indicated.
Question 2
Question:
Which intervention is the best example of primary prevention during a
pediatric primary care visit?
A. Providing physical therapy after a child develops a gait abnormality
B. Treating a child with confirmed streptococcal pharyngitis with an
appropriate antibiotic
C. Counseling parents about appropriate use of a child restraint system
before an injury occurs
D. Referring a child with persistent wheezing to a pediatric
pulmonologist
Correct Answer: C. Counseling parents about appropriate use of a
child restraint system before an injury occurs
Rationale:
Primary prevention aims to prevent disease or injury before it occurs.
Injury-prevention counseling, immunization, health education, and
strategies that reduce exposure to known risks are classic examples.
Primary care is the setting in which many such interventions are
delivered, but primary care itself is broader than primary prevention.
