,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 primary care nurse practitioner (PNP) is conducting a 4-
month well-child visit. The infant is growing appropriately, but the
mother appears tearful and reports persistent sadness, difficulty
sleeping even when the infant sleeps, and a loss of interest in previously
enjoyable activities. Which action best reflects the two-generation or
dual-patient approach to pediatric primary care?
A. Focus exclusively on the infant because the mother is not the
identified patient.
B. Assess the infant's health and safety, screen the mother for
postpartum mood concerns, and facilitate appropriate support and
follow-up.
C. Reassure the mother that these symptoms are a normal part of
parenting and schedule the next routine visit.
D. Refer the infant for developmental testing because maternal
emotional distress indicates developmental risk.
Correct Answer: B. Assess the infant's health and safety, screen the
mother for postpartum mood concerns, and facilitate appropriate
support and follow-up.
Rationale:
The two-generation approach recognizes that a child's health and
development are closely connected to the health, functioning, and
circumstances of caregivers. A caregiver experiencing depressive
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
, Question 1
Question:
A pediatric primary care nurse practitioner (PNP) is conducting a 4-
month well-child visit. The infant is growing appropriately, but the
mother appears tearful and reports persistent sadness, difficulty
sleeping even when the infant sleeps, and a loss of interest in previously
enjoyable activities. Which action best reflects the two-generation or
dual-patient approach to pediatric primary care?
A. Focus exclusively on the infant because the mother is not the
identified patient.
B. Assess the infant's health and safety, screen the mother for
postpartum mood concerns, and facilitate appropriate support and
follow-up.
C. Reassure the mother that these symptoms are a normal part of
parenting and schedule the next routine visit.
D. Refer the infant for developmental testing because maternal
emotional distress indicates developmental risk.
Correct Answer: B. Assess the infant's health and safety, screen the
mother for postpartum mood concerns, and facilitate appropriate
support and follow-up.
Rationale:
The two-generation approach recognizes that a child's health and
development are closely connected to the health, functioning, and
circumstances of caregivers. A caregiver experiencing depressive
