Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Question 1:
A 4-month-old infant is brought to the primary care clinic for a
well visit. The caregiver asks whether the visit is mainly to treat
illness or to prevent problems and support development. Which
statement best describes the role of pediatric primary care in
the context of primary prevention?
A. Pediatric primary care focuses primarily on diagnosing and
treating acute illnesses and defers prevention to public health
programs.
B. Pediatric primary care integrates anticipatory guidance,
immunizations, and developmental surveillance to reduce risk
and promote healthy development.
C. Prevention in pediatric primary care is limited to screening
for congenital metabolic disorders in the newborn period.
D. Primary prevention in pediatric practice is optional and
performed only if caregivers request it.
Correct Answer: B
Rationale: B is correct because pediatric primary care
,emphasizes health promotion and primary prevention
(anticipatory guidance, immunizations, growth/development
surveillance) at well visits to reduce risk and promote optimal
development. A is incorrect because primary care is not limited
to acute care; prevention is a core function. C is incorrect
because primary prevention extends far beyond newborn
metabolic screening (includes vaccines, counseling, safety,
developmental guidance). D is incorrect because prevention is
an expected, proactive component of pediatric care—it's
standard practice, not optional or only caregiver-initiated.
Question 2:
A 2-year-old with frequent otitis media has recurrent pain and
missed daycare days. The family expresses frustration and asks
whether they should see an ENT or continue with the
pediatrician for care coordination. Which statement best
reflects the role of the pediatric primary care provider?
A. The pediatrician should act solely as a gatekeeper and
immediately refer all specialty needs to ENT without
coordinating care.
B. The pediatric primary care provider coordinates care,
manages common conditions, and facilitates timely specialty
referral when needed.
C. The pediatrician should refer to ENT only after five
documented infections in a year.
D. Coordinating care is the family’s responsibility; the
,pediatrician’s role is limited to documentation.
Correct Answer: B
Rationale: B is correct—primary care providers serve as central
coordinators in the medical home: they manage common
problems, provide initial treatment, and arrange specialty
referrals and ongoing coordination. A is incorrect because
acting solely as a gatekeeper without coordination undermines
continuity. C is incorrect because referral thresholds are clinical
and individualized (guidelines often consider recurrent
infections, hearing loss, speech delay) rather than an arbitrary
count-only rule. D is incorrect—care coordination is a core
provider responsibility in family-centered primary care.
Question 3:
A rural clinic is designing a team to provide pediatric primary
care for ages 0–21. Which team composition best aligns with
the “pediatric primary care providers” concept emphasizing
access and comprehensive care?
A. Pediatrician + office manager only
B. Family nurse practitioner, pediatrician, social worker, care
coordinator, and behavioral health consultant
C. Pediatrician and multiple part-time receptionists only
D. School nurse and pharmacist without clinician oversight
Correct Answer: B
Rationale: B is correct because modern pediatric primary care is
interdisciplinary—combining clinicians (MD/NP), behavioral
, health, social work, and care coordination improves access,
addresses psychosocial needs, and supports chronic conditions.
A and C are insufficient—administrative staff alone do not
provide clinical comprehensiveness. D is inappropriate because
school nurse/pharmacist roles are valuable but cannot replace
clinician-led comprehensive primary care.
Question 4:
A nurse practitioner uses a family-centered approach during a
9-year-old’s well visit. Which action best exemplifies the “two-
generation” or “dual patient” perspective?
A. Focusing only on the child’s BMI and growth parameters.
B. Screening the parent for postpartum depression at a well
visit for a toddler.
C. Referring the child to a subspecialist without engaging the
parent.
D. Scheduling vaccine-only visits separate from family
counseling.
Correct Answer: B
Rationale: B is correct—two-generation care recognizes adult
caregivers’ health influences child health; screening parents
(e.g., maternal mental health) during pediatric visits addresses
caregiver factors that affect the child. A is incorrect because
exclusive focus on child metrics ignores caregiver influences. C
is incorrect because failing to engage the parent neglects
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Question 1:
A 4-month-old infant is brought to the primary care clinic for a
well visit. The caregiver asks whether the visit is mainly to treat
illness or to prevent problems and support development. Which
statement best describes the role of pediatric primary care in
the context of primary prevention?
A. Pediatric primary care focuses primarily on diagnosing and
treating acute illnesses and defers prevention to public health
programs.
B. Pediatric primary care integrates anticipatory guidance,
immunizations, and developmental surveillance to reduce risk
and promote healthy development.
C. Prevention in pediatric primary care is limited to screening
for congenital metabolic disorders in the newborn period.
D. Primary prevention in pediatric practice is optional and
performed only if caregivers request it.
Correct Answer: B
Rationale: B is correct because pediatric primary care
,emphasizes health promotion and primary prevention
(anticipatory guidance, immunizations, growth/development
surveillance) at well visits to reduce risk and promote optimal
development. A is incorrect because primary care is not limited
to acute care; prevention is a core function. C is incorrect
because primary prevention extends far beyond newborn
metabolic screening (includes vaccines, counseling, safety,
developmental guidance). D is incorrect because prevention is
an expected, proactive component of pediatric care—it's
standard practice, not optional or only caregiver-initiated.
Question 2:
A 2-year-old with frequent otitis media has recurrent pain and
missed daycare days. The family expresses frustration and asks
whether they should see an ENT or continue with the
pediatrician for care coordination. Which statement best
reflects the role of the pediatric primary care provider?
A. The pediatrician should act solely as a gatekeeper and
immediately refer all specialty needs to ENT without
coordinating care.
B. The pediatric primary care provider coordinates care,
manages common conditions, and facilitates timely specialty
referral when needed.
C. The pediatrician should refer to ENT only after five
documented infections in a year.
D. Coordinating care is the family’s responsibility; the
,pediatrician’s role is limited to documentation.
Correct Answer: B
Rationale: B is correct—primary care providers serve as central
coordinators in the medical home: they manage common
problems, provide initial treatment, and arrange specialty
referrals and ongoing coordination. A is incorrect because
acting solely as a gatekeeper without coordination undermines
continuity. C is incorrect because referral thresholds are clinical
and individualized (guidelines often consider recurrent
infections, hearing loss, speech delay) rather than an arbitrary
count-only rule. D is incorrect—care coordination is a core
provider responsibility in family-centered primary care.
Question 3:
A rural clinic is designing a team to provide pediatric primary
care for ages 0–21. Which team composition best aligns with
the “pediatric primary care providers” concept emphasizing
access and comprehensive care?
A. Pediatrician + office manager only
B. Family nurse practitioner, pediatrician, social worker, care
coordinator, and behavioral health consultant
C. Pediatrician and multiple part-time receptionists only
D. School nurse and pharmacist without clinician oversight
Correct Answer: B
Rationale: B is correct because modern pediatric primary care is
interdisciplinary—combining clinicians (MD/NP), behavioral
, health, social work, and care coordination improves access,
addresses psychosocial needs, and supports chronic conditions.
A and C are insufficient—administrative staff alone do not
provide clinical comprehensiveness. D is inappropriate because
school nurse/pharmacist roles are valuable but cannot replace
clinician-led comprehensive primary care.
Question 4:
A nurse practitioner uses a family-centered approach during a
9-year-old’s well visit. Which action best exemplifies the “two-
generation” or “dual patient” perspective?
A. Focusing only on the child’s BMI and growth parameters.
B. Screening the parent for postpartum depression at a well
visit for a toddler.
C. Referring the child to a subspecialist without engaging the
parent.
D. Scheduling vaccine-only visits separate from family
counseling.
Correct Answer: B
Rationale: B is correct—two-generation care recognizes adult
caregivers’ health influences child health; screening parents
(e.g., maternal mental health) during pediatric visits addresses
caregiver factors that affect the child. A is incorrect because
exclusive focus on child metrics ignores caregiver influences. C
is incorrect because failing to engage the parent neglects
