BURNS' PEDIATRIC PRIMARY CARE
8TH EDITION
• AUTHOR(S)DAWN LEE GARZON, MARY
DIRKS, MARTHA DRIESSNACK, KAREN
G. DUDERSTADT, NAN M. GAYLORD
TEST BANK
1
Reference
Ch. 1 — Pediatric Primary Care
Question Stem
A 4-year-old child presents for a routine well visit. The parent
asks why primary care focuses on anticipatory guidance rather
than only treating illness when it occurs. Which explanation
best reflects the role of pediatric primary care?
Options
A. Primary care primarily documents vaccination records and
refers for specialty care.
,B. Primary care prevents disease, promotes development, and
supports family functioning.
C. Primary care functions only when acute illnesses require
immediate intervention.
D. Primary care focuses on billing and administrative
coordination for services.
Correct Answer
B
Rationales
• B (Correct): Pediatric primary care emphasizes prevention,
developmental surveillance, and family-centered support
to reduce illness and promote healthy development; it
integrates health promotion into routine visits.
• A: Documentation and referrals are parts of care but do
not capture the proactive prevention and developmental
focus of pediatric primary care.
• C: Treating acute illness is important but is only one
component; primary care has a broader preventive role.
• D: Administrative tasks occur but are not the principal
purpose of primary pediatric care.
Teaching Point
Primary care prevents disease and promotes healthy child
development through anticipatory guidance.
,Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2
Reference
Ch. 1 — Primary Care Versus Primary Prevention
Question Stem
During a clinic teaching session, a nurse asks which action is an
example of primary prevention in pediatrics. Which
intervention best demonstrates primary prevention?
Options
A. Initiating daily inhaled corticosteroid for a child with
persistent asthma.
B. Counseling parents about injury-proofing the home and safe
sleep practices.
C. Ordering echocardiography for a child with a heart murmur.
D. Prescribing antibiotics for a confirmed streptococcal
infection.
Correct Answer
B
Rationales
, • B (Correct): Counseling on home safety and safe sleep
reduces risk before injury or disease occurs — a clear
primary prevention measure.
• A: Treating existing chronic disease (secondary/tertiary
prevention) rather than preventing its initial occurrence.
• C: Diagnostic evaluation addresses an existing concern
(secondary prevention), not primary prevention.
• D: Treating a confirmed infection is tertiary/secondary care
to resolve illness, not primary prevention.
Teaching Point
Primary prevention reduces risk before disease or injury occurs
through anticipatory guidance.
Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Pediatric Primary Care Providers
Question Stem
A clinic is designing an interprofessional visit for a child with
complex needs. Which staffing model best supports
comprehensive pediatric primary care for this child?
8TH EDITION
• AUTHOR(S)DAWN LEE GARZON, MARY
DIRKS, MARTHA DRIESSNACK, KAREN
G. DUDERSTADT, NAN M. GAYLORD
TEST BANK
1
Reference
Ch. 1 — Pediatric Primary Care
Question Stem
A 4-year-old child presents for a routine well visit. The parent
asks why primary care focuses on anticipatory guidance rather
than only treating illness when it occurs. Which explanation
best reflects the role of pediatric primary care?
Options
A. Primary care primarily documents vaccination records and
refers for specialty care.
,B. Primary care prevents disease, promotes development, and
supports family functioning.
C. Primary care functions only when acute illnesses require
immediate intervention.
D. Primary care focuses on billing and administrative
coordination for services.
Correct Answer
B
Rationales
• B (Correct): Pediatric primary care emphasizes prevention,
developmental surveillance, and family-centered support
to reduce illness and promote healthy development; it
integrates health promotion into routine visits.
• A: Documentation and referrals are parts of care but do
not capture the proactive prevention and developmental
focus of pediatric primary care.
• C: Treating acute illness is important but is only one
component; primary care has a broader preventive role.
• D: Administrative tasks occur but are not the principal
purpose of primary pediatric care.
Teaching Point
Primary care prevents disease and promotes healthy child
development through anticipatory guidance.
,Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2
Reference
Ch. 1 — Primary Care Versus Primary Prevention
Question Stem
During a clinic teaching session, a nurse asks which action is an
example of primary prevention in pediatrics. Which
intervention best demonstrates primary prevention?
Options
A. Initiating daily inhaled corticosteroid for a child with
persistent asthma.
B. Counseling parents about injury-proofing the home and safe
sleep practices.
C. Ordering echocardiography for a child with a heart murmur.
D. Prescribing antibiotics for a confirmed streptococcal
infection.
Correct Answer
B
Rationales
, • B (Correct): Counseling on home safety and safe sleep
reduces risk before injury or disease occurs — a clear
primary prevention measure.
• A: Treating existing chronic disease (secondary/tertiary
prevention) rather than preventing its initial occurrence.
• C: Diagnostic evaluation addresses an existing concern
(secondary prevention), not primary prevention.
• D: Treating a confirmed infection is tertiary/secondary care
to resolve illness, not primary prevention.
Teaching Point
Primary prevention reduces risk before disease or injury occurs
through anticipatory guidance.
Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Pediatric Primary Care Providers
Question Stem
A clinic is designing an interprofessional visit for a child with
complex needs. Which staffing model best supports
comprehensive pediatric primary care for this child?
