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 — Primary Care Versus Primary
Prevention
Question Stem
A 2-week-old infant arrives for the first well visit. The nurse
identifies that the family has limited social supports and limited
prenatal care. Which intervention best reflects the primary
prevention role of pediatric primary care in this situation?
A. Begin evaluation for congenital anomalies with screening
tests.
B. Teach and arrange home-visiting support and breastfeeding
,counseling.
C. Refer to early intervention for developmental services.
D. Order immediate diagnostic imaging for suspected metabolic
disease.
Correct Answer
B
Rationales
• Correct (B): Arranging home-visiting support and
breastfeeding counseling aims to prevent illness and
promote health (primary prevention) by addressing social
determinants and establishing protective feeding practices.
• A (incorrect): Screening for congenital anomalies is
secondary prevention or early detection rather than
primary prevention.
• C (incorrect): Referral to early intervention is
tertiary/secondary when developmental concerns exist—
not the immediate primary prevention for newborn
support.
• D (incorrect): Diagnostic imaging is a diagnostic/secondary
action indicated by clinical suspicion, not a primary
prevention strategy.
Teaching Point
Primary prevention focuses on promoting health and
preventing disease before it occurs.
,Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Primary Care Versus Primary Prevention.
2)
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A family asks whether to see a pediatrician or a family nurse
practitioner for routine care. As an RN in primary care, which
statement best guides the family’s decision based on role scope
and continuity of care?
A. “Only pediatricians provide preventive anticipatory guidance
for children.”
B. “Both pediatricians and pediatric-focused nurse practitioners
can provide comprehensive preventive and acute pediatric
care.”
C. “Family providers don’t offer vaccinations for infants.”
D. “You should choose a specialist for all well-child visits.”
Correct Answer
B
Rationales
, • Correct (B): Both pediatricians and pediatric-focused nurse
practitioners provide comprehensive preventive, acute,
and family-centered pediatric care and can deliver
continuity.
• A (incorrect): Anticipatory guidance is provided by multiple
qualified primary care providers, not only pediatricians.
• C (incorrect): Family providers commonly offer
vaccinations and preventive services; this statement is
false.
• D (incorrect): Specialists are not required for routine well-
child care; primary care providers are appropriate.
Teaching Point
Multiple trained primary care providers deliver preventive and
acute pediatric care with family-centered approaches.
Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Pediatric Primary Care Providers.
3)
Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
Question Stem
A 9-month-old with recurrent otitis media is prescribed
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 — Primary Care Versus Primary
Prevention
Question Stem
A 2-week-old infant arrives for the first well visit. The nurse
identifies that the family has limited social supports and limited
prenatal care. Which intervention best reflects the primary
prevention role of pediatric primary care in this situation?
A. Begin evaluation for congenital anomalies with screening
tests.
B. Teach and arrange home-visiting support and breastfeeding
,counseling.
C. Refer to early intervention for developmental services.
D. Order immediate diagnostic imaging for suspected metabolic
disease.
Correct Answer
B
Rationales
• Correct (B): Arranging home-visiting support and
breastfeeding counseling aims to prevent illness and
promote health (primary prevention) by addressing social
determinants and establishing protective feeding practices.
• A (incorrect): Screening for congenital anomalies is
secondary prevention or early detection rather than
primary prevention.
• C (incorrect): Referral to early intervention is
tertiary/secondary when developmental concerns exist—
not the immediate primary prevention for newborn
support.
• D (incorrect): Diagnostic imaging is a diagnostic/secondary
action indicated by clinical suspicion, not a primary
prevention strategy.
Teaching Point
Primary prevention focuses on promoting health and
preventing disease before it occurs.
,Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Primary Care Versus Primary Prevention.
2)
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A family asks whether to see a pediatrician or a family nurse
practitioner for routine care. As an RN in primary care, which
statement best guides the family’s decision based on role scope
and continuity of care?
A. “Only pediatricians provide preventive anticipatory guidance
for children.”
B. “Both pediatricians and pediatric-focused nurse practitioners
can provide comprehensive preventive and acute pediatric
care.”
C. “Family providers don’t offer vaccinations for infants.”
D. “You should choose a specialist for all well-child visits.”
Correct Answer
B
Rationales
, • Correct (B): Both pediatricians and pediatric-focused nurse
practitioners provide comprehensive preventive, acute,
and family-centered pediatric care and can deliver
continuity.
• A (incorrect): Anticipatory guidance is provided by multiple
qualified primary care providers, not only pediatricians.
• C (incorrect): Family providers commonly offer
vaccinations and preventive services; this statement is
false.
• D (incorrect): Specialists are not required for routine well-
child care; primary care providers are appropriate.
Teaching Point
Multiple trained primary care providers deliver preventive and
acute pediatric care with family-centered approaches.
Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Pediatric Primary Care Providers.
3)
Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
Question Stem
A 9-month-old with recurrent otitis media is prescribed
