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
During a 6-month well-child visit a parent asks why routine well
care is necessary when the infant appears healthy. Which
explanation best differentiates the role of pediatric primary
care?
Options
A. Primary care treats acute illnesses only and refers all
preventive services to public health.
B. Primary care coordinates continuous, comprehensive health
care including prevention, screening, and family support.
C. Primary care focuses solely on immunizations and growth
,measurements during infancy.
D. Primary care is mainly administrative — ensuring children
have documentation to access school services.
Correct Answer
B
Rationales
Correct (B): Pediatric primary care delivers continuous,
comprehensive services (illness management, prevention,
screening, anticipatory guidance, family-centered support)
across developmental stages.
A: Incorrect — primary care includes prevention and does not
defer all preventive services.
C: Incorrect — immunizations and growth are important but not
the only functions of primary care.
D: Incorrect — documentation is part of care but not the central
mission.
Teaching Point
Primary care provides continuous, comprehensive, preventive,
and family-centered pediatric services.
Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2
Reference — Ch. 1 — Primary Care Versus Primary Prevention
,Question Stem
A 2-week-old infant attends for a visit. The nurse notices the
parents are smokers living in the home. Which intervention is
the best example of primary prevention the clinician should
prioritize now?
Options
A. Document parent smoking status and schedule a tobacco-
cessation referral for the parents.
B. Teach parents how to soothe a crying infant to prevent
shaken baby syndrome.
C. Order a chest radiograph for the infant to screen for early
lung disease.
D. Prescribe inhaled bronchodilator for the infant
prophylactically.
Correct Answer
A
Rationales
Correct (A): Primary prevention aims to stop exposure before
harm; referring parents for tobacco cessation reduces infant
secondhand smoke exposure.
B: Incorrect — soothing education is secondary prevention for
behavior-related injury risk but not directly eliminating smoke
exposure.
C: Incorrect — radiograph screening without clinical indication
is neither prevention nor recommended.
, D: Incorrect — prophylactic bronchodilators are inappropriate
and not a prevention strategy for smoke exposure.
Teaching Point
Primary prevention removes or reduces exposures that cause
disease before onset.
Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Primary Care Versus Primary Prevention.
3
Reference — Ch. 1 — Pediatric Primary Care Providers
Question Stem
A family requests same-day care for a school-age child with
acute otitis media and also asks about routine developmental
screening overdue for the child. Which plan best uses primary
care team roles to meet both needs efficiently?
Options
A. Schedule only the acute visit and ask the family to return
another day for screening.
B. Have the nurse-administered triage address acute symptoms
and complete a brief validated developmental screener during
the visit.
C. Refer the child to urgent care for the ear infection and ignore
developmental screening.
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
During a 6-month well-child visit a parent asks why routine well
care is necessary when the infant appears healthy. Which
explanation best differentiates the role of pediatric primary
care?
Options
A. Primary care treats acute illnesses only and refers all
preventive services to public health.
B. Primary care coordinates continuous, comprehensive health
care including prevention, screening, and family support.
C. Primary care focuses solely on immunizations and growth
,measurements during infancy.
D. Primary care is mainly administrative — ensuring children
have documentation to access school services.
Correct Answer
B
Rationales
Correct (B): Pediatric primary care delivers continuous,
comprehensive services (illness management, prevention,
screening, anticipatory guidance, family-centered support)
across developmental stages.
A: Incorrect — primary care includes prevention and does not
defer all preventive services.
C: Incorrect — immunizations and growth are important but not
the only functions of primary care.
D: Incorrect — documentation is part of care but not the central
mission.
Teaching Point
Primary care provides continuous, comprehensive, preventive,
and family-centered pediatric services.
Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2
Reference — Ch. 1 — Primary Care Versus Primary Prevention
,Question Stem
A 2-week-old infant attends for a visit. The nurse notices the
parents are smokers living in the home. Which intervention is
the best example of primary prevention the clinician should
prioritize now?
Options
A. Document parent smoking status and schedule a tobacco-
cessation referral for the parents.
B. Teach parents how to soothe a crying infant to prevent
shaken baby syndrome.
C. Order a chest radiograph for the infant to screen for early
lung disease.
D. Prescribe inhaled bronchodilator for the infant
prophylactically.
Correct Answer
A
Rationales
Correct (A): Primary prevention aims to stop exposure before
harm; referring parents for tobacco cessation reduces infant
secondhand smoke exposure.
B: Incorrect — soothing education is secondary prevention for
behavior-related injury risk but not directly eliminating smoke
exposure.
C: Incorrect — radiograph screening without clinical indication
is neither prevention nor recommended.
, D: Incorrect — prophylactic bronchodilators are inappropriate
and not a prevention strategy for smoke exposure.
Teaching Point
Primary prevention removes or reduces exposures that cause
disease before onset.
Citation
Garzon et al. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1 — Primary Care Versus Primary Prevention.
3
Reference — Ch. 1 — Pediatric Primary Care Providers
Question Stem
A family requests same-day care for a school-age child with
acute otitis media and also asks about routine developmental
screening overdue for the child. Which plan best uses primary
care team roles to meet both needs efficiently?
Options
A. Schedule only the acute visit and ask the family to return
another day for screening.
B. Have the nurse-administered triage address acute symptoms
and complete a brief validated developmental screener during
the visit.
C. Refer the child to urgent care for the ear infection and ignore
developmental screening.
