Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1) Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 2-week-old infant arrives for a routine visit with a first-time
mother who is anxious about feeding and sleep. Which primary
care approach best supports the family while promoting
continuity and family-centered care?
A. Provide written feeding schedules and ask the mother to
return in 6 weeks for the next check.
B. Use a strengths-based discussion about feeding patterns,
offer lactation referral, and schedule a 48–72 hour follow-up.
C. Reassure the mother that newborns vary and discourage
further contact unless the infant is ill.
D. Recommend exclusive formula feeding and provide formula
coupons to reduce maternal anxiety.
,Correct Answer
B
Rationales
Correct: A strengths-based, family-centered approach with
targeted resources (lactation referral) and early follow-up
supports caregiver confidence and continuity of care. This
addresses immediate concerns and promotes surveillance.
A incorrect: Providing only written schedules and delaying
follow-up risks missing feeding problems and undermines
individualized support.
C incorrect: Reassurance alone minimizes parental concerns and
may delay needed assessment or support.
D incorrect: Blanket recommendation for formula ignores
maternal preference/clinical need and may be inappropriate
without assessment.
Teaching Point
Early, strengths-based support plus timely follow-up improves
outcomes and caregiver confidence.
Citation
Burns, C. E. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2) Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
,Question Stem
At a 9-month well visit, the nurse practitioner discusses rear-
facing car-seat use and fluoride varnish. Which statement best
distinguishes primary care from primary prevention in this
encounter?
A. Primary care provides immunizations; primary prevention
offers sick-visit care only.
B. Primary care is episodic treatment; primary prevention refers
only to community programs.
C. Primary care is the ongoing clinical relationship; primary
prevention focuses on actions that prevent disease or injury,
such as car-seat counseling and fluoride varnish.
D. Primary care and primary prevention are interchangeable
terms when counseling families.
Correct Answer
C
Rationales
Correct: Primary care describes the longitudinal relationship
and comprehensive services; primary prevention refers to
interventions (car-seat counseling, fluoride varnish) that
prevent injury/disease.
A incorrect: Immunizations are part of both primary care and
primary prevention; the option mischaracterizes roles.
B incorrect: Primary care is not only episodic and primary
prevention includes clinical actions as well as community
measures.
, D incorrect: The terms are related but not interchangeable;
they have distinct meanings.
Teaching Point
Primary care is longitudinal; primary prevention are specific
actions to prevent harm.
Citation
Burns, C. E. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3) Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A 14-year-old with well-controlled type 1 diabetes requests a
same-day visit for a new in-range glucose pattern after starting
a new school sports routine. Which primary care provider
action best reflects appropriate scope and collaborative
practice?
A. The pediatrician cancels and refers all diabetes questions to
endocrinology only.
B. The pediatric primary care provider reviews glucose logs,
adjusts insulin plan in collaboration with endocrinology, and
documents communication with the specialty team.
C. The provider tells the adolescent to handle the changes
independently because specialty care manages diabetes.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1) Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 2-week-old infant arrives for a routine visit with a first-time
mother who is anxious about feeding and sleep. Which primary
care approach best supports the family while promoting
continuity and family-centered care?
A. Provide written feeding schedules and ask the mother to
return in 6 weeks for the next check.
B. Use a strengths-based discussion about feeding patterns,
offer lactation referral, and schedule a 48–72 hour follow-up.
C. Reassure the mother that newborns vary and discourage
further contact unless the infant is ill.
D. Recommend exclusive formula feeding and provide formula
coupons to reduce maternal anxiety.
,Correct Answer
B
Rationales
Correct: A strengths-based, family-centered approach with
targeted resources (lactation referral) and early follow-up
supports caregiver confidence and continuity of care. This
addresses immediate concerns and promotes surveillance.
A incorrect: Providing only written schedules and delaying
follow-up risks missing feeding problems and undermines
individualized support.
C incorrect: Reassurance alone minimizes parental concerns and
may delay needed assessment or support.
D incorrect: Blanket recommendation for formula ignores
maternal preference/clinical need and may be inappropriate
without assessment.
Teaching Point
Early, strengths-based support plus timely follow-up improves
outcomes and caregiver confidence.
Citation
Burns, C. E. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2) Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
,Question Stem
At a 9-month well visit, the nurse practitioner discusses rear-
facing car-seat use and fluoride varnish. Which statement best
distinguishes primary care from primary prevention in this
encounter?
A. Primary care provides immunizations; primary prevention
offers sick-visit care only.
B. Primary care is episodic treatment; primary prevention refers
only to community programs.
C. Primary care is the ongoing clinical relationship; primary
prevention focuses on actions that prevent disease or injury,
such as car-seat counseling and fluoride varnish.
D. Primary care and primary prevention are interchangeable
terms when counseling families.
Correct Answer
C
Rationales
Correct: Primary care describes the longitudinal relationship
and comprehensive services; primary prevention refers to
interventions (car-seat counseling, fluoride varnish) that
prevent injury/disease.
A incorrect: Immunizations are part of both primary care and
primary prevention; the option mischaracterizes roles.
B incorrect: Primary care is not only episodic and primary
prevention includes clinical actions as well as community
measures.
, D incorrect: The terms are related but not interchangeable;
they have distinct meanings.
Teaching Point
Primary care is longitudinal; primary prevention are specific
actions to prevent harm.
Citation
Burns, C. E. (2023). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3) Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A 14-year-old with well-controlled type 1 diabetes requests a
same-day visit for a new in-range glucose pattern after starting
a new school sports routine. Which primary care provider
action best reflects appropriate scope and collaborative
practice?
A. The pediatrician cancels and refers all diabetes questions to
endocrinology only.
B. The pediatric primary care provider reviews glucose logs,
adjusts insulin plan in collaboration with endocrinology, and
documents communication with the specialty team.
C. The provider tells the adolescent to handle the changes
independently because specialty care manages diabetes.
