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 — Primary Care Versus
Primary Prevention
Question Stem
At a 6-month well visit a mother asks which actions will best
prevent future illness in her infant. Which choice best
exemplifies primary prevention in pediatric primary care?
Options
A. Begin developmental surveillance and schedule a 9-month
developmental screen.
B. Prescribe iron and recheck hemoglobin in 3 months.
C. Administer recommended immunizations and counsel on
smoke-free environments.
D. Order lead levels and follow up abnormal results with
environmental investigation.
Correct Answer
C
,Rationales
Correct: Immunizations and counseling to eliminate household
tobacco exposure are interventions that reduce the incidence
of disease and injury—classic primary prevention.
A: Developmental surveillance is important but is secondary
prevention (early detection) rather than primary prevention.
B: Treating iron deficiency is tertiary/secondary care—it
addresses an existing problem rather than preventing initial
occurrence.
D: Lead screening is secondary prevention (screening to detect
exposure), and follow-up is management rather than primary
prevention.
Teaching Point
Primary prevention reduces disease occurrence (e.g.,
immunization, environmental risk reduction).
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2. Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A family asks who should coordinate care for their 4-year-old
with asthma, developmental delay, and recent ER visits. Which
,provider role best serves as the central coordinator in pediatric
primary care?
Options
A. Emergency department physician because acute care occurs
there.
B. Pediatric primary care provider functioning as the medical
home.
C. Subspecialty pulmonologist because asthma is the main
chronic problem.
D. School nurse because the child spends most daytime hours at
school.
Correct Answer
B
Rationales
Correct: The pediatric primary care provider acts as the medical
home—coordinating preventive care, referrals, and continuity
of care across settings.
A: ED physicians provide episodic acute care and are not
responsible for long-term coordination.
C: Subspecialists manage specific conditions but do not typically
coordinate overall primary care.
D: School nurses support health at school but do not coordinate
comprehensive medical care across providers.
Teaching Point
The primary care medical home coordinates holistic care and
referrals for children.
, Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3. Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in
Pediatrics
Question Stem
At a 2-week postpartum visit the infant’s weight appears
unexpectedly low on the growth chart (drop from 50th to 10th
percentile). What is the best immediate action by the primary-
care clinician?
Options
A. Reassure the parents that percentile shifts are normal and
schedule routine follow-up at 2 months.
B. Verify measurement technique, reweigh the infant, and
assess feeding adequacy now.
C. Order metabolic and genetic testing immediately.
D. Refer for early intervention services without further
assessment.
Correct Answer
B
Rationales
Correct: Sudden percentile drops should prompt verification of
measurement accuracy and immediate assessment of feeding,
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1. Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus
Primary Prevention
Question Stem
At a 6-month well visit a mother asks which actions will best
prevent future illness in her infant. Which choice best
exemplifies primary prevention in pediatric primary care?
Options
A. Begin developmental surveillance and schedule a 9-month
developmental screen.
B. Prescribe iron and recheck hemoglobin in 3 months.
C. Administer recommended immunizations and counsel on
smoke-free environments.
D. Order lead levels and follow up abnormal results with
environmental investigation.
Correct Answer
C
,Rationales
Correct: Immunizations and counseling to eliminate household
tobacco exposure are interventions that reduce the incidence
of disease and injury—classic primary prevention.
A: Developmental surveillance is important but is secondary
prevention (early detection) rather than primary prevention.
B: Treating iron deficiency is tertiary/secondary care—it
addresses an existing problem rather than preventing initial
occurrence.
D: Lead screening is secondary prevention (screening to detect
exposure), and follow-up is management rather than primary
prevention.
Teaching Point
Primary prevention reduces disease occurrence (e.g.,
immunization, environmental risk reduction).
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2. Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A family asks who should coordinate care for their 4-year-old
with asthma, developmental delay, and recent ER visits. Which
,provider role best serves as the central coordinator in pediatric
primary care?
Options
A. Emergency department physician because acute care occurs
there.
B. Pediatric primary care provider functioning as the medical
home.
C. Subspecialty pulmonologist because asthma is the main
chronic problem.
D. School nurse because the child spends most daytime hours at
school.
Correct Answer
B
Rationales
Correct: The pediatric primary care provider acts as the medical
home—coordinating preventive care, referrals, and continuity
of care across settings.
A: ED physicians provide episodic acute care and are not
responsible for long-term coordination.
C: Subspecialists manage specific conditions but do not typically
coordinate overall primary care.
D: School nurses support health at school but do not coordinate
comprehensive medical care across providers.
Teaching Point
The primary care medical home coordinates holistic care and
referrals for children.
, Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3. Reference
Ch. 1 — Pediatric Primary Care — Unique Issues in
Pediatrics
Question Stem
At a 2-week postpartum visit the infant’s weight appears
unexpectedly low on the growth chart (drop from 50th to 10th
percentile). What is the best immediate action by the primary-
care clinician?
Options
A. Reassure the parents that percentile shifts are normal and
schedule routine follow-up at 2 months.
B. Verify measurement technique, reweigh the infant, and
assess feeding adequacy now.
C. Order metabolic and genetic testing immediately.
D. Refer for early intervention services without further
assessment.
Correct Answer
B
Rationales
Correct: Sudden percentile drops should prompt verification of
measurement accuracy and immediate assessment of feeding,
