Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question: During a well-child visit for a 6-month-old infant, the
pediatric primary care provider discusses strategies to prevent future
illness and injury. Which of the following interventions is an example of
primary prevention?
A. Ordering a capillary blood lead screening test
B. Administering the scheduled diphtheria, tetanus, and acellular
pertussis (DTaP) vaccine
C. Developing an asthma action plan for an infant with recurrent
wheezing
D. Referring the infant to early intervention services for a diagnosed
developmental delay
Correct Answer: B. Administering the scheduled diphtheria, tetanus,
and acellular pertussis (DTaP) vaccine
Rationale: Primary prevention aims to prevent disease or injury before
it ever occurs. Immunizations are a classic example of primary
prevention because they protect the child from contracting specific
infectious diseases. The pediatric primary care provider focuses heavily
on primary prevention through health promotion, anticipatory
guidance, and immunizations during well-child visits.
Why the Other Options Are Incorrect: A. Ordering a lead screening test
is an example of secondary prevention, which focuses on early
detection and screening of asymptomatic disease.
, C. Developing an asthma action plan is an example of tertiary
prevention, which aims to manage an established disease and prevent
complications or exacerbations.
D. Referring to early intervention for a diagnosed delay is tertiary
prevention, as it focuses on rehabilitation and minimizing the impact of
an already identified condition.
Question 2
Question: A 7-year-old child with a known diagnosis of moderate
persistent asthma presents for a routine follow-up. The child has not
had any emergency department visits in the past year and uses a daily
inhaled corticosteroid. Which of the following actions by the provider
best represents tertiary prevention?
A. Educating the family on the importance of annual influenza
vaccinations
B. Reviewing the child’s asthma action plan to ensure proper use of a
rescue inhaler during exacerbations
C. Screening the child for exercise-induced bronchospasm before
clearing them for school sports
D. Assessing the home environment for new pet dander or mold
exposure
Correct Answer: B. Reviewing the child’s asthma action plan to ensure
proper use of a rescue inhaler during exacerbations
Rationale: Tertiary prevention focuses on managing an existing,
diagnosed disease to prevent complications, reduce severity, and
improve quality of life. Reviewing and updating an asthma action plan
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question: During a well-child visit for a 6-month-old infant, the
pediatric primary care provider discusses strategies to prevent future
illness and injury. Which of the following interventions is an example of
primary prevention?
A. Ordering a capillary blood lead screening test
B. Administering the scheduled diphtheria, tetanus, and acellular
pertussis (DTaP) vaccine
C. Developing an asthma action plan for an infant with recurrent
wheezing
D. Referring the infant to early intervention services for a diagnosed
developmental delay
Correct Answer: B. Administering the scheduled diphtheria, tetanus,
and acellular pertussis (DTaP) vaccine
Rationale: Primary prevention aims to prevent disease or injury before
it ever occurs. Immunizations are a classic example of primary
prevention because they protect the child from contracting specific
infectious diseases. The pediatric primary care provider focuses heavily
on primary prevention through health promotion, anticipatory
guidance, and immunizations during well-child visits.
Why the Other Options Are Incorrect: A. Ordering a lead screening test
is an example of secondary prevention, which focuses on early
detection and screening of asymptomatic disease.
, C. Developing an asthma action plan is an example of tertiary
prevention, which aims to manage an established disease and prevent
complications or exacerbations.
D. Referring to early intervention for a diagnosed delay is tertiary
prevention, as it focuses on rehabilitation and minimizing the impact of
an already identified condition.
Question 2
Question: A 7-year-old child with a known diagnosis of moderate
persistent asthma presents for a routine follow-up. The child has not
had any emergency department visits in the past year and uses a daily
inhaled corticosteroid. Which of the following actions by the provider
best represents tertiary prevention?
A. Educating the family on the importance of annual influenza
vaccinations
B. Reviewing the child’s asthma action plan to ensure proper use of a
rescue inhaler during exacerbations
C. Screening the child for exercise-induced bronchospasm before
clearing them for school sports
D. Assessing the home environment for new pet dander or mold
exposure
Correct Answer: B. Reviewing the child’s asthma action plan to ensure
proper use of a rescue inhaler during exacerbations
Rationale: Tertiary prevention focuses on managing an existing,
diagnosed disease to prevent complications, reduce severity, and
improve quality of life. Reviewing and updating an asthma action plan
