Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, Nan M. Gaylord
Burns Pediatric Primary Care 8th Edition
MCQ Study Guide & Practice Test Bank
,Chapter 1 — Pediatric Primary Care
(Burns’ Pediatric Primary Care, 8th Edition — Chapter 1:
Pediatric Primary Care)
1. A 2-month-old infant comes for a well-child visit. The
caregiver asks whether the visit’s main goal is to treat
illnesses or to prevent them. Which explanation best
describes the role of primary care in pediatrics?
A. Primary care focuses mainly on acute illness treatment
and referral to specialists.
B. Primary care emphasizes preventive services,
growth/development surveillance, and family education.
C. Primary care is limited to immunizations; other
prevention happens in public health.
D. Primary care is only responsible for chronic disease
management.
Correct Answer: B.
Rationale: Pediatric primary care centers on prevention
(immunizations, anticipatory guidance), surveillance of
growth and development, and family-centered education
— not only treating illness or delegating prevention
elsewhere. Options A, C, and D are overly narrow or
incorrect.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
2. During a clinic planning meeting, the nurse practitioner
wants to emphasize “primary prevention.” Which activity
, best fits primary prevention in the well-child setting?
A. Prescribing antibiotics for otitis media.
B. Administering age-appropriate immunizations per
schedule.
C. Referring a child with suspected autism for evaluation.
D. Arranging dialysis for chronic kidney disease.
Correct Answer: B.
Rationale: Primary prevention prevents disease
occurrence (e.g., immunizations). Treating otitis (A) is
secondary/tertiary care, referral for autism (C) is early
detection/intervention, and dialysis (D) is tertiary
management.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
3. A 9-month-old’s caregiver reports symptoms of maternal
depression. Which approach reflects the “two-generation”
model in pediatric primary care?
A. Focus only on the infant’s physical exam and ignore
caregiver issues.
B. Screen the caregiver, provide support or referral, and
coordinate care for both caregiver and child.
C. Refer the caregiver to an outside agency and remove the
child from primary care follow-up.
D. Prescribe infant vitamins to compensate for caregiver
stress.
Correct Answer: B.
Rationale: The two-generation model recognizes caregiver
, health affects child outcomes; primary care should screen
caregivers, offer support/referral, and coordinate services
for both generations. Options A, C, and D are inappropriate
or ineffective.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
4. A clinic adopts routine screening for Adverse Childhood
Experiences (ACEs). Which rationale best supports ACEs
screening in primary care?
A. ACEs only predict childhood behavior problems, not
long-term health.
B. Early identification permits trauma-informed responses
to mitigate toxic stress and long-term risks.
C. Screening for ACEs is discouraged because it always
retraumatizes families.
D. ACEs screening should be done exclusively by mental
health specialists.
Correct Answer: B.
Rationale: ACEs are associated with later mental and
physical health problems; early, sensitive screening in
primary care allows referral and protective interventions. A
is false, C is an overgeneralization, and D ignores primary
care’s role.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, Nan M. Gaylord
Burns Pediatric Primary Care 8th Edition
MCQ Study Guide & Practice Test Bank
,Chapter 1 — Pediatric Primary Care
(Burns’ Pediatric Primary Care, 8th Edition — Chapter 1:
Pediatric Primary Care)
1. A 2-month-old infant comes for a well-child visit. The
caregiver asks whether the visit’s main goal is to treat
illnesses or to prevent them. Which explanation best
describes the role of primary care in pediatrics?
A. Primary care focuses mainly on acute illness treatment
and referral to specialists.
B. Primary care emphasizes preventive services,
growth/development surveillance, and family education.
C. Primary care is limited to immunizations; other
prevention happens in public health.
D. Primary care is only responsible for chronic disease
management.
Correct Answer: B.
Rationale: Pediatric primary care centers on prevention
(immunizations, anticipatory guidance), surveillance of
growth and development, and family-centered education
— not only treating illness or delegating prevention
elsewhere. Options A, C, and D are overly narrow or
incorrect.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
2. During a clinic planning meeting, the nurse practitioner
wants to emphasize “primary prevention.” Which activity
, best fits primary prevention in the well-child setting?
A. Prescribing antibiotics for otitis media.
B. Administering age-appropriate immunizations per
schedule.
C. Referring a child with suspected autism for evaluation.
D. Arranging dialysis for chronic kidney disease.
Correct Answer: B.
Rationale: Primary prevention prevents disease
occurrence (e.g., immunizations). Treating otitis (A) is
secondary/tertiary care, referral for autism (C) is early
detection/intervention, and dialysis (D) is tertiary
management.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
3. A 9-month-old’s caregiver reports symptoms of maternal
depression. Which approach reflects the “two-generation”
model in pediatric primary care?
A. Focus only on the infant’s physical exam and ignore
caregiver issues.
B. Screen the caregiver, provide support or referral, and
coordinate care for both caregiver and child.
C. Refer the caregiver to an outside agency and remove the
child from primary care follow-up.
D. Prescribe infant vitamins to compensate for caregiver
stress.
Correct Answer: B.
Rationale: The two-generation model recognizes caregiver
, health affects child outcomes; primary care should screen
caregivers, offer support/referral, and coordinate services
for both generations. Options A, C, and D are inappropriate
or ineffective.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
4. A clinic adopts routine screening for Adverse Childhood
Experiences (ACEs). Which rationale best supports ACEs
screening in primary care?
A. ACEs only predict childhood behavior problems, not
long-term health.
B. Early identification permits trauma-informed responses
to mitigate toxic stress and long-term risks.
C. Screening for ACEs is discouraged because it always
retraumatizes families.
D. ACEs screening should be done exclusively by mental
health specialists.
Correct Answer: B.
Rationale: ACEs are associated with later mental and
physical health problems; early, sensitive screening in
primary care allows referral and protective interventions. A
is false, C is an overgeneralization, and D ignores primary
care’s role.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
