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
1. A 2-week well-baby visit: the mother reports nightly
tearfulness, trouble sleeping, and overwhelming fatigue
but is caring for the infant and feeding appropriately. As a
two-generation approach, the pediatric primary care
provider’s best first action is to:
A. Defer maternal concerns and focus only on the
newborn’s immunizations.
B. Screen the mother for postpartum mood disorder and
arrange support/referral while continuing infant care.
, C. Recommend immediate separation of mother and infant
until maternal mood improves.
D. Advise the mother that postpartum feelings are normal
and re-screen in 6 months.
Answer: B.
Rationale: Two-generation care addresses caregiver and child
health simultaneously; screening and connecting the mother to
mental-health/support services preserves maternal functioning
and infant outcomes. A and D ignore mother’s risk; C is
inappropriate and harmful.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
2. Which of the following most clearly exemplifies primary
prevention in pediatric primary care?
A. Prescribing inhaled corticosteroid for a child with
persistent asthma.
B. Administering routine childhood immunizations during
well-child visits.
C. Ordering spirometry for a child with recurrent wheeze.
D. Referring a teen with depression to psychotherapy.
Answer: B.
Rationale: Primary prevention prevents disease before it occurs
(immunization). A and C are secondary/tertiary or
diagnostic/management actions; D is secondary/tertiary
intervention after disease detection.
,Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
3. A 4-year-old is brought for well care. Which practice best
demonstrates family-centered care?
A. Making all care decisions without family input to ensure
clinical correctness.
B. Asking the family about home routines, values, and
concerns, then co-creating the care plan.
C. Providing standardized counseling without adaptation to
family context.
D. Requiring the parent to follow a clinic template for care
instructions.
Answer: B.
Rationale: Family-centered care elicits family preferences and
integrates them into a shared plan. A and C are paternalistic; D
is inflexible and undermines partnership.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
4. When prescribing medications for children, the safest
general principle is to:
A. Use adult fixed doses because children tolerate
medication similarly.
B. Dose according to weight and developmental
, pharmacokinetics when possible.
C. Give the same dose regardless of age if the condition is
the same.
D. Always double adult dose for adolescents.
Answer: B.
Rationale: Pediatric dosing typically requires weight-based
calculations and consideration of maturation of
absorption/metabolism. A, C, and D risk under- or overdosing.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
5. Which finding during a developmental surveillance visit
should prompt urgent further evaluation?
A. A child who has not acquired a new skill for several
weeks but is otherwise progressing.
B. Loss of previously acquired skills (regression) such as
losing language or social behaviors.
C. Minor variability in attainment of fine motor milestones.
D. Family reports of variable attention at home.
Answer: B.
Rationale: Regression is a red flag for neurologic, metabolic, or
neurodevelopmental disorder and mandates prompt
evaluation. A and C may be monitored; D may prompt screening
but is not as urgent as regression.
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
1. A 2-week well-baby visit: the mother reports nightly
tearfulness, trouble sleeping, and overwhelming fatigue
but is caring for the infant and feeding appropriately. As a
two-generation approach, the pediatric primary care
provider’s best first action is to:
A. Defer maternal concerns and focus only on the
newborn’s immunizations.
B. Screen the mother for postpartum mood disorder and
arrange support/referral while continuing infant care.
, C. Recommend immediate separation of mother and infant
until maternal mood improves.
D. Advise the mother that postpartum feelings are normal
and re-screen in 6 months.
Answer: B.
Rationale: Two-generation care addresses caregiver and child
health simultaneously; screening and connecting the mother to
mental-health/support services preserves maternal functioning
and infant outcomes. A and D ignore mother’s risk; C is
inappropriate and harmful.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
2. Which of the following most clearly exemplifies primary
prevention in pediatric primary care?
A. Prescribing inhaled corticosteroid for a child with
persistent asthma.
B. Administering routine childhood immunizations during
well-child visits.
C. Ordering spirometry for a child with recurrent wheeze.
D. Referring a teen with depression to psychotherapy.
Answer: B.
Rationale: Primary prevention prevents disease before it occurs
(immunization). A and C are secondary/tertiary or
diagnostic/management actions; D is secondary/tertiary
intervention after disease detection.
,Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
3. A 4-year-old is brought for well care. Which practice best
demonstrates family-centered care?
A. Making all care decisions without family input to ensure
clinical correctness.
B. Asking the family about home routines, values, and
concerns, then co-creating the care plan.
C. Providing standardized counseling without adaptation to
family context.
D. Requiring the parent to follow a clinic template for care
instructions.
Answer: B.
Rationale: Family-centered care elicits family preferences and
integrates them into a shared plan. A and C are paternalistic; D
is inflexible and undermines partnership.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
4. When prescribing medications for children, the safest
general principle is to:
A. Use adult fixed doses because children tolerate
medication similarly.
B. Dose according to weight and developmental
, pharmacokinetics when possible.
C. Give the same dose regardless of age if the condition is
the same.
D. Always double adult dose for adolescents.
Answer: B.
Rationale: Pediatric dosing typically requires weight-based
calculations and consideration of maturation of
absorption/metabolism. A, C, and D risk under- or overdosing.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
5. Which finding during a developmental surveillance visit
should prompt urgent further evaluation?
A. A child who has not acquired a new skill for several
weeks but is otherwise progressing.
B. Loss of previously acquired skills (regression) such as
losing language or social behaviors.
C. Minor variability in attainment of fine motor milestones.
D. Family reports of variable attention at home.
Answer: B.
Rationale: Regression is a red flag for neurologic, metabolic, or
neurodevelopmental disorder and mandates prompt
evaluation. A and C may be monitored; D may prompt screening
but is not as urgent as regression.
Citation: Burns’ Pediatric Primary Care, 8th Edition
Chapter 1: Pediatric Primary Care
