Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Chapter 1 — Pediatric Primary Care
Original NCLEX-Style Mixed MCQ Test Bank | 20 Questions
Question 1
Question:
A 4-year-old child is brought to a pediatric primary care clinic for a
scheduled health-supervision visit. The child has no acute symptoms.
Which activity best demonstrates the purpose of pediatric primary
care?
A. Treating only illnesses that are currently causing symptoms
B. Monitoring growth and development while providing preventive
services and anticipatory guidance
C. Referring every child to a pediatric subspecialist for routine care
D. Limiting the visit to administration of age-appropriate vaccines
Correct Answer: B. Monitoring growth and development while
providing preventive services and anticipatory guidance
Rationale:
Pediatric primary care is broader than treatment of acute illness. It
includes health supervision, monitoring physical and psychosocial
growth and development, age-appropriate screening, preventive care,
anticipatory guidance, diagnosis and treatment of acute and chronic
disorders, and referral or coordination when more complex services are
needed. The AAP describes pediatric primary health care as continuous,
comprehensive, coordinated, accessible, and family-centered.
(American Academy of Pediatrics)
, Why the Other Options Are Incorrect:
A. Pediatric primary care includes prevention and health supervision in
addition to diagnosis and treatment of illness. Restricting care to
symptomatic disease misses a major purpose of primary care.
B. Correct. Growth and developmental monitoring, prevention,
screening, and anticipatory guidance are central components of
pediatric primary care. (AAP)
C. Routine pediatric care is generally provided in primary care, with
referral used when a child's needs exceed the primary care setting or
require specialty expertise.
D. Immunization is important but represents only one component of
preventive pediatric care; comprehensive health supervision includes
many other assessments and interventions.
Question 2
Question:
The parent of a healthy 7-year-old asks why the child needs regular
well-child visits when the child rarely becomes sick. Which response by
the nurse is best?
A. “Well-child visits are primarily required so the clinic can maintain
vaccination records.”
B. “These visits help identify concerns early and support healthy
growth, development, and prevention.”
C. “Children need frequent examinations because serious illness is
usually present without symptoms.”
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Chapter 1 — Pediatric Primary Care
Original NCLEX-Style Mixed MCQ Test Bank | 20 Questions
Question 1
Question:
A 4-year-old child is brought to a pediatric primary care clinic for a
scheduled health-supervision visit. The child has no acute symptoms.
Which activity best demonstrates the purpose of pediatric primary
care?
A. Treating only illnesses that are currently causing symptoms
B. Monitoring growth and development while providing preventive
services and anticipatory guidance
C. Referring every child to a pediatric subspecialist for routine care
D. Limiting the visit to administration of age-appropriate vaccines
Correct Answer: B. Monitoring growth and development while
providing preventive services and anticipatory guidance
Rationale:
Pediatric primary care is broader than treatment of acute illness. It
includes health supervision, monitoring physical and psychosocial
growth and development, age-appropriate screening, preventive care,
anticipatory guidance, diagnosis and treatment of acute and chronic
disorders, and referral or coordination when more complex services are
needed. The AAP describes pediatric primary health care as continuous,
comprehensive, coordinated, accessible, and family-centered.
(American Academy of Pediatrics)
, Why the Other Options Are Incorrect:
A. Pediatric primary care includes prevention and health supervision in
addition to diagnosis and treatment of illness. Restricting care to
symptomatic disease misses a major purpose of primary care.
B. Correct. Growth and developmental monitoring, prevention,
screening, and anticipatory guidance are central components of
pediatric primary care. (AAP)
C. Routine pediatric care is generally provided in primary care, with
referral used when a child's needs exceed the primary care setting or
require specialty expertise.
D. Immunization is important but represents only one component of
preventive pediatric care; comprehensive health supervision includes
many other assessments and interventions.
Question 2
Question:
The parent of a healthy 7-year-old asks why the child needs regular
well-child visits when the child rarely becomes sick. Which response by
the nurse is best?
A. “Well-child visits are primarily required so the clinic can maintain
vaccination records.”
B. “These visits help identify concerns early and support healthy
growth, development, and prevention.”
C. “Children need frequent examinations because serious illness is
usually present without symptoms.”
