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:
A pediatric primary care nurse practitioner (PNP) is explaining the
purpose of pediatric primary care to a group of nursing students. Which
statement best describes pediatric primary health care?
A. It is primarily the treatment of acute illnesses that occur during
childhood.
B. It is a continuous, comprehensive, coordinated approach that
includes prevention, health supervision, treatment, and referral when
needed.
C. It focuses mainly on identifying children who need specialty medical
care.
D. It is limited to services provided during scheduled well-child
examinations.
Correct Answer: B. It is a continuous, comprehensive, coordinated
approach that includes prevention, health supervision, treatment, and
referral when needed.
Rationale:
Pediatric primary health care is broader than either preventive care or
acute illness treatment alone. It includes first-contact care, health
supervision, anticipatory guidance, developmental monitoring,
screening, diagnosis and management of acute and chronic conditions,
coordination of services, and referral when more complex care is
needed. The AAP describes pediatric primary health care as continuous,
comprehensive, coordinated, accessible, and family-centered.
, Why the Other Options Are Incorrect:
A. Pediatric primary care does include treatment of acute illness, but its
scope extends well beyond episodic treatment to prevention, health
promotion, developmental care, and chronic disease management.
C. Referral is an important component of primary care, but identifying
children for referral is only one part of the broader primary care role.
D. Preventive well-child visits are important, but primary care also
includes problem-focused visits, chronic disease care, care coordination,
and management of new concerns between scheduled health
supervision visits.
Question 2
Question:
Which intervention is the clearest example of primary prevention in
pediatric practice?
A. Screening a 4-year-old for developmental delay
B. Evaluating a child with persistent wheezing for asthma
C. Administering an age-appropriate immunization before exposure to
the targeted infection
D. Referring a child with a newly diagnosed hearing loss for specialty
evaluation
Correct Answer: C. Administering an age-appropriate immunization
before exposure to the targeted infection
Rationale:
Primary prevention aims to prevent a disease or health problem before
it occurs. Immunization is a classic example because it reduces the
likelihood that the child will develop the targeted infectious disease.
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A pediatric primary care nurse practitioner (PNP) is explaining the
purpose of pediatric primary care to a group of nursing students. Which
statement best describes pediatric primary health care?
A. It is primarily the treatment of acute illnesses that occur during
childhood.
B. It is a continuous, comprehensive, coordinated approach that
includes prevention, health supervision, treatment, and referral when
needed.
C. It focuses mainly on identifying children who need specialty medical
care.
D. It is limited to services provided during scheduled well-child
examinations.
Correct Answer: B. It is a continuous, comprehensive, coordinated
approach that includes prevention, health supervision, treatment, and
referral when needed.
Rationale:
Pediatric primary health care is broader than either preventive care or
acute illness treatment alone. It includes first-contact care, health
supervision, anticipatory guidance, developmental monitoring,
screening, diagnosis and management of acute and chronic conditions,
coordination of services, and referral when more complex care is
needed. The AAP describes pediatric primary health care as continuous,
comprehensive, coordinated, accessible, and family-centered.
, Why the Other Options Are Incorrect:
A. Pediatric primary care does include treatment of acute illness, but its
scope extends well beyond episodic treatment to prevention, health
promotion, developmental care, and chronic disease management.
C. Referral is an important component of primary care, but identifying
children for referral is only one part of the broader primary care role.
D. Preventive well-child visits are important, but primary care also
includes problem-focused visits, chronic disease care, care coordination,
and management of new concerns between scheduled health
supervision visits.
Question 2
Question:
Which intervention is the clearest example of primary prevention in
pediatric practice?
A. Screening a 4-year-old for developmental delay
B. Evaluating a child with persistent wheezing for asthma
C. Administering an age-appropriate immunization before exposure to
the targeted infection
D. Referring a child with a newly diagnosed hearing loss for specialty
evaluation
Correct Answer: C. Administering an age-appropriate immunization
before exposure to the targeted infection
Rationale:
Primary prevention aims to prevent a disease or health problem before
it occurs. Immunization is a classic example because it reduces the
likelihood that the child will develop the targeted infectious disease.
