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
A pediatric primary care provider evaluates a 4-month-old infant during
a routine health visit. The infant was born at 39 weeks’ gestation and
has been feeding well. Which finding requires the most immediate
follow-up?
A. Briefly losing head control when pulled to a sitting position
B. Symmetrical movement of all extremities
C. Persistent head lag when pulled from supine to sitting
D. Bringing hands toward the mouth
Answer: C
Rationale: By approximately 4 months, an infant should demonstrate
substantially improved head control. Persistent marked head lag may
indicate neuromuscular or developmental dysfunction and warrants
further evaluation. The other findings are generally consistent with
expected development at this age.
Question 2
A parent asks why developmental surveillance is performed at every
pediatric primary care visit even when the child has no apparent
problems. Which response by the provider is most appropriate?
A. “It mainly identifies children who will need special education.”
B. “It allows developmental concerns to be recognized early and
evaluated further.”
C. “It determines whether the child is developing faster than other
, children.”
D. “It replaces standardized developmental screening.”
Answer: B
Rationale: Developmental surveillance is an ongoing process that
incorporates observations, history, caregiver concerns, and clinical
judgment to identify children who may require additional assessment.
Surveillance complements rather than replaces standardized screening.
Question 3
During an adolescent health visit, a 15-year-old answers questions
appropriately but repeatedly looks toward the parent before
responding. What is the best action by the provider?
A. Ask the parent to answer questions about the adolescent's behavior.
B. Continue the entire interview with the parent present.
C. Explain the importance of confidential adolescent care and spend
part of the visit alone with the adolescent.
D. Avoid sensitive questions because the adolescent appears
uncomfortable.
Answer: C
Rationale: Developmentally appropriate adolescent care includes
private time with the adolescent and discussion of confidentiality and
its limits. This approach promotes more accurate disclosure regarding
sensitive issues such as mental health, substance use, sexuality, and
safety.
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
A pediatric primary care provider evaluates a 4-month-old infant during
a routine health visit. The infant was born at 39 weeks’ gestation and
has been feeding well. Which finding requires the most immediate
follow-up?
A. Briefly losing head control when pulled to a sitting position
B. Symmetrical movement of all extremities
C. Persistent head lag when pulled from supine to sitting
D. Bringing hands toward the mouth
Answer: C
Rationale: By approximately 4 months, an infant should demonstrate
substantially improved head control. Persistent marked head lag may
indicate neuromuscular or developmental dysfunction and warrants
further evaluation. The other findings are generally consistent with
expected development at this age.
Question 2
A parent asks why developmental surveillance is performed at every
pediatric primary care visit even when the child has no apparent
problems. Which response by the provider is most appropriate?
A. “It mainly identifies children who will need special education.”
B. “It allows developmental concerns to be recognized early and
evaluated further.”
C. “It determines whether the child is developing faster than other
, children.”
D. “It replaces standardized developmental screening.”
Answer: B
Rationale: Developmental surveillance is an ongoing process that
incorporates observations, history, caregiver concerns, and clinical
judgment to identify children who may require additional assessment.
Surveillance complements rather than replaces standardized screening.
Question 3
During an adolescent health visit, a 15-year-old answers questions
appropriately but repeatedly looks toward the parent before
responding. What is the best action by the provider?
A. Ask the parent to answer questions about the adolescent's behavior.
B. Continue the entire interview with the parent present.
C. Explain the importance of confidential adolescent care and spend
part of the visit alone with the adolescent.
D. Avoid sensitive questions because the adolescent appears
uncomfortable.
Answer: C
Rationale: Developmentally appropriate adolescent care includes
private time with the adolescent and discussion of confidentiality and
its limits. This approach promotes more accurate disclosure regarding
sensitive issues such as mental health, substance use, sexuality, and
safety.
