,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 conducting a well-
child visit for a 4-year-old child who has no acute complaints. The
caregiver reports that the child has become increasingly selective about
food, spends considerable time watching videos, and resists going to
bed. Which action best reflects the comprehensive role of pediatric
primary care?
A. Focus on the physical examination because the caregiver has not
identified an acute medical concern.
B. Assess growth and development, nutrition, sleep, screen use, safety,
and family concerns, then provide individualized anticipatory guidance.
C. Schedule separate referrals for nutrition, behavioral health, and sleep
management before discussing the concerns with the family.
D. Reassure the caregiver that these behaviors are normal for
preschoolers and defer further assessment until the next annual visit.
Correct Answer: B. Assess growth and development, nutrition, sleep,
screen use, safety, and family concerns, then provide individualized
anticipatory guidance.
Rationale:
Pediatric primary care includes health promotion, disease prevention,
developmental surveillance, safety assessment, and early identification
of health concerns. A well-child visit provides an opportunity to
evaluate the child's physical, behavioral, developmental, and
psychosocial well-being. The PNP should explore the caregiver's
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 conducting a well-
child visit for a 4-year-old child who has no acute complaints. The
caregiver reports that the child has become increasingly selective about
food, spends considerable time watching videos, and resists going to
bed. Which action best reflects the comprehensive role of pediatric
primary care?
A. Focus on the physical examination because the caregiver has not
identified an acute medical concern.
B. Assess growth and development, nutrition, sleep, screen use, safety,
and family concerns, then provide individualized anticipatory guidance.
C. Schedule separate referrals for nutrition, behavioral health, and sleep
management before discussing the concerns with the family.
D. Reassure the caregiver that these behaviors are normal for
preschoolers and defer further assessment until the next annual visit.
Correct Answer: B. Assess growth and development, nutrition, sleep,
screen use, safety, and family concerns, then provide individualized
anticipatory guidance.
Rationale:
Pediatric primary care includes health promotion, disease prevention,
developmental surveillance, safety assessment, and early identification
of health concerns. A well-child visit provides an opportunity to
evaluate the child's physical, behavioral, developmental, and
psychosocial well-being. The PNP should explore the caregiver's
