,1. Pediatric Primary Care
Q1.
Chapter 1 – Pediatric Primary Care: Scope and Philosophy
A nurse practitioner is counseling a family about the role of
pediatric primary care. Which best describes the philosophy
guiding pediatric primary care?
A. Episodic treatment focused on acute illnesses
B. Family-centered, continuous, comprehensive, and
community-based care
C. Care directed primarily by subspecialists in tertiary hospitals
D. Focused mainly on disease prevention through immunization
only
Correct Answer: B
• Rationale (Correct): Pediatric primary care is guided by a
philosophy of continuity, comprehensiveness,
coordination, and family-centered/community-based care
(Burns, Ch. 1).
• Incorrect A: Episodic care ignores continuity and
prevention.
• Incorrect C: Subspecialist-directed care is not the
foundation of pediatric primary care.
• Incorrect D: Immunization is important but only one
component.
, Teaching Point: Pediatric primary care is continuous,
comprehensive, and family-centered.
Q2.
Chapter 1 – Primary Care Versus Primary Prevention
Which scenario illustrates primary prevention in pediatric care?
A. Administering antibiotics for strep throat
B. Screening a 5-year-old for anemia
C. Teaching parents about bicycle helmet safety
D. Providing physical therapy after a fracture
Correct Answer: C
• Rationale (Correct): Primary prevention focuses on
preventing injury/disease before it occurs, such as helmet
education (Burns, Ch. 1).
• Incorrect A: Antibiotics = treatment, not prevention.
• Incorrect B: Screening = secondary prevention.
• Incorrect D: Rehabilitation = tertiary prevention.
Teaching Point: Primary prevention aims to stop illness or
injury before it starts.
Q3.
, Chapter 1 – Unique Issues in Pediatrics
A 12-year-old is being seen alone in clinic. Which principle
should guide the provider’s approach?
A. Adolescents should not be seen without a parent present
B. Confidentiality is essential to adolescent care unless safety is
at risk
C. Adolescents should only discuss school and activities, not
sexual health
D. Care should focus exclusively on the adolescent, not the
family
Correct Answer: B
• Rationale (Correct): Confidentiality is crucial, with
exceptions for self-harm/safety concerns (Burns, Ch. 1).
• Incorrect A: Confidentiality encourages disclosure; parents
may not always be present.
• Incorrect C: Comprehensive care includes sensitive topics
like sexual health.
• Incorrect D: Family context remains important.
Teaching Point: Adolescent care requires confidentiality,
with limits for safety.
Q4.
Chapter 1 – Caring for Children with Special Health Care Needs
(CYSHCN)
Q1.
Chapter 1 – Pediatric Primary Care: Scope and Philosophy
A nurse practitioner is counseling a family about the role of
pediatric primary care. Which best describes the philosophy
guiding pediatric primary care?
A. Episodic treatment focused on acute illnesses
B. Family-centered, continuous, comprehensive, and
community-based care
C. Care directed primarily by subspecialists in tertiary hospitals
D. Focused mainly on disease prevention through immunization
only
Correct Answer: B
• Rationale (Correct): Pediatric primary care is guided by a
philosophy of continuity, comprehensiveness,
coordination, and family-centered/community-based care
(Burns, Ch. 1).
• Incorrect A: Episodic care ignores continuity and
prevention.
• Incorrect C: Subspecialist-directed care is not the
foundation of pediatric primary care.
• Incorrect D: Immunization is important but only one
component.
, Teaching Point: Pediatric primary care is continuous,
comprehensive, and family-centered.
Q2.
Chapter 1 – Primary Care Versus Primary Prevention
Which scenario illustrates primary prevention in pediatric care?
A. Administering antibiotics for strep throat
B. Screening a 5-year-old for anemia
C. Teaching parents about bicycle helmet safety
D. Providing physical therapy after a fracture
Correct Answer: C
• Rationale (Correct): Primary prevention focuses on
preventing injury/disease before it occurs, such as helmet
education (Burns, Ch. 1).
• Incorrect A: Antibiotics = treatment, not prevention.
• Incorrect B: Screening = secondary prevention.
• Incorrect D: Rehabilitation = tertiary prevention.
Teaching Point: Primary prevention aims to stop illness or
injury before it starts.
Q3.
, Chapter 1 – Unique Issues in Pediatrics
A 12-year-old is being seen alone in clinic. Which principle
should guide the provider’s approach?
A. Adolescents should not be seen without a parent present
B. Confidentiality is essential to adolescent care unless safety is
at risk
C. Adolescents should only discuss school and activities, not
sexual health
D. Care should focus exclusively on the adolescent, not the
family
Correct Answer: B
• Rationale (Correct): Confidentiality is crucial, with
exceptions for self-harm/safety concerns (Burns, Ch. 1).
• Incorrect A: Confidentiality encourages disclosure; parents
may not always be present.
• Incorrect C: Comprehensive care includes sensitive topics
like sexual health.
• Incorrect D: Family context remains important.
Teaching Point: Adolescent care requires confidentiality,
with limits for safety.
Q4.
Chapter 1 – Caring for Children with Special Health Care Needs
(CYSHCN)
