Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
1. Question Stem: A 2-month-old arrives for a well-child visit;
the mother asks whether the visit is “just for shots” or if
other health issues should be addressed. Which statement
best describes the primary care visit’s role?
A. Primary care visits focus solely on disease prevention
and immunizations.
B. Primary care visits integrate disease prevention,
growth/development surveillance, and family-centered
care.
C. Primary care visits are mainly referrals to specialty
services for definitive treatment.
D. Primary care visits provide episodic urgent care only
when illness occurs.
Correct Answer: B
,Rationales
Correct: Primary care in pediatrics is comprehensive — it
includes prevention (immunizations), surveillance of growth
and development, anticipatory guidance, and family-centered
coordination of care.
A: Incorrect — Primary prevention is a component but not the
entire scope of primary care.
C: Incorrect — Referrals are part of care coordination but not
the primary visit’s purpose.
D: Incorrect — Primary care includes preventive and
longitudinal services, not just episodic urgent care.
Teaching Point: Pediatric primary care is comprehensive,
preventive, and family-centered.
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
2) Question Stem: At a 6-month visit, a clinician must decide
which actions are primary prevention versus primary care
activities. Which action is best classified specifically as primary
prevention?
A. Tracking a child’s weight and plotting growth curves.
B. Administering age-appropriate immunizations per schedule.
C. Counseling a family about community resources for food
insecurity.
,D. Coordinating referral to a developmental specialist for
language delay.
Correct Answer: B
Rationales
Correct: Immunizations are classic primary prevention —
interventions to prevent disease before it occurs.
A: Incorrect — Growth monitoring is surveillance within primary
care, not strictly primary prevention.
C: Incorrect — Counseling about resources is part of family-
centered primary care and social determinants work, not
primary prevention per se.
D: Incorrect — Referral for suspected delay is
secondary/tertiary care or diagnostic follow-up, not primary
prevention.
Teaching Point: Immunizations are core primary prevention
measures in pediatric primary care.
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
3) Question Stem: A clinic is planning care for a community with
limited pediatric specialty access. Which team structure most
effectively supports comprehensive primary pediatric care?
A. Solo pediatrician providing episodic care only.
, B. Multidisciplinary primary care team with RN, social worker,
and behavioral health integration.
C. Nurse triage phone line without in-clinic follow-up.
D. Specialist clinics that accept only referrals from emergency
departments.
Correct Answer: B
Rationales
Correct: A multidisciplinary primary care team promotes
comprehensive, accessible, coordinated care and addresses
medical plus psychosocial needs.
A: Incorrect — Solo episodic care lacks coordination and
breadth needed for community needs.
C: Incorrect — Triage is useful but insufficient without in-clinic,
longitudinal services.
D: Incorrect — Specialist access without primary care
coordination reduces preventive and continuity benefits.
Teaching Point: Multidisciplinary teams improve access and
continuity for pediatric primary care.
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
4) Question Stem: An 8-month-old infant is brought in after a
minor house fire; the infant appears hypothermic and irritable.
Which physiologic factor most contributes to infants’ increased
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
1. Question Stem: A 2-month-old arrives for a well-child visit;
the mother asks whether the visit is “just for shots” or if
other health issues should be addressed. Which statement
best describes the primary care visit’s role?
A. Primary care visits focus solely on disease prevention
and immunizations.
B. Primary care visits integrate disease prevention,
growth/development surveillance, and family-centered
care.
C. Primary care visits are mainly referrals to specialty
services for definitive treatment.
D. Primary care visits provide episodic urgent care only
when illness occurs.
Correct Answer: B
,Rationales
Correct: Primary care in pediatrics is comprehensive — it
includes prevention (immunizations), surveillance of growth
and development, anticipatory guidance, and family-centered
coordination of care.
A: Incorrect — Primary prevention is a component but not the
entire scope of primary care.
C: Incorrect — Referrals are part of care coordination but not
the primary visit’s purpose.
D: Incorrect — Primary care includes preventive and
longitudinal services, not just episodic urgent care.
Teaching Point: Pediatric primary care is comprehensive,
preventive, and family-centered.
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
2) Question Stem: At a 6-month visit, a clinician must decide
which actions are primary prevention versus primary care
activities. Which action is best classified specifically as primary
prevention?
A. Tracking a child’s weight and plotting growth curves.
B. Administering age-appropriate immunizations per schedule.
C. Counseling a family about community resources for food
insecurity.
,D. Coordinating referral to a developmental specialist for
language delay.
Correct Answer: B
Rationales
Correct: Immunizations are classic primary prevention —
interventions to prevent disease before it occurs.
A: Incorrect — Growth monitoring is surveillance within primary
care, not strictly primary prevention.
C: Incorrect — Counseling about resources is part of family-
centered primary care and social determinants work, not
primary prevention per se.
D: Incorrect — Referral for suspected delay is
secondary/tertiary care or diagnostic follow-up, not primary
prevention.
Teaching Point: Immunizations are core primary prevention
measures in pediatric primary care.
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
3) Question Stem: A clinic is planning care for a community with
limited pediatric specialty access. Which team structure most
effectively supports comprehensive primary pediatric care?
A. Solo pediatrician providing episodic care only.
, B. Multidisciplinary primary care team with RN, social worker,
and behavioral health integration.
C. Nurse triage phone line without in-clinic follow-up.
D. Specialist clinics that accept only referrals from emergency
departments.
Correct Answer: B
Rationales
Correct: A multidisciplinary primary care team promotes
comprehensive, accessible, coordinated care and addresses
medical plus psychosocial needs.
A: Incorrect — Solo episodic care lacks coordination and
breadth needed for community needs.
C: Incorrect — Triage is useful but insufficient without in-clinic,
longitudinal services.
D: Incorrect — Specialist access without primary care
coordination reduces preventive and continuity benefits.
Teaching Point: Multidisciplinary teams improve access and
continuity for pediatric primary care.
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
Ch. 1 — Pediatric Primary Care — Unique Issues in Pediatrics
4) Question Stem: An 8-month-old infant is brought in after a
minor house fire; the infant appears hypothermic and irritable.
Which physiologic factor most contributes to infants’ increased
