by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
1. Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 6-month-old infant presents for a well-child visit. The parent
asks how primary care differs from primary prevention. Which
statement best reflects the role of pediatric primary care in
promoting child health?
Options
A. Primary care focuses only on diagnosing illness after
symptoms appear.
B. Primary care integrates continuous, comprehensive services
including prevention, screening, and anticipatory guidance.
C. Primary care is exclusively provided by pediatricians and
excludes community resources.
D. Primary care replaces public health initiatives such as
vaccination programs.
,Correct Answer
B
Rationales
Correct: Primary care in pediatrics provides continuous,
comprehensive services—well visits, screening, anticipatory
guidance, and coordination with community resources to
promote health. This integrative approach distinguishes primary
care from episodic, symptom-driven care.
A. Incorrect — Primary care includes prevention and health
promotion, not only diagnosis after symptoms.
C. Incorrect — Primary care involves a team and coordinates
with community resources, not just pediatricians.
D. Incorrect — Primary care complements, not replaces, public
health initiatives like vaccinations.
Teaching Point
Primary care delivers continuous, comprehensive prevention,
screening, and family-centered guidance.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
2. Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus
Primary Prevention
,Question Stem
During a 15-month visit, a parent asks why the clinic gives
anticipatory guidance in addition to vaccines. Which
explanation best explains the difference between primary care
services and primary prevention?
Options
A. Anticipatory guidance is optional counseling unrelated to
prevention.
B. Primary prevention refers only to immunizations; anticipatory
guidance is an educational aspect of primary care.
C. Primary care includes anticipatory guidance, which and
primary prevention (vaccination, safety counseling) are
complementary strategies to reduce risk.
D. Primary care and primary prevention are identical terms and
interchangeable.
Correct Answer
C
Rationales
Correct: Primary care includes anticipatory guidance and
coordinates primary prevention measures (e.g., immunizations,
safety counseling); both work together to reduce illness and
injury risk.
A. Incorrect — Anticipatory guidance is a core, evidence-based
prevention strategy, not optional fluff.
B. Incorrect — Primary prevention is broader than
immunizations; anticipatory guidance is part of primary care’s
, preventive role.
D. Incorrect — They overlap but are distinct: primary care is the
setting/practice; primary prevention are specific interventions.
Teaching Point
Anticipatory guidance and primary prevention are
complementary components of pediatric primary care.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3. Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A mother of a 10-year-old asks whether a nurse practitioner
(NP) or pediatrician would be better for routine care. Which
response best reflects evidence-based principles about
pediatric primary care providers?
Options
A. Only physicians can provide preventive screening and
developmental surveillance.
B. NPs and physicians both provide comprehensive primary
care; choice depends on access, family preference, and provider
training.
C. Physician assistants (PAs) are not qualified to assist in