Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Q1
Reference: Ch. 1 — Pediatric Primary Care — Pediatric Primary
Care
Question Stem: A 6-month-old infant is brought for a well-child
visit. The parent asks whether primary care is the same as
primary prevention. Which explanation best differentiates
primary care from primary prevention in pediatric practice?
Options:
A. Primary care is brief episodic treatment; primary prevention
is long-term management.
B. Primary care provides continuous, comprehensive services;
primary prevention aims to prevent disease before it occurs.
C. Primary care focuses on community-wide programs; primary
prevention is limited to clinical settings.
D. Primary care is only for acute illness; primary prevention only
involves immunizations.
Correct Answer: B
Rationales:
, • Correct (B): Primary care in pediatrics is continuous and
comprehensive—covering health promotion, diagnosis,
and management—whereas primary prevention
specifically targets actions (e.g., immunization, anticipatory
guidance) to prevent disease occurrence.
• Incorrect (A): Primary care is not limited to brief episodic
treatment; it includes longitudinal care.
• Incorrect (C): Both primary care and primary prevention
occur in clinical and community contexts; prevention is not
limited to one setting.
• Incorrect (D): Primary care includes acute and chronic care
as well as prevention; primary prevention includes but is
not limited to immunizations.
Teaching Point: Primary care = continuous, comprehensive;
primary prevention = actions to prevent disease.
Citation: Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th
Ed.). Ch. 1.
Q2
Reference: Ch. 1 — Pediatric Primary Care — Primary Care
Versus Primary Prevention
Question Stem: During a 2-week postpartum visit, a nurse
practitioner counsels a new mother about sudden infant death
,syndrome (SIDS). Which primary prevention strategy should the
practitioner emphasize most strongly?
Options:
A. Screening the infant for cardiac arrhythmias.
B. Placing the infant supine to sleep on a firm surface without
soft bedding.
C. Early referral to sleep specialists for parent sleep training.
D. Prescribing melatonin for the mother’s sleep regulation.
Correct Answer: B
Rationales:
• Correct (B): Safe sleep practices (supine position, firm
surface, no soft bedding) are evidence-based primary
prevention measures to reduce SIDS risk.
• Incorrect (A): Routine cardiac arrhythmia screening is not a
primary prevention strategy for SIDS in healthy infants.
• Incorrect (C): Referral to sleep specialists may be
appropriate later but is not the primary, immediate
prevention message.
• Incorrect (D): Maternal melatonin prescription is not an
evidence-based SIDS prevention strategy.
Teaching Point: Emphasize safe-sleep practices as a key SIDS
primary prevention message.
Citation: Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th
Ed.). Ch. 1.
, Q3
Reference: Ch. 1 — Pediatric Primary Care — Pediatric Primary
Care Providers
Question Stem: A 10-year-old with asthma visits a clinic where
care is delivered by an interprofessional primary care team.
Which team action best reflects effective primary-care provider
roles to improve asthma outcomes?
Options:
A. Waiting for parental request before providing asthma
education.
B. Delegating asthma action plan review only to unlicensed
staff.
C. Coordinating a written asthma action plan, medication
review, and follow-up appointment.
D. Referring all asthma management to a pulmonologist
immediately.
Correct Answer: C
Rationales:
• Correct (C): Effective primary care uses team-based
coordination — creating written action plans, reviewing
medications, and arranging follow-up — to manage chronic
pediatric conditions.
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Q1
Reference: Ch. 1 — Pediatric Primary Care — Pediatric Primary
Care
Question Stem: A 6-month-old infant is brought for a well-child
visit. The parent asks whether primary care is the same as
primary prevention. Which explanation best differentiates
primary care from primary prevention in pediatric practice?
Options:
A. Primary care is brief episodic treatment; primary prevention
is long-term management.
B. Primary care provides continuous, comprehensive services;
primary prevention aims to prevent disease before it occurs.
C. Primary care focuses on community-wide programs; primary
prevention is limited to clinical settings.
D. Primary care is only for acute illness; primary prevention only
involves immunizations.
Correct Answer: B
Rationales:
, • Correct (B): Primary care in pediatrics is continuous and
comprehensive—covering health promotion, diagnosis,
and management—whereas primary prevention
specifically targets actions (e.g., immunization, anticipatory
guidance) to prevent disease occurrence.
• Incorrect (A): Primary care is not limited to brief episodic
treatment; it includes longitudinal care.
• Incorrect (C): Both primary care and primary prevention
occur in clinical and community contexts; prevention is not
limited to one setting.
• Incorrect (D): Primary care includes acute and chronic care
as well as prevention; primary prevention includes but is
not limited to immunizations.
Teaching Point: Primary care = continuous, comprehensive;
primary prevention = actions to prevent disease.
Citation: Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th
Ed.). Ch. 1.
Q2
Reference: Ch. 1 — Pediatric Primary Care — Primary Care
Versus Primary Prevention
Question Stem: During a 2-week postpartum visit, a nurse
practitioner counsels a new mother about sudden infant death
,syndrome (SIDS). Which primary prevention strategy should the
practitioner emphasize most strongly?
Options:
A. Screening the infant for cardiac arrhythmias.
B. Placing the infant supine to sleep on a firm surface without
soft bedding.
C. Early referral to sleep specialists for parent sleep training.
D. Prescribing melatonin for the mother’s sleep regulation.
Correct Answer: B
Rationales:
• Correct (B): Safe sleep practices (supine position, firm
surface, no soft bedding) are evidence-based primary
prevention measures to reduce SIDS risk.
• Incorrect (A): Routine cardiac arrhythmia screening is not a
primary prevention strategy for SIDS in healthy infants.
• Incorrect (C): Referral to sleep specialists may be
appropriate later but is not the primary, immediate
prevention message.
• Incorrect (D): Maternal melatonin prescription is not an
evidence-based SIDS prevention strategy.
Teaching Point: Emphasize safe-sleep practices as a key SIDS
primary prevention message.
Citation: Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th
Ed.). Ch. 1.
, Q3
Reference: Ch. 1 — Pediatric Primary Care — Pediatric Primary
Care Providers
Question Stem: A 10-year-old with asthma visits a clinic where
care is delivered by an interprofessional primary care team.
Which team action best reflects effective primary-care provider
roles to improve asthma outcomes?
Options:
A. Waiting for parental request before providing asthma
education.
B. Delegating asthma action plan review only to unlicensed
staff.
C. Coordinating a written asthma action plan, medication
review, and follow-up appointment.
D. Referring all asthma management to a pulmonologist
immediately.
Correct Answer: C
Rationales:
• Correct (C): Effective primary care uses team-based
coordination — creating written action plans, reviewing
medications, and arranging follow-up — to manage chronic
pediatric conditions.
