Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, Nan M. Gaylord
Burns Pediatric Primary Care 8th Edition
MCQ Study Guide & Practice Test Bank
1. A 2-week-old infant presents for a well-child visit. Which of
the following best describes the primary focus of pediatric
primary care at this visit?
A. Managing an acute infection identified on exam
B. Providing anticipatory guidance, growth monitoring, and
screening to promote health and prevent disease
C. Initiating specialty referral for future developmental
testing
, D. Completing a comprehensive genetic evaluation for all
infants
Correct Answer: B
Rationale: Well-child visits center on promotion and prevention
— growth/feeding assessment, screening (hearing, metabolic,
newborn screening follow-up), immunizations, and anticipatory
guidance for parents. Acute problems are addressed if present,
but the primary purpose is preventive care. Options C and D are
not routine first-visit actions.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
2. Which statement best differentiates “primary care” from
“primary prevention” in pediatric practice?
A. Primary care is limited to immunizations; primary
prevention manages chronic disease.
B. Primary prevention focuses on population-level
strategies; primary care delivers continuous,
comprehensive individual and family-based services.
C. Primary care is only provided by pediatricians; primary
prevention is provided by public health only.
D. There is no difference — the terms are interchangeable.
Correct Answer: B
Rationale: Primary prevention includes interventions that
prevent disease before it occurs (population and individual
level, e.g., immunizations, injury prevention). Primary care
,provides continuous, comprehensive, family-centered services
across wellness and illness for individuals. Options A, C, and D
are inaccurate.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
3. A parent asks which provider is appropriate for routine
pediatric primary care. Which response aligns with the
chapter’s description of primary care providers?
A. Only MD/DO pediatricians provide high-quality primary
care for children.
B. Primary care may be provided by pediatricians, family
physicians, nurse practitioners, and physician assistants
working in an interprofessional team.
C. School nurses should be the child’s sole primary care
providers.
D. Specialists should manage routine well-child care.
Correct Answer: B
Rationale: Pediatric primary care is delivered by a range of
licensed clinicians — pediatricians, family physicians, pediatric
nurse practitioners, and PAs — often within teams. Options A,
C, and D are incorrect generalizations.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
, 4. During a well-child visit the nurse practitioner uses a “two-
generation” approach. Which action best exemplifies that
model?
A. Focusing solely on the child’s vaccination status
B. Screening the caregiver for postpartum depression and
connecting them with resources while addressing the
infant’s needs
C. Referring the caregiver to a community program without
documenting child outcomes
D. Scheduling separate visits for the caregiver and child
with no shared plan
Correct Answer: B
Rationale: Two-generation care addresses child and caregiver
needs together (e.g., caregiver mental health, social
determinants) because caregiver well-being impacts child
health. Options A, C, and D fail to integrate both generations.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
5. Which of the following best describes how adverse
childhood experiences (ACEs) are linked to pediatric
primary care goals?
A. ACEs are unrelated to primary care and should be
handled by psychiatry only.
B. Identifying ACEs allows early intervention and referral,
mitigating long-term health risks across the lifespan.
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, Nan M. Gaylord
Burns Pediatric Primary Care 8th Edition
MCQ Study Guide & Practice Test Bank
1. A 2-week-old infant presents for a well-child visit. Which of
the following best describes the primary focus of pediatric
primary care at this visit?
A. Managing an acute infection identified on exam
B. Providing anticipatory guidance, growth monitoring, and
screening to promote health and prevent disease
C. Initiating specialty referral for future developmental
testing
, D. Completing a comprehensive genetic evaluation for all
infants
Correct Answer: B
Rationale: Well-child visits center on promotion and prevention
— growth/feeding assessment, screening (hearing, metabolic,
newborn screening follow-up), immunizations, and anticipatory
guidance for parents. Acute problems are addressed if present,
but the primary purpose is preventive care. Options C and D are
not routine first-visit actions.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
2. Which statement best differentiates “primary care” from
“primary prevention” in pediatric practice?
A. Primary care is limited to immunizations; primary
prevention manages chronic disease.
B. Primary prevention focuses on population-level
strategies; primary care delivers continuous,
comprehensive individual and family-based services.
C. Primary care is only provided by pediatricians; primary
prevention is provided by public health only.
D. There is no difference — the terms are interchangeable.
Correct Answer: B
Rationale: Primary prevention includes interventions that
prevent disease before it occurs (population and individual
level, e.g., immunizations, injury prevention). Primary care
,provides continuous, comprehensive, family-centered services
across wellness and illness for individuals. Options A, C, and D
are inaccurate.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
3. A parent asks which provider is appropriate for routine
pediatric primary care. Which response aligns with the
chapter’s description of primary care providers?
A. Only MD/DO pediatricians provide high-quality primary
care for children.
B. Primary care may be provided by pediatricians, family
physicians, nurse practitioners, and physician assistants
working in an interprofessional team.
C. School nurses should be the child’s sole primary care
providers.
D. Specialists should manage routine well-child care.
Correct Answer: B
Rationale: Pediatric primary care is delivered by a range of
licensed clinicians — pediatricians, family physicians, pediatric
nurse practitioners, and PAs — often within teams. Options A,
C, and D are incorrect generalizations.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
, 4. During a well-child visit the nurse practitioner uses a “two-
generation” approach. Which action best exemplifies that
model?
A. Focusing solely on the child’s vaccination status
B. Screening the caregiver for postpartum depression and
connecting them with resources while addressing the
infant’s needs
C. Referring the caregiver to a community program without
documenting child outcomes
D. Scheduling separate visits for the caregiver and child
with no shared plan
Correct Answer: B
Rationale: Two-generation care addresses child and caregiver
needs together (e.g., caregiver mental health, social
determinants) because caregiver well-being impacts child
health. Options A, C, and D fail to integrate both generations.
Citation: Burns’ Pediatric Primary Care, 8th Edition — Chapter
1: Pediatric Primary Care
5. Which of the following best describes how adverse
childhood experiences (ACEs) are linked to pediatric
primary care goals?
A. ACEs are unrelated to primary care and should be
handled by psychiatry only.
B. Identifying ACEs allows early intervention and referral,
mitigating long-term health risks across the lifespan.
