Pediatric Primary Care Test Bank – Practice MCQs Aligned With Burns’ Pediatric Primary Care (8th Edition)

BURNS' PEDIATRIC PRIMARY CARE
8TH EDITION
• AUTHOR(S)DAWN LEE GARZON, MARY
DIRKS, MARTHA DRIESSNACK, KAREN
G. DUDERSTADT, NAN M. GAYLORD


TEST BANK

1
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Stem
A 4-month-old male presents for a well-child visit. Parents
report he has reached head control and is smiling responsively
but has started spending more time in a stationary swing
because they think he “sleeps better there.” The parents ask
whether it’s safe for naps and which vaccinations are essential

,today. As the PNP, what is the most appropriate immediate
action and counseling?
A. Allow supervised naps in the swing and administer age-
appropriate vaccines today.
B. Advise the parents to stop placing the infant to sleep in the
swing; administer vaccines per schedule.
C. Postpone all vaccines today and recommend a sleep study for
the infant.
D. Recommend homeopathic sleep remedies and defer
counseling until the next visit.
Correct Answer
B
Rationales
Correct (B): Recommend stopping unsupervised sleep in a
swing due to positional asphyxia risk and counsel safe sleep
practices; proceed with age-appropriate immunizations per
schedule. This integrates primary prevention (safe sleep) with
primary care services (vaccination) as emphasized in Burns’
approach. The PNP prioritizes immediate safety counseling and
preventive care at the visit.
Incorrect (A): Allowing sleep in a swing risks airway
compromise; Burns emphasizes anticipatory guidance for injury
prevention and SIDS reduction rather than permitting unsafe
sleep environments.
Incorrect (C): Postponing vaccines without medical indication
undermines primary prevention; a sleep study is not indicated

,for positional sleep practices absent other signs.
Incorrect (D): Recommending unproven remedies and deferring
counseling neglects evidence-based anticipatory guidance and
vaccine delivery recommended in primary care.
Teaching Point
Combine immediate safety counseling (safe sleep) with timely
immunizations at well-child visits.
Citation
Garzon, D. L., Dirks, M., Driessnack, M., Duderstadt, K. G., &
Gaylord, N. M. (2024). Burns’ Pediatric Primary Care (8th ed.).
Ch. 1.


2
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Stem
A 14-year-old adolescent assigned female at birth arrives for a
sports physical. She is sexually active with multiple partners and
asks whether the PNP will keep information about
contraception confidential. Parents are in the room but step out
after the adolescent asks privately. Which action best aligns
with pediatric primary care principles?
A. Refuse to provide confidential care and inform parents about
sexual activity.

, B. Provide confidential counseling and contraception, document
discussion, and discuss confidentiality limits.
C. Require parental consent before discussing contraception
and refuse services until consent is obtained.
D. Provide contraception but inform parents immediately
because adolescents cannot consent.
Correct Answer
B
Rationales
Correct (B): Pediatric primary care supports adolescent access
to confidential sexual health services; provide counseling and
contraceptive options, document the encounter, and explain
legal/confidentiality limits. Burns emphasizes family-centered
care while protecting adolescent autonomy and access to
prevention.
Incorrect (A): Refusing confidentiality risks discouraging care-
seeking and violates adolescent health principles in primary
care.
Incorrect (C): Requiring parental consent for contraceptive
counseling is inconsistent with many adolescent confidentiality
standards and may harm access to preventive care.
Incorrect (D): Disclosing without consent undermines trust;
adolescents may have rights to confidential sexual health
services depending on jurisdiction and professional guidance.