Burns' Pediatric Primary Care 8th Edition Test Bank: Chapters 15-21 Exam Prep with NCLEX-Style Questions & Case Studies

Burns' Pediatric Primary Care 8th Edition Test Bank:
Chapters 15-21 Exam Prep with NCLEX-Style Questions &
Case Studies


Burns’ Pediatric Primary Care, 8th Edition
Authored by Dawn Lee Garzon, Mary Dirks, Martha
Driessnack, Karen G. Duderstadt, and Nan M. Gaylord
ISBN: 9780323882316
Chapters 15-21 with:
1. 15-20 multiple-choice questions (with 4 answer options each)
2. 3-5 case-based scenario questions with multiple parts
3. 2-3 short answer questions
4. 1-2 critical thinking application questions


Chapter 15: Growth and Development: Infancy Through
Adolescence


Multiple-Choice Questions (15-20)
1. Which milestone is expected by 6 months of age?
A. Sitting independently
B. Crawling
C. Pincer grasp
D. First words

,Correct Answer: A
Rationale: Sitting independently is achieved by 6–8 months.
Crawling (B) occurs around 9 months, pincer grasp (C) at 9–12
months, and first words (D) at 12–15 months.
Key Concepts: Developmental milestones, gross motor skills
Difficulty: Basic
Page Reference: p. 344


2. A 3-year-old’s height is at the 90th percentile and weight at
the 25th percentile. What is the priority action?
A. Refer to endocrinology.
B. Assess dietary intake and activity level.
C. Order thyroid function tests.
D. Reassure parents this is normal.
Correct Answer: B
Rationale: Disproportionate growth (height > weight) may
indicate undernutrition. Further assessment (B) precedes
referrals (A, C).
Key Concepts: Growth assessment, nutritional evaluation
Difficulty: Intermediate
Page Reference: p. 333


3. Which cultural practice may delay a child’s speech
development?
A. Multilingual household exposure
B. Limited verbal interaction with caregivers

,C. Early introduction of screen time
D. Preference for gesturing over speaking
Correct Answer: B
Rationale: Limited verbal stimulation (B) directly impacts
language development. Multilingual exposure (A) does not
delay speech.
Key Concepts: Cultural competence, language development
Difficulty: Intermediate
Page Reference: p. 341


4. Which tool assesses social-emotional development in
toddlers?
A. Modified Checklist for Autism in Toddlers (M-CHAT)
B. Denver II
C. Pediatric Evaluation of Developmental Status (PEDS)
D. Bayley Scales
Correct Answer: A
Rationale: M-CHAT screens for autism and social-emotional
delays. Denver II (B) and PEDS (C) assess broader
development.
Key Concepts: Developmental screening, autism spectrum
disorder
NAPNAP Competency: Screening and early intervention
Difficulty: Intermediate
Page Reference: p. 351

, 5. A 9-month-old is not yet babbling. What is the most
appropriate response?
A. Refer immediately for hearing evaluation.
B. Reassure parents this is normal.
C. Schedule a follow-up in 1 month.
D. Order a brain MRI.
Correct Answer: A
Rationale: Lack of babbling by 9 months warrants hearing
assessment (A) to rule out deafness.
Key Concepts: Language development, red flags
Difficulty: Advanced
Page Reference: p. 347


6. Which finding suggests failure to thrive (FTT)?
A. Weight <3rd percentile for age
B. Height crossing two percentile lines downward
C. BMI >85th percentile
D. Head circumference >90th percentile
Correct Answer: A
Rationale: FTT is defined by weight <3rd percentile or
downward crossing of growth curves. Height changes (B)
indicate stunting.
Key Concepts: Failure to thrive, growth parameters
Difficulty: Basic
Page Reference: p. 335