,Chapter 1 – Pediatric Primary Care — Primary Care versus
Primary Prevention
Key concept: Distinction between primary care delivery and
primary prevention.
Q1 (Conceptual / Application). A 6-month-old well child is seen
for routine care. Which action best represents primary
prevention rather than primary care service?
A. Diagnose and treat diaper dermatitis.
B. Provide routine immunizations per schedule.
C. Evaluate developmental milestones.
D. Prescribe topical ointment for thrush.
Correct answer: B
Rationale – correct: Providing scheduled immunizations
prevents disease before it occurs and is a core example of
primary prevention (Chapter 1 — Primary Care vs Primary
Prevention). Immunization is a proactive health promotion
intervention. (Google Books)
Distractors:
A — Treating diaper dermatitis is direct clinical care, not
prevention.
C — Developmental surveillance is assessment within primary
care, not prevention per se.
,D — Treating thrush is a therapeutic intervention, not primary
prevention.
Teaching Point: Immunizations are fundamental primary
prevention in pediatric primary care.
2
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care —
Scope & Alignment
Key concept: Medical home and care coordination.
Q2 (Clinical scenario). A toddler with asthma and food allergy
sees multiple specialists. Which nurse-led action best
exemplifies care coordination within the primary care medical
home?
A. Recommending a new over-the-counter antihistamine.
B. Sending a summarized problem list and action plan to the
family’s specialists.
C. Discharging the child from primary care because specialists
manage conditions.
D. Scheduling separate unsynchronized follow-ups for each
specialty.
Correct answer: B
Rationale – correct: Communicating consolidated information
(problem list, action plan) supports continuity and coordination
central to the medical home model (Chapter 1 — Scope &
Alignment). Primary care coordinates care across settings to
, optimize outcomes. (Elsevier Shop)
Distractors:
A — Recommending medication without coordination risks
duplication/harm.
C — Primary care should remain involved; discharge
undermines the medical home.
D — Fragmented scheduling increases burden and reduces
coordinated care.
Teaching Point: The primary care medical home centralizes
information and coordinates specialty care.
3
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care —
Unique Issues in Pediatrics
Key concept: Family-centered care and developmental context.
Q3 (Application). A 4-year-old’s parent refuses an indicated
vaccine due to cultural beliefs. Best initial nursing approach?
A. Document refusal and end the visit.
B. Provide empathetic education and explore the parent’s
concerns.
C. Threaten to report the parent for neglect.
D. Dismiss the family from the practice.
Correct answer: B
Rationale – correct: Family-centered, culturally sensitive
education and eliciting concerns builds trust and supports
Primary Prevention
Key concept: Distinction between primary care delivery and
primary prevention.
Q1 (Conceptual / Application). A 6-month-old well child is seen
for routine care. Which action best represents primary
prevention rather than primary care service?
A. Diagnose and treat diaper dermatitis.
B. Provide routine immunizations per schedule.
C. Evaluate developmental milestones.
D. Prescribe topical ointment for thrush.
Correct answer: B
Rationale – correct: Providing scheduled immunizations
prevents disease before it occurs and is a core example of
primary prevention (Chapter 1 — Primary Care vs Primary
Prevention). Immunization is a proactive health promotion
intervention. (Google Books)
Distractors:
A — Treating diaper dermatitis is direct clinical care, not
prevention.
C — Developmental surveillance is assessment within primary
care, not prevention per se.
,D — Treating thrush is a therapeutic intervention, not primary
prevention.
Teaching Point: Immunizations are fundamental primary
prevention in pediatric primary care.
2
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care —
Scope & Alignment
Key concept: Medical home and care coordination.
Q2 (Clinical scenario). A toddler with asthma and food allergy
sees multiple specialists. Which nurse-led action best
exemplifies care coordination within the primary care medical
home?
A. Recommending a new over-the-counter antihistamine.
B. Sending a summarized problem list and action plan to the
family’s specialists.
C. Discharging the child from primary care because specialists
manage conditions.
D. Scheduling separate unsynchronized follow-ups for each
specialty.
Correct answer: B
Rationale – correct: Communicating consolidated information
(problem list, action plan) supports continuity and coordination
central to the medical home model (Chapter 1 — Scope &
Alignment). Primary care coordinates care across settings to
, optimize outcomes. (Elsevier Shop)
Distractors:
A — Recommending medication without coordination risks
duplication/harm.
C — Primary care should remain involved; discharge
undermines the medical home.
D — Fragmented scheduling increases burden and reduces
coordinated care.
Teaching Point: The primary care medical home centralizes
information and coordinates specialty care.
3
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care —
Unique Issues in Pediatrics
Key concept: Family-centered care and developmental context.
Q3 (Application). A 4-year-old’s parent refuses an indicated
vaccine due to cultural beliefs. Best initial nursing approach?
A. Document refusal and end the visit.
B. Provide empathetic education and explore the parent’s
concerns.
C. Threaten to report the parent for neglect.
D. Dismiss the family from the practice.
Correct answer: B
Rationale – correct: Family-centered, culturally sensitive
education and eliciting concerns builds trust and supports
