Burns’ Pediatric Primary Care (8th Ed.) — Complete Chapter-
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 9-month-old infant presents for a well-child visit. The parent
reports frequent nighttime awakenings and difficulty
establishing a sleep routine. Which primary-care action best
reflects a pediatric primary care approach that integrates
prevention, assessment, and family-centered counseling?
Options
A. Reassure the parent that night awakenings are normal and
schedule the next routine visit in 2 months.
B. Provide age-appropriate anticipatory guidance about sleep
expectations, review safe sleep practices, and develop a sleep
plan with the family.
C. Prescribe melatonin for short-term use and refer to pediatric
,sleep medicine.
D. Recommend removing nighttime feedings immediately to
train the infant to self-soothe.
Correct Answer
B
Rationales
Correct: Providing anticipatory guidance, reviewing safe-sleep
practices, and co-developing a sleep plan exemplify preventive,
family-centered primary care appropriate for infancy.
A: Reassurance alone misses an opportunity for anticipatory
guidance and addressing family concerns.
C: Medication is not first-line for infant sleep issues and referral
to specialty care is premature without basic behavioral
strategies.
D: Abrupt removal of feeds may be developmentally
inappropriate and neglects individual feeding needs; graduated
approaches guided by provider and family preference are
preferred.
Teaching Point
Combine anticipatory guidance and family-centered planning at
well-child visits.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
,2
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
During a 2-month visit, a mother asks whether the pediatric
primary care clinician should address both illness care and
prevention. Which statement best distinguishes “primary care”
from “primary prevention” in pediatric practice?
Options
A. Primary care only treats acute illness; primary prevention
addresses chronic disease.
B. Primary care integrates diagnosis and management across
settings, while primary prevention focuses on actions to prevent
disease before it occurs.
C. Primary prevention includes urgent care services; primary
care is limited to well-child visits.
D. Primary care is delivered only by pediatricians; primary
prevention is provided only by public health nurses.
Correct Answer
B
Rationales
Correct: Primary care provides continuous, comprehensive
management (diagnosis, treatment, coordination) while
primary prevention specifically aims to prevent disease
, occurrence.
A: Incorrect—primary care also includes preventive services.
C: Incorrect—primary prevention does not include urgent care.
D: Incorrect—both primary care and prevention involve
multiple providers and settings.
Teaching Point
Primary care delivers continuous management; primary
prevention prevents disease onset.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A 15-year-old with type 1 diabetes moves to a new area and will
begin care with a pediatric primary care advanced practice
nurse (APN). Which action by the APN best demonstrates
appropriate scope and coordination of care?
Options
A. Immediately assume full specialty management and stop all
endocrinology visits.
B. Coordinate with the teen’s endocrinologist to continue
by-Chapter Test Bank: Verified Answers & Detailed Rationales
(New Edition)
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Question Stem
A 9-month-old infant presents for a well-child visit. The parent
reports frequent nighttime awakenings and difficulty
establishing a sleep routine. Which primary-care action best
reflects a pediatric primary care approach that integrates
prevention, assessment, and family-centered counseling?
Options
A. Reassure the parent that night awakenings are normal and
schedule the next routine visit in 2 months.
B. Provide age-appropriate anticipatory guidance about sleep
expectations, review safe sleep practices, and develop a sleep
plan with the family.
C. Prescribe melatonin for short-term use and refer to pediatric
,sleep medicine.
D. Recommend removing nighttime feedings immediately to
train the infant to self-soothe.
Correct Answer
B
Rationales
Correct: Providing anticipatory guidance, reviewing safe-sleep
practices, and co-developing a sleep plan exemplify preventive,
family-centered primary care appropriate for infancy.
A: Reassurance alone misses an opportunity for anticipatory
guidance and addressing family concerns.
C: Medication is not first-line for infant sleep issues and referral
to specialty care is premature without basic behavioral
strategies.
D: Abrupt removal of feeds may be developmentally
inappropriate and neglects individual feeding needs; graduated
approaches guided by provider and family preference are
preferred.
Teaching Point
Combine anticipatory guidance and family-centered planning at
well-child visits.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
,2
Reference
Ch. 1 — Pediatric Primary Care — Primary Care Versus Primary
Prevention
Question Stem
During a 2-month visit, a mother asks whether the pediatric
primary care clinician should address both illness care and
prevention. Which statement best distinguishes “primary care”
from “primary prevention” in pediatric practice?
Options
A. Primary care only treats acute illness; primary prevention
addresses chronic disease.
B. Primary care integrates diagnosis and management across
settings, while primary prevention focuses on actions to prevent
disease before it occurs.
C. Primary prevention includes urgent care services; primary
care is limited to well-child visits.
D. Primary care is delivered only by pediatricians; primary
prevention is provided only by public health nurses.
Correct Answer
B
Rationales
Correct: Primary care provides continuous, comprehensive
management (diagnosis, treatment, coordination) while
primary prevention specifically aims to prevent disease
, occurrence.
A: Incorrect—primary care also includes preventive services.
C: Incorrect—primary prevention does not include urgent care.
D: Incorrect—both primary care and prevention involve
multiple providers and settings.
Teaching Point
Primary care delivers continuous management; primary
prevention prevents disease onset.
Citation
Burns, C. E. (2025). Burns’ Pediatric Primary Care (8th Ed.). Ch.
1.
3
Reference
Ch. 1 — Pediatric Primary Care — Pediatric Primary Care
Providers
Question Stem
A 15-year-old with type 1 diabetes moves to a new area and will
begin care with a pediatric primary care advanced practice
nurse (APN). Which action by the APN best demonstrates
appropriate scope and coordination of care?
Options
A. Immediately assume full specialty management and stop all
endocrinology visits.
B. Coordinate with the teen’s endocrinologist to continue
