Burns Ch. 4: Developmental Management in Pediatric Primary Care
EXAM WITH ANS 2025
1. During a well child exam, you learn that the parents C
of a young child fight frequently about finances. The
parents state they don't fight in front of the child and
feel that the situation is temporary and related to the
father's job layoff. What will you do?
a. Reassure them that the child is too young to under-
stand.
b. Recommend that they continue to not argue in front
of the child.
c. Suggest counseling to learn ways to handle stress.
d. Tell them that the conflict will resolve when the
situation changes.
2. You conduct a well baby exam on an infant and note D
mild gross motor delays but no delays in other areas.
Which initial course of action will you recommend?
a. Consult a developmental specialist for a more com-
plete eval.
b. Prep the parents for a potentially serious develop-
mental disorder.
c. Refer the infant to an early intervention program for
physical therapy.
d. Teach the parents to provide exercises to encourage
motor development.
1/5
, Burns Ch. 4: Developmental Management in Pediatric Primary Care
EXAM WITH ANS 2025
3. You see a developmentally delayed toddler for an ini- A
tial visit. The family has just moved to the area and asks
you about community services and resources for their
child. What should you do initially?
a. Ask the parents if they have an individualized family
service plan (IFSP).
b. Consult with a physician to ensure the child gets
appropriate care.
c. Inform the family that services are provided when
the child begins school.
d. Refer the family to a social worker for assistance
with referrals and services.
4. You are examining a newborn recently discharged C
from the NICU after a premature birth. The parent is
upset and expresses worry about whether the infant
will be normal. What will you do in this situation?
a. Explain to the parent that developmental delays of-
ten do not manifest at first.
b. Perform a developmental assessment and tell the
parent which delays are evident.
c. Point out the tasks that the infant can perform while
conducting the assessment.
d. Refer the infant to a developmental specialist for
complete eval.
2/5
EXAM WITH ANS 2025
1. During a well child exam, you learn that the parents C
of a young child fight frequently about finances. The
parents state they don't fight in front of the child and
feel that the situation is temporary and related to the
father's job layoff. What will you do?
a. Reassure them that the child is too young to under-
stand.
b. Recommend that they continue to not argue in front
of the child.
c. Suggest counseling to learn ways to handle stress.
d. Tell them that the conflict will resolve when the
situation changes.
2. You conduct a well baby exam on an infant and note D
mild gross motor delays but no delays in other areas.
Which initial course of action will you recommend?
a. Consult a developmental specialist for a more com-
plete eval.
b. Prep the parents for a potentially serious develop-
mental disorder.
c. Refer the infant to an early intervention program for
physical therapy.
d. Teach the parents to provide exercises to encourage
motor development.
1/5
, Burns Ch. 4: Developmental Management in Pediatric Primary Care
EXAM WITH ANS 2025
3. You see a developmentally delayed toddler for an ini- A
tial visit. The family has just moved to the area and asks
you about community services and resources for their
child. What should you do initially?
a. Ask the parents if they have an individualized family
service plan (IFSP).
b. Consult with a physician to ensure the child gets
appropriate care.
c. Inform the family that services are provided when
the child begins school.
d. Refer the family to a social worker for assistance
with referrals and services.
4. You are examining a newborn recently discharged C
from the NICU after a premature birth. The parent is
upset and expresses worry about whether the infant
will be normal. What will you do in this situation?
a. Explain to the parent that developmental delays of-
ten do not manifest at first.
b. Perform a developmental assessment and tell the
parent which delays are evident.
c. Point out the tasks that the infant can perform while
conducting the assessment.
d. Refer the infant to a developmental specialist for
complete eval.
2/5
