,Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
, Question 1
Question:
A pediatric primary care nurse practitioner (PNP) sees a 6-week-old
infant for a routine well-child visit. The infant is growing appropriately,
but the mother reports feeling overwhelmed, crying frequently, and
struggling to feel connected to the infant. She says, “I feel like I am
failing as a parent.” What is the PNP’s best initial action?
A. Focus exclusively on the infant’s growth and feeding because the
mother is not the primary patient.
B. Assess the mother’s emotional well-being, evaluate for postpartum
depression, and explore available family and community supports while
continuing to assess the infant.
C. Reassure the mother that these feelings are normal and will resolve
without intervention.
D. Recommend that the infant temporarily live with another relative
until the mother feels better.
Correct Answer: B. Assess the mother’s emotional well-being, evaluate
for postpartum depression, and explore available family and community
supports while continuing to assess the infant.
Rationale:
The two-generation or dual-patient approach recognizes that a child’s
health and development are closely connected to the health,
functioning, and circumstances of the caregiver. A caregiver
experiencing depressive symptoms may have difficulty with feeding
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
, Question 1
Question:
A pediatric primary care nurse practitioner (PNP) sees a 6-week-old
infant for a routine well-child visit. The infant is growing appropriately,
but the mother reports feeling overwhelmed, crying frequently, and
struggling to feel connected to the infant. She says, “I feel like I am
failing as a parent.” What is the PNP’s best initial action?
A. Focus exclusively on the infant’s growth and feeding because the
mother is not the primary patient.
B. Assess the mother’s emotional well-being, evaluate for postpartum
depression, and explore available family and community supports while
continuing to assess the infant.
C. Reassure the mother that these feelings are normal and will resolve
without intervention.
D. Recommend that the infant temporarily live with another relative
until the mother feels better.
Correct Answer: B. Assess the mother’s emotional well-being, evaluate
for postpartum depression, and explore available family and community
supports while continuing to assess the infant.
Rationale:
The two-generation or dual-patient approach recognizes that a child’s
health and development are closely connected to the health,
functioning, and circumstances of the caregiver. A caregiver
experiencing depressive symptoms may have difficulty with feeding
