,Chapter 1 – Pediatric Primary Care — Primary Care vs Primary
Prevention; Scope & Alignment
Stem: A 3-year-old presents for a well-child visit. The parent
asks whether the visit is necessary because the child "looks
healthy." Which best describes the role of pediatric primary
care visits?
A. Primarily diagnose acute illnesses and refer to specialty care.
B. Primarily provide episodic sick care only when a child is ill.
C. Provide preventive health supervision, early detection, and
continuity of care across development.
D. Serve mainly to administer vaccinations and provide growth
charts.
Correct answer: C
Rationale (correct): Primary care in pediatrics emphasizes
preventive health supervision, anticipatory guidance, early
detection of problems, and continuity across developmental
stages — core functions outlined in Burns’ chapter on Pediatric
Primary Care. (Elsevier Health)
Distractors:
A — Incorrect: Primary care may refer but its primary role is
broader than diagnosis/referral.
,B — Incorrect: Limiting scope to episodic sick care ignores
prevention and continuity.
D — Incorrect: Vaccinations and growth monitoring are
components but not the full role.
Teaching point: Primary care = prevention, surveillance,
continuity, and family-centered guidance.
2)
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care —
Primary Prevention
Stem: Which intervention is an example of primary prevention
in pediatric primary care?
A. Starting inhaled corticosteroid in a child with recurrent
wheeze.
B. Counseling on safe sleep practices for a newborn family.
C. Ordering an echocardiogram for a child with a heart murmur.
D. Referring a teen with depression to psychiatry.
Correct answer: B
Rationale (correct): Primary prevention prevents disease/injury
before it occurs (e.g., safe-sleep counseling reduces SIDS risk).
Burns frames anticipatory guidance and preventive counseling
as core primary-prevention activities. (Elsevier Health)
Distractors:
A — Incorrect: This is secondary/tertiary management for
recurrent illness.
, C — Incorrect: Diagnostic evaluation (secondary
prevention/diagnosis), not primary prevention.
D — Incorrect: Referral/treatment is secondary or tertiary
intervention.
Teaching point: Primary prevention stops problems before they
start (education, immunizations).
3)
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care —
Rules & Structure; Scope & Alignment
Stem: A new graduate PNP is designing clinic workflows to
ensure quality developmental screening. Which strategy best
aligns with primary-care structure and scope?
A. Screen only children whose caregivers request it.
B. Use validated developmental screening tools at standardized
ages and track follow-up.
C. Defer all developmental concerns to specialty clinics.
D. Rely on casual clinical observation without standardized
tools.
Correct answer: B
Rationale (correct): Burns emphasizes use of standardized, age-
based screening and structured follow-up as part of the
medical-home approach and quality primary-care practice.
(Elsevier Health)
Distractors:
Prevention; Scope & Alignment
Stem: A 3-year-old presents for a well-child visit. The parent
asks whether the visit is necessary because the child "looks
healthy." Which best describes the role of pediatric primary
care visits?
A. Primarily diagnose acute illnesses and refer to specialty care.
B. Primarily provide episodic sick care only when a child is ill.
C. Provide preventive health supervision, early detection, and
continuity of care across development.
D. Serve mainly to administer vaccinations and provide growth
charts.
Correct answer: C
Rationale (correct): Primary care in pediatrics emphasizes
preventive health supervision, anticipatory guidance, early
detection of problems, and continuity across developmental
stages — core functions outlined in Burns’ chapter on Pediatric
Primary Care. (Elsevier Health)
Distractors:
A — Incorrect: Primary care may refer but its primary role is
broader than diagnosis/referral.
,B — Incorrect: Limiting scope to episodic sick care ignores
prevention and continuity.
D — Incorrect: Vaccinations and growth monitoring are
components but not the full role.
Teaching point: Primary care = prevention, surveillance,
continuity, and family-centered guidance.
2)
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care —
Primary Prevention
Stem: Which intervention is an example of primary prevention
in pediatric primary care?
A. Starting inhaled corticosteroid in a child with recurrent
wheeze.
B. Counseling on safe sleep practices for a newborn family.
C. Ordering an echocardiogram for a child with a heart murmur.
D. Referring a teen with depression to psychiatry.
Correct answer: B
Rationale (correct): Primary prevention prevents disease/injury
before it occurs (e.g., safe-sleep counseling reduces SIDS risk).
Burns frames anticipatory guidance and preventive counseling
as core primary-prevention activities. (Elsevier Health)
Distractors:
A — Incorrect: This is secondary/tertiary management for
recurrent illness.
, C — Incorrect: Diagnostic evaluation (secondary
prevention/diagnosis), not primary prevention.
D — Incorrect: Referral/treatment is secondary or tertiary
intervention.
Teaching point: Primary prevention stops problems before they
start (education, immunizations).
3)
Chapter & Subtopic: Chapter 1 – Pediatric Primary Care —
Rules & Structure; Scope & Alignment
Stem: A new graduate PNP is designing clinic workflows to
ensure quality developmental screening. Which strategy best
aligns with primary-care structure and scope?
A. Screen only children whose caregivers request it.
B. Use validated developmental screening tools at standardized
ages and track follow-up.
C. Defer all developmental concerns to specialty clinics.
D. Rely on casual clinical observation without standardized
tools.
Correct answer: B
Rationale (correct): Burns emphasizes use of standardized, age-
based screening and structured follow-up as part of the
medical-home approach and quality primary-care practice.
(Elsevier Health)
Distractors:
