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Burns’ Pediatric Primary Care 7th Edition Test Bank

  • Chapters: 46
  • Format: PDF
  • ISBN-13: 978-0323581967
  • ISBN-10: 032358196X
  • Publisher‎Elsevier
  • Authors: Dawn Lee Garzon, Nancy Barber Starr, etc

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Burns’ Pediatric Primary Care 7th Edition Test Bank

Table of Contents

  • Unit I: Influences on Child Health and Child Health Assessment
    1. Health Status of Children: Global and National Perspectives
    2. Unique Issues in Pediatrics
    3. Genetics and Child Health
    4. Environmental Issues
    5. Child and Family Health Assessment
    6. Cultural Considerations for Pediatric Primary Care
    7. Children with Special Health Care NeedsUnit II: Child Development
    8. Developmental Management in Pediatric Primary Care
    9. Developmental Management of Newborns
    10. Developmental Management of Infants
    11. Developmental Management of Early Childhood
    12. Developmental Management of Middle Childhood
    13. Developmental Management of Adolescents/Young AdultsUnit III: Child Health Supervision: Health Promotion and Health Protection
    14. Introduction to Health Promotion and Health Protection for Children and Families
    Section A. Behavioral-Mental Health Wellness
    15. Behavioral and Mental Health Promotion
    Section B. Biophysical Health Management
    16. Breastfeeding
    17. Nutrition
    18. Elimination
    19. Physical Activity and Sports
    20. Sleep


  • 21. Sexuality
    Section C. Health Protection–Focused Care
    22. Immunizations
    23. Dental Health and Oral Disorders
    24. Intentional and Unintentional Injuries: Injury Prevention and Child Maltreatment
  • Unit IV: Common Childhood Conditions and Disorders
    Section A. Introduction to Child Disease Management
    25. Acute/Chronic Disease Management and Principles of Diagnostic Testing
    26. Prescribing Medications in Pediatrics
    27. Complementary and Integrative Health in Pediatrics
    28. Pediatric Pain and Fever Management
    Section B. Disease Management
    29. Perinatal Disorders
    30. Mental Health Disorders
    31. Infectious Diseases
    32. Common Genetic Disorders
    33. Atopic, Rheumatic, and Immunodeficiency Disorders
    34. Dermatologic Disorders
    35. Eye and Vision Disorders
    36. Ear and Hearing Disorders
    37. Respiratory Disorders
    38. Cardiovascular Disorders
    39. Hematologic Disorders
    40. Gastrointestinal Disorders
    41. Genitourinary Disorders
    42. Gynecologic Disorders
    43. Musculoskeletal Disorders
    44. Injuries and Toxic Exposures
    45. Endocrine and Metabolic Disorders
    46. Neurologic Disorders

    Chapter 01: Health Status of Children: Global and National Perspectives
    Garzon Maaks: Burns’ Pediatric Primary Care, 7th Edition

    1. Which region globally has the highest infant mortality rate?
    a. Indonesia
    b. Southern Asia
    c. Sub-Saharan Africa
    d. Syria
    ANS: B
    Although Sub-Saharan Africa and Southern Asia together account for 77% of the infant
    mortality rate globally, Southern Asia has the highest infant mortality rate (39%) in the world
    followed closely by Sub-Saharan Africa (38%).

    c. Vaccinations
    d. Water purification
    ANS: C
    Rotavirus is the most common cause of diarrhea globally and Strep pneumonia is the leading
    cause of pneumonia, and together these are the leading infectious causes of childhood
    morbidity and mortality globally. Both are vaccine-preventable diseases. Antibiotics to treat
    pneumonia, optimal nutrition, and clean water all help to reduce morbidity and mortality, but
    vaccination prevents the diseases from occurring.
    3. Which statement correctly reflects the health status of children in the United States?
    a. Globalism has relatively little impact on child health measures in the U.S.

    ANS: B
    Obesity rates are a major concern for child health in the U.S. but recently have stabilized at
    8.9%. Globalism has an increasing effect on child health in the U.S. The rate of household
    poverty in the U.S. is higher than in other economically developed nations. Young children
    who attend preschool or day care have lower food insecurity.
    4. The primary care pediatric nurse practitioner understands that what major child health
    outcome is dramatically associated with worldwide climate change?
    a. Housing
    b. Education
    c. Nutrition

    2. The primary care pediatric nurse practitioner understands that, to achieve the greatest world-
    wide reduction in child mortality from pneumonia and diarrhea, which intervention is most

    a. Antibiotics
    b. Optimal nutrition

    b. Obesity rates among 2- to 5-year-olds have stabilized below Health People 2020
    goal of 9.4%.
    c. The rate of household poverty is lower than in other economically developed
    d. nYoung children who atte ations. nd preschool or day care have higher food insecurity.

    d. Pollution
    ANS: C
    There is growing evidence that climate change is having a dramatic effect on food crops that
    leads to food distribution issues and food insecurity among families.
    5. When providing well child care for an infant in the first year of life, the primary care pediatric
    nurse practitioner demonstrates an understanding of current guidelines when taking what
    a. Focusing less on development and more on illness prevention and nutrition.
    b. Following guidelines established by the Bright Futures publication.
    c. Scheduling well-baby visits to coincide with key developmental milestones.
    d. Seeing the infant at ages 2, 4, 6, and 12 months when immunizations are due.
    ANS: C
    In the most recent AAP Recommendations for Preventive Pediatric Health Care, there is a
    greater emphasis on behavioral and developmental issues and a recommendation that well
    child care be based on child and family development rather than the periodicity of
    immunization schedules.

    Chapter 02: Unique Issues in Pediatrics
    Garzon Maaks: Burns’ Pediatric Primary Care, 7th Edition

    1. What is the foundational basis of patient-and-family centered care (PFCC)?
    a. The family is to be considered when patient care is being planned
    b. The patient has ultimate control over health care decisions
    c. A family member acts as the patient’s surrogate decision makes
    d. The patient is the focus of the primary care provider’s attention
    ANS: B
    While all options are correct statements, the foundational basis of PFCC is the patient has
    ultimate control over health care decisions.
    2. Which assessment question best demonstrates the primary care provider’s understanding of
    effectively dealing with the greatest challenge to providing dual patient care?
    a. To the parent: “Do you feel comfortable providing in-home care for your child?”
    b. To the child: “When would you like your physical therapy sessions to be
    c. To the parent: “What are your feelings about going to family therapy to help with
    this transition?”
    d. To the child: “When did you first notice the pain in your knees?”
    ANS: B
    One of the greatest challenges is how to access, acknowledge, and include the child’s voice,
    which is often lost and/or overridden in health care. By directly asking the child their opinion
    or feelings, the PCP is providing for the child’s voice to be heard and acknowledged. None of
    the other options addresses that need.
    3. Which intervention best demonstrates a pediatric nurse primary care pediatric nurse
    practitioner’s understanding of effective pain assessment?
    a. Providing instructions regarding the pain assessment tool to parents of all
    newly admitted children

    ANS: B
    In the past, clinicians and researchers have relied on adult-developed and adult-centered tools
    and approaches, which have been “adapted” for use with children by adding pictures and/or
    simpler language. There is increasing realization that data from adapted, adult-centered
    models have has not adequately captured the voices and/or experiences of children. Engaging
    in the development of an assessment tool that is child focused is the best demonstration of
    understanding. All other options rely on adaptation of adult-centered tools or focus on
    standard pain management related interventions.

    b. Assisting in the developmnt of a e child-centered pain assessment scale
    c. Reviewing the documentation regarding the child’s pain assessment 30 minutes
    after analgesic medication was administered
    d. Explaining to both the child and the parents why pain medication will be delivered


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