8th Edition| Chapters 1-43|2026 updates | A+
Graded
BY Dawn Lee Garzon, Mary Dirks , Martha Driessnack, Karen G.
Duderstadt and Nan M. Gaylord
,Table of Contents
Chapter 1: Pediatric Primary Care. ................................................................................................... 4
Chapter 2: Global and National Influences on Child Health Status. ................................................. 21
Chapter 3: Environmental Influences on Pediatric Health. .............................................................. 39
Chapter 4: Justice, Equity, Inclusion, and Diversity. ........................................................................ 56
Chapter 5: Pediatric and Family Assessment. ................................................................................. 73
Chapter 6: Behavioral and Mental Health Promotion. .................................................................... 90
Chapter 7: Sexuality and Gender Identity. .................................................................................... 107
Chapter 8: Developmental Principles and Theories. ..................................................................... 125
Chapter 9: Developmental Management of Newborns and Neonates. ......................................... 143
Chapter 10: Developmental Management of Infants. ................................................................... 160
Chapter 11: Developmental Management of Early Childhood. ..................................................... 177
Chapter 12: Developmental Management of Middle Childhood. .................................................. 194
Chapter 13: Developmental Management of Adolescents. ........................................................... 212
Chapter 14: Nutrition. .................................................................................................................. 230
Chapter 15: Breastfeeding. .......................................................................................................... 248
Chapter 16: Sleep. ....................................................................................................................... 266
Chapter 17: Elimination. .............................................................................................................. 284
Chapter 18: Physical Activity and Sports. ...................................................................................... 302
Chapter 19: Immunizations. ......................................................................................................... 320
Chapter 20: Dental and Oral Health. ............................................................................................ 338
Chapter 21: Pediatric Injury Prevention........................................................................................ 356
Chapter 22: Child Maltreatment. ................................................................................................. 373
Chapter 23: Prescribing Traditional and Complementary Therapies. ............................................ 390
Chapter 24: Pediatric Pain and Fever Management. ..................................................................... 407
Chapter 25: Pediatric Injuries and Toxic Exposures. ...................................................................... 424
Chapter 26: Pediatric Palliative Care. ........................................................................................... 441
Chapter 27: Congenital and Inherited Disorders. .......................................................................... 459
Chapter 28: Neonatal Disorders. .................................................................................................. 477
Chapter 29: Neurodivergence and Behavioral and Mental Health Disorders................................. 495
Chapter 30: Eye and Vision Disorders. .......................................................................................... 514
Chapter 31: Ear and Hearing Disorders......................................................................................... 532
Chapter 32: Respiratory Disorders. .............................................................................................. 550
,Chapter 33: Cardiovascular Disorders .......................................................................................... 568
Chapter 34: Gastrointestinal Disorders ........................................................................................ 585
Chapter 35: Infectious Diseases ................................................................................................... 602
Chapter 36: Inflammatory Disorders ............................................................................................ 619
Chapter 37: Dermatologic Disorders ............................................................................................ 636
Chapter 38: Hematologic Disorders.............................................................................................. 653
Chapter 39: Endocrine and Metabolic .......................................................................................... 671
Chapter 40: Musculoskeletal Disorders ........................................................................................ 688
Chapter 41: Neurologic Disorders ................................................................................................ 705
Chapter 42: Genitourinary Disorders ............................................................................................ 722
Chapter 43: Gynecology and Reproductive Health ....................................................................... 739
, Chapter 1: Pediatric Primary Care.
1
A 2-week-old full term infant is brought to the pediatric primary care clinic for an initial visit after
hospital discharge. The parents express anxiety about whether their baby is feeding adequately. Which
action by the pediatric primary care provider best reflects the core principles of pediatric primary care?
A Assess feeding volume only and reassure the parents if intake is within normal limits
B Focus on the infant’s weight gain while deferring parental concerns to a later visit
C Provide anticipatory guidance address parental concerns and assess growth development and family
context
D Refer the family to a lactation consultant without further assessment
ANS C
Rationale
Pediatric primary care emphasizes comprehensive family centered care that integrates growth
monitoring developmental surveillance parental concerns and anticipatory guidance. Addressing both
clinical data and caregiver concerns reflects the holistic approach described in Burns. Options A B and D
address isolated components but fail to incorporate the full scope of pediatric primary care.
2
A pediatric nurse practitioner is reviewing the medical home model during a team meeting. Which
element is essential to the pediatric medical home as outlined in pediatric primary care principles?
A Episodic care focused on acute illness
B Centralized coordinated continuous and family centered care
C Specialist driven management for all chronic conditions
D Emphasis on disease treatment rather than prevention
ANS B
Rationale
The pediatric medical home model emphasizes care that is accessible continuous comprehensive family
centered coordinated and culturally effective. Burns highlights continuity and coordination as
foundational. Episodic acute care and disease focused models contradict the medical home philosophy.
3
A 4-year-old child presents for a well child visit. The family recently immigrated and expresses concern
about navigating the healthcare system. Which role of the pediatric primary care provider is most
appropriate in this scenario?
A Limiting care to immunizations and physical assessment
B Acting as a coordinator advocate and educator for the family