NRNP 6566 WEEK 3 COMPREHENSIVE EXAM
SCRIPT 2026 SOLVED QUESTIONS FULL
SOLUTION
◉ Bowlby's attachment theory - core idea. Answer: Infants need
consistent, sensitive attachment to at least one primary caregiver
during early life to support optimal socioemotional development.
◉ Sensitive periods (Bowlby). Answer: Optimal times for
development of attachment relationships, though bonding is not
absolutely restricted to these windows.
◉ Bronfenbrenner's ecological systems theory. Answer: A model
that views child development as influenced by multiple nested
environmental systems that interact over time.
◉ Microsystem (Bronfenbrenner). Answer: Immediate
environments the child directly interacts with (e.g., family, school,
peers, daycare).
◉ Mesosystem (Bronfenbrenner). Answer: Interconnections among
microsystems (e.g., relationships between home and school).
,◉ Exosystem (Bronfenbrenner). Answer: Settings the child does not
directly participate in but that affect them (e.g., parent's workplace,
school board, health services, media).
◉ Macrosystem (Bronfenbrenner). Answer: Broader cultural, social,
and political context, including laws, values, beliefs, and social class.
◉ Chronosystem (Bronfenbrenner). Answer: The dimension of time,
including life transitions and sociohistorical circumstances.
◉ Intersectionality (in development). Answer: Concept describing
how overlapping identities (e.g., race, gender, class) interact to
create unique experiences of privilege and discrimination.
◉ Developmental surveillance. Answer: Ongoing, continuous
process of monitoring a child's development at every health
supervision visit using history, observation, and caregiver input.
◉ Developmental screening. Answer: Use of standardized tools at
specific ages or when concerns arise to identify children at risk for
developmental problems.
◉ Diagnostic developmental evaluation. Answer: Detailed
assessment, often multidisciplinary, to confirm or clarify
developmental concerns and guide intervention.
,◉ "Learn the Signs, Act Early" (AAP). Answer: Evidence-informed
developmental milestone checklists used in surveillance to help
families and providers monitor child development.
◉ Key updates to AAP developmental milestones (2019). Answer:
Added 15- and 30-month checklists and shifted milestones to those
reached by about 75% of children, rather than 50%.
◉ Primary purpose of anticipatory guidance. Answer: To help
caregivers prepare for upcoming developmental stages, promote
health, prevent injury/disease, and support family functioning.
◉ Components of anticipatory guidance - caregiver assessment.
Answer: Evaluating caregivers' knowledge of child development,
comfort with caregiving, and past experiences (including ACEs).
◉ Components of anticipatory guidance - information sharing.
Answer: Providing age-specific education about expected
milestones, safety, behavior, and strategies to support development.
◉ Components of anticipatory guidance - reinforcement. Answer:
Recognizing and reinforcing positive caregiving strategies, problem-
solving skills, and coping mechanisms.
, ◉ Involving the child in anticipatory guidance. Answer: Increasingly
talking directly with older children and adolescents about their
development, health, and self-care.
◉ Strength-based approach with developmental delays. Answer:
Starting discussions with what the child does well before addressing
concerns and needed supports.
◉ PCP role when discussing developmental delays. Answer: Listen
to caregiver concerns, validate observations, provide honest and
realistic information, and outline next steps (screening, referral,
intervention).
◉ Caregiver knowledge as protective factor. Answer: Understanding
child development and positive caregiving strategies reduces risk of
maltreatment and supports healthy outcomes.
◉ Intergenerational transmission (caregiving). Answer: The way
parenting styles and experiences are passed down from one
generation to the next, influencing current caregiving.
◉ Family system perspective. Answer: View of the family as a
complex, interacting system where changes in one part affect the
whole.
SCRIPT 2026 SOLVED QUESTIONS FULL
SOLUTION
◉ Bowlby's attachment theory - core idea. Answer: Infants need
consistent, sensitive attachment to at least one primary caregiver
during early life to support optimal socioemotional development.
◉ Sensitive periods (Bowlby). Answer: Optimal times for
development of attachment relationships, though bonding is not
absolutely restricted to these windows.
◉ Bronfenbrenner's ecological systems theory. Answer: A model
that views child development as influenced by multiple nested
environmental systems that interact over time.
◉ Microsystem (Bronfenbrenner). Answer: Immediate
environments the child directly interacts with (e.g., family, school,
peers, daycare).
◉ Mesosystem (Bronfenbrenner). Answer: Interconnections among
microsystems (e.g., relationships between home and school).
,◉ Exosystem (Bronfenbrenner). Answer: Settings the child does not
directly participate in but that affect them (e.g., parent's workplace,
school board, health services, media).
◉ Macrosystem (Bronfenbrenner). Answer: Broader cultural, social,
and political context, including laws, values, beliefs, and social class.
◉ Chronosystem (Bronfenbrenner). Answer: The dimension of time,
including life transitions and sociohistorical circumstances.
◉ Intersectionality (in development). Answer: Concept describing
how overlapping identities (e.g., race, gender, class) interact to
create unique experiences of privilege and discrimination.
◉ Developmental surveillance. Answer: Ongoing, continuous
process of monitoring a child's development at every health
supervision visit using history, observation, and caregiver input.
◉ Developmental screening. Answer: Use of standardized tools at
specific ages or when concerns arise to identify children at risk for
developmental problems.
◉ Diagnostic developmental evaluation. Answer: Detailed
assessment, often multidisciplinary, to confirm or clarify
developmental concerns and guide intervention.
,◉ "Learn the Signs, Act Early" (AAP). Answer: Evidence-informed
developmental milestone checklists used in surveillance to help
families and providers monitor child development.
◉ Key updates to AAP developmental milestones (2019). Answer:
Added 15- and 30-month checklists and shifted milestones to those
reached by about 75% of children, rather than 50%.
◉ Primary purpose of anticipatory guidance. Answer: To help
caregivers prepare for upcoming developmental stages, promote
health, prevent injury/disease, and support family functioning.
◉ Components of anticipatory guidance - caregiver assessment.
Answer: Evaluating caregivers' knowledge of child development,
comfort with caregiving, and past experiences (including ACEs).
◉ Components of anticipatory guidance - information sharing.
Answer: Providing age-specific education about expected
milestones, safety, behavior, and strategies to support development.
◉ Components of anticipatory guidance - reinforcement. Answer:
Recognizing and reinforcing positive caregiving strategies, problem-
solving skills, and coping mechanisms.
, ◉ Involving the child in anticipatory guidance. Answer: Increasingly
talking directly with older children and adolescents about their
development, health, and self-care.
◉ Strength-based approach with developmental delays. Answer:
Starting discussions with what the child does well before addressing
concerns and needed supports.
◉ PCP role when discussing developmental delays. Answer: Listen
to caregiver concerns, validate observations, provide honest and
realistic information, and outline next steps (screening, referral,
intervention).
◉ Caregiver knowledge as protective factor. Answer: Understanding
child development and positive caregiving strategies reduces risk of
maltreatment and supports healthy outcomes.
◉ Intergenerational transmission (caregiving). Answer: The way
parenting styles and experiences are passed down from one
generation to the next, influencing current caregiving.
◉ Family system perspective. Answer: View of the family as a
complex, interacting system where changes in one part affect the
whole.
