and Correct Answers | New
Update
anticipatory guidance - 🧠ANSWER ✔✔Patient/family counseling which
includes information, advice, and suggestions about expected health-
related life occurrences, health maintenance, and preventive plans.
where should pediatric history information be obtained from? - 🧠ANSWER
✔✔both patient and parent; obtain as much as possible from patient to give
child a degree of control over a potentially threatening situation
,order of pediatric physical examination - 🧠ANSWER ✔✔1. inspection first,
from afar; examine skin color and work of breathing before beginning
exam; establish trust; allow child to sit in parents lap; defer otoscopic exam
until last
when should eyes and ears be examined? - 🧠ANSWER ✔✔during every
health visit
3 components of vision assessment - 🧠ANSWER ✔✔- visual inspection of
eyes/eyelids
- alignment of eyes
- visual acuity
birth to age 3 ophthalmic exam includes: - 🧠ANSWER ✔✔- eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
age 3 and up ophthalmic exam includes: - 🧠ANSWER ✔✔- eye history
,- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
visual acuity test with eye chart; classes should be worn if prescribed and
record data as "corrected"
assessing newborn visual acuity - 🧠ANSWER ✔✔should be able to briefly
track mother's face or brightly colored object within an hour after birth
(fixation reflex not developed for several weeks); dont talk while assessing
vision, baby may look toward sound rather than visual stimulus
when patient presents with eye condition (infection, injury, etc), what do
you check first? - 🧠ANSWER ✔✔visual acuity; UNLESS there is chemical
injury to eye, then you should irrigate first and refer to ophthalmologist;
when there is decreased acuity, also refer to ophthalmologist
what is the visual acuity of a newborn? - 🧠ANSWER ✔✔20/200-20/400;
acuity reaches adult level of 20/20 by age 5
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
, when to refer child to ophthalmologist - 🧠ANSWER ✔✔- 3-5yr: if acuity is
less than 20/40 in either eye, or if theres a difference in two lines in acuity
between eyes
- 6yr and older: if acuity is less than 20/30 or if theres a difference in two
lines in acuity between eyes
when to assess red reflex - 🧠ANSWER ✔✔birth until the child can read eye
chart
when should you start to assess fixation and following? - 🧠ANSWER ✔✔2
months; refer out if fixation and following are poor by 3 months
when to test corneal light reflex (hirschsbergs test)? - 🧠ANSWER ✔✔3
months- 5 years; refer out for asymmetry in light reflex
when to start cover testing for strabismus - 🧠ANSWER ✔✔6 months- 5
years
when to start a fundoscopic exam - 🧠ANSWER ✔✔3 years
when to start preliterate eye chart testing - 🧠ANSWER ✔✔3-4 years
minimal visual acuity at age 3-5 - 🧠ANSWER ✔✔20/40