PNCB Examination Study Guide | Questions with 100% Correct Answers | Verified | Latest Update 2024

You are seeing a 4-week old infant whose mother states that the child's right eye is wet all the time and sometime there is thick mucus on the lashes. There has been no fever and the baby is feeding well. Eye exam reveals a normal red reflex bilaterally with no evidence of purulent drainage, conjunctival erythema, or cloudiness over the cornea. You suspect: a) adenovirus conjunctivits b) nasolacrimal stenosis c) chlamydial conjunctivitis d) congenital cataract - b) nasolacrimal duct stenosis A 9-month-old infant who was born at 32-weeks reaches for a block with only the left hand. The right arm remains still at the side of her body. The PNP would: a) record these findings as normal for a premature infant b) refer the infant for further evaluation c) refer the child for a muscle biopsy d) record that the child will likely be left-handed - b) refer the infant for further evaluation During a 2-month-old well child visit you note that the red reflex in one eye seems paler than in the other. What is the most appropriate follow-up step for this observation? a) assess and document a normal corneal light reflex in that eye b) preform the cover/uncover test c) re-evaluate the red re-screening test in 2 weeks d) refer the infant to a pediatric ophthalmologist immediately - d) refer the infant to a pediatric ophthalmologist immediately Primary dentition erupts between: