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The primary care pediatric nurse practitioner performs a vision screen on a 4-month-old infant
and notes the presence of convergence and accommodation with mild esotropia of the left eye.
What will the NP do?
A. Patch the right eye to improve coordination of the left eye
B. Reassure the parents that the infant will outgrow this
C. Recheck the infant's eyes in 2-4 weeks
D. Refer the infant to a pediatric ophthalmologist - Answer D. Refer the infant to a pediatric
ophthalmologist
During a well child exam on a 4-year-old child, the primary care pediatric nurse practitioner
notes that the clinic nurse recorded "20/50" for the child's vision and noted the the child had
difficulty cooperating with the exam. What will the NP recommend?
A. Follow up with a visual acuity screen in 6 months
B. Refer to pediatric ophthalmologist
C. Retest the child in 1 year
D. Test the child's vision in 1 month - Answer D. Test the child's vision in 1 month
During a well child assessment of an African American infant, the primary care pediatric nurse
practitioner notes a dark red brown light reflex in the left eye and slightly brighter, red orange
light reflex in the right eye. The NP will
A. Dilate the pupils and reassess the red reflex
B. Order autorefractor screening of the eyes
C. Recheck the red reflex in 1 month
D. Refer the infant to a pediatric ophthalmologist - Answer D. Refer the infant to a pediatric
ophthalmologist
The primary care pediatric nurse practitioner performs a Hirschberg test to evaluate