Author Question: The nurse will begin screening babies for strabismus at 3 to 6 months of age. A parent asks the ... (Read 77 times)

Pineapplelove6 · **on:** Jun 27, 2018

The nurse will begin screening babies for strabismus at 3 to 6 months of age. A parent asks the nurse why this screening is being done at this early age. Which of the following is the nurse's best response?

a. Surgery needs to be done before the child is 1 year old if he or she has strabismus.
b. This is the best time to begin the eye exercises if strabismus is present.
c. Identification of strabismus requires a regimen of vitamin E to be started early.
d. The longer a child has uncorrected strabismus, the more vision loss he or she tends to have.

Question 2

The school nurse observes a child who has strabismus. Which of the following is the most obvious sign of strabismus?

a. squinting to get a better image c. having difficulty picking up objects
b. stumbling and appearing clumsy d. a cross-eyed appearance

emilymalinowski12 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D

Feedback
A Incorrect. Screening babies for strabismus at 3 to 6 months of age is not done because surgery needs to be done before the child is 1 year old.
B Incorrect. Screening babies for strabismus at 3 to 6 months of age is not done because this is the best time to begin the eye exercises.
C Incorrect. Screening babies for strabismus at 3 to 6 months of age is not done because treatment requires a regimen of vitamin E to be started early.
D Correct. Screening for strabismus should begin at 3-6 months of age because the longer a child has uncorrected strabismus, the more vision loss he or she tends to have. In strabismus then one eye deviates (moves upward, inward, or outward), the brain is unable to fuse the dissimilar-similar images and double vision results. The brain will learn to suppress the image from the deviated eye to allow clear sight in the straight eye. The earlier suppression begins and the longer it is allowed to continue, the more permanent the loss of vision.

Answer to Question 2

D

Feedback
A Incorrect. The most obvious sign of strabismus is not squinting to get a better image.
B Incorrect. The most obvious sign of strabismus is not stumbling and appearing clumsy.
C Incorrect. The most obvious sign of strabismus is not having difficulty picking up objects.
D Correct. The most obvious sign of strabismus is a cross-eyed appearance. Strabismus is a condition there the visual lines of each eye do no simultaneously focus on the same object in space because of a lack of muscular coordination.