Author Question: In infants, the following is a serious examination finding: A. Lack of red reflex B. Eyelid ... (Read 61 times)

saliriagwu · **on:** Jun 25, 2018

In infants, the following is a serious examination finding:

A. Lack of red reflex
B. Eyelid telangiectasia
C. Delayed pupillary reaction
D. A and C

Question 2

With school-age children, the examiner should:

A. Use a head-to-toe sequence
B. Explain everything they plan to do in detail
C. Allow them to hold and look over the equipment
D. A and C

shailee · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
Red Flags for the Eye Examination
Presence of white instead of red reflex may indicate retinoblastoma; an absent red reflex or opacity of the lens may indicate cataracts
Dilated and fixed pupils, which indicate severe brain damage
Strabismus, which requires referral to ophthalmology for further evaluation
Some variations that may be noted in newborns include the presence of stork bites (telangiectatic nevi) on the eyelids, nasolabial area, or nape of the neck; they appear as a purplish-red color and generally diminish and/or disappear by 12 months of age.

Answer to Question 2

ANS: D
School-age children generally want to be brave and cooperate, although they still fear pain and the loss of control. They often ask lots of questions and are curious about using your equipment. Allow them to examine the equipment, and provide concrete answers to their questions whenever possible because children at this age become very logical. Teach them the proper names for equipment and body parts. Modesty may begin to appear in this age group, so be sensitive to this. A head-to-toe sequence is possible for this age.