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1. 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 nurse practitioner 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 to 4 weeks.
D. Refer the infant to a pediatric ophthalmologist. Correc
2. 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 that the
child had difficulty cooperating with the exam. What will the nurse practitioner recommend?
A. Follow up with a visual acuity screen in 6 months.
B. Refer to a pediatric ophthalmologist.
C. Re-test the child in 1 year.
D. Test the child’s vision in 1 month.
3. 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 a slightly brighter,redorange light reflex in the right eye. The nurse practitioner will
A. dilate the pupils and reassess the red reflex.
B. order auto-refractor screening of the eyes.
C. recheck the red reflex in 1 month.
D. refer the infant to an ophthalmologist. Correc
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