The nurse is caring for a child suspected of having strabismus and is performing a corneal light reflex test.
Which finding does the nurse identify as a sign of this condition?
The nurse is caring for a child suspected of having strabismus and is performing a corneal light reflex test.
Which finding does the nurse identify as a sign of this condition?
A. Symmetrical pin-point light on each pupil
[7%]
B. Red reflex in both eyes
[9%]
C. Asymmetrical pin-point lights on the pupils
[74%]
D. Sun setting sign
[9%]
Statistics
Subject/Lesson
Subject
Child Health
Lesson
Visual/Auditory
Client Need
Test Plan
Physiological Adaptation
Related Topic
Alterations in Body Systems
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice C is correct. Asymmetrical pin-point lights on the pupils are a sign of strabismus. If the nurse suspects that the child has strabismus and conducts a corneal light reflex test, this may confirm her suspicions. This child should have a full eye exam performed to confirm the diagnosis and receive proper treatment.
Choice A is incorrect. A symmetrical pin-point light on each pupil is the normal finding in a corneal light reflex test. This is not a sign of strabismus.
Choice B is incorrect. The red reflex is a normal sign in healthy eyes. It occurs when light passes through the pupil and is reflected back off the retina to a viewing aperture, creating a reddish-orange glow.
Choice D is incorrect. Sun setting sign is an indication of increased intracranial pressure that presents when the eyes appear driven downward. The sclera is seen between the upper eyelid and the iris, while part of the lower pupil may be covered by the lower eyelid. The nurse does not assess for this sign with a corneal light reflex and it is not a sign of strabismus.
Related Videos
2 Key Topics
Newborn Assessment
31.1 Immediate Newborn Evaluation
Additional Info
✓ Strabismus is a condition where the eyes are misaligned and do not point in the same direction. This can result in one eye turning inward (esotropia), outward (exotropia), upward (hypertropia), or downward (hypotropia). Strabismus can lead to vision problems, such as amblyopia (lazy eye), if left untreated.
✓ Early identification of strabismus is crucial to prevent vision issues like amblyopia, which can cause permanent vision loss if not addressed early.
✓ If strabismus is suspected, referral to a pediatric ophthalmologist or optometrist is essential for further evaluation and management. Treatment options may include corrective lenses, eye exercises, or in some cases, surgery.
https://app.archerreview.com/test-screen/MjQzMzczNDk=/NjExNA==
