Question

1. A nurse is assisting in performing a visual screening test on a school-age child. Which of the following is an expected finding by the nurse?

1. Pupils appear white when performing the red reflex test
2. Pupils constrict during the light perceptions test
3. Eye movement noted during the cover test

d. Nystagmus noted during the lateral gaze.

2.

1. A nurse is collecting data from a 3-year-old child during a well-child visit. which of the finding should the nurse report to the provider?

1. The child’s head size exceeds his chest circumference
2. Three flexion creases are on the child’s palm
3. The tympanic membrane is a translucent-gray color
4. The palatine tonsils appear glandular

Answer 1

1. A nurse is assisting in performaning a visual screening test on a school age child . Which of the expected finding-

Ans - option : C . Eye movement noted during cover test.

Explanation -

The cover test is performed by having the patient focus on an object then covering the fixating eye and observing the movement of other eye.

2. A nurse is collecting data from 3 year old age child During well - child visit. which of the finding nurse should report -

Ans :

Option - d. The Palatine tonsils appear glandular.

Explanation - Palpable palatine tonsils are usually observed between the ages of 3-5 years.

- Cheat circumference is larger than Head circumference in 3 year child. So option a. Is wrong.

- Flexion creases present on palm from birth

- Gray color tympanic membrane is abnormal .