Module 1-CMN 568 Questions with Complete Solutions
anticipatory guidance CORRECT ANS-Patient/family counseling which includes
information, advice, and suggestions about expected health-related life occurrences, health
maintenance, and preventive plans.
where should pediatric history information be obtained from? CORRECT ANS-both patient
and parent; obtain as much as possible from patient to give child a degree of control over a
potentially threatening situation
order of pediatric physical examination CORRECT ANS-1. inspection first, from afar;
examine skin color and work of breathing before beginning exam; establish trust; allow child
to sit in parents lap; defer otoscopic exam until last
when should eyes and ears be examined? CORRECT ANS-during every health visit
3 components of vision assessment CORRECT ANS-- visual inspection of eyes/eyelids
- alignment of eyes
- visual acuity
, Module 1-CMN 568 Questions with Complete Solutions
birth to age 3 ophthalmic exam includes: CORRECT ANS-- eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
age 3 and up ophthalmic exam includes: CORRECT ANS-- eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
visual acuity test with eye chart; classes should be worn if prescribed and record data as
"corrected"
, Module 1-CMN 568 Questions with Complete Solutions
assessing newborn visual acuity CORRECT ANS-should be able to briefly track mother's
face or brightly colored object within an hour after birth (fixation reflex not developed for
several weeks); dont talk while assessing vision, baby may look toward sound rather than
visual stimulus
when patient presents with eye condition (infection, injury, etc), what do you check first?
CORRECT ANS-visual acuity; UNLESS there is chemical injury to eye, then you should
irrigate first and refer to ophthalmologist; when there is decreased acuity, also refer to
ophthalmologist
what is the visual acuity of a newborn? CORRECT ANS-20/200-20/400; acuity reaches adult
level of 20/20 by age 5
when to refer child to ophthalmologist CORRECT ANS-- 3-5yr: if acuity is less than 20/40 in
either eye, or if theres a difference in two lines in acuity between eyes
- 6yr and older: if acuity is less than 20/30 or if theres a difference in two lines in acuity
between eyes
when to assess red reflex CORRECT ANS-birth until the child can read eye chart
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