A nurse in a pediatric clinic is assessing a 6-month-old infant. Which of the following findings should the nurse identify as an indication of a visual Impairment?

A. The child exhibits a gag reflex when stimulated with a tongue blade. The gag reflex is associated with cranial nerves IX (glossopharyngeal) and X (vagus), not the trigeminal nerve.

B. The child maintains balance when standing with eyes closed. Balance is assessed in part by cranial nerve VIII (vestibulocochlear nerve) and also involves the cerebellum, not the trigeminal nerve.

C. The child correctly identifies specific scents. Identifying specific scents is related to cranial nerve I (olfactory nerve), not the trigeminal nerve.

D. The child has symmetrical jaw strength when biting down. The trigeminal nerve (cranial nerve V) controls the muscles of mastication. Symmetrical jaw strength when biting down indicates proper functioning of this nerve.

A. "Encourage your child to drink liquids through a straw." Using a straw can create negative pressure that may dislodge clots at the surgical site, increasing the risk of bleeding. Therefore, this is not recommended.

B. "Notify the provider if your child is swallowing frequently." Frequent swallowing can be a sign of bleeding at the surgical site. It’s important to monitor for this as it may indicate that the child is swallowing blood, which could lead to serious complications.

C. "Encourage your child to clear their throat as needed." Clearing the throat can cause irritation and increase the risk of bleeding at the surgical site. It is generally advised to avoid actions that might disturb the surgical site.

D. "Notify the provider if your child has dark brown blood between their teeth." Dark brown blood can indicate old blood which is less concerning than bright red blood. However, any bleeding should be monitored, and bright red blood is of particular concern. The more immediate issue is frequent swallowing as it indicates active bleeding