A nurse is assessing a newborn’s eyes.
The nurse should identify that which of the following is an expected finding?
The newborn has blue or gray eyes at birth.
The newborn has a red reflex in both eyes.
The newborn has a nystagmus when looking to the side.
The newborn has a strabismus when focusing on an object.
The Correct Answer is B
The newborn has a red reflex in both eyes. This is an expected finding that indicates the absence of cataracts or other eye abnormalities. The red reflex test is performed by using an ophthalmoscope to shine a light into the baby’s eyes and observing the reflection.
The newborn has blue or gray eyes at birth: This statement is wrong because eye color can vary at birth and may change over time. Eye color is determined by the amount and distribution of melanin in the iris.
The newborn has a nystagmus when looking to the side. This statement is wrong because nystagmus is an abnormal eye movement that can indicate a neurological problem or a visual impairment.
The newborn has a strabismus when focusing on an object. This statement is wrong because strabismus is a misalignment of the eyes that can cause amblyopia (lazy eye) or double vision. Strabismus may be present at birth or develop later in life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
The correct answer is choice A, D, and E.The nurse should instruct the mother to clean the newborn’s eyes with warm water and cotton balls from the inner to the outer canthus to prevent infection and remove any discharge.The nurse should also advise the mother to avoid using cotton-tipped applicators to clean the newborn’s ears because they can damage the eardrum or push cerumen deeper into the ear canal.Additionally, the nurse should tell the mother to report any signs of eye infection, such as redness, swelling, or discharge, to the provider as soon as possible.
Choice B is wrong because using a bulb syringe to suction any drainage from the newborn’s ears can cause trauma or infection
Correct Answer is A
Explanation
Nystatin.Nystatin is an antifungal medicine that can be given as drops to treat oral thrush, a fungal infection in the mouth, in newborns.
Some possible explanations for the other choices are:
Acyclovir is an antiviral medicine that is used to treat infections caused by herpes viruses, such as cold sores or genital herpes.
It is not effective against fungal infections like thrush.
•Amoxicillin is an antibiotic medicine that is used to treat bacterial infections, such as ear infections or pneumonia.
It can actually increase the risk of developing thrush by killing the normal bacteria in the mouth that help prevent fungal overgrowth.
• Fluconazole is another antifungal medicine that can be used to treat thrush in some cases, especially in immunocompromised infants or when nystatin is not effective.
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